DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY

002191319

(573) 778-0083

1140 HERSCHEL BESS BLVD
POPLAR BLUFF
MO  63901

SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY

PO BOX 6
WINONA
MO  65588-0006

ELLIS, JAIME GALE

SCMCAA@HOTMAIL.COM

Incorporated

BRITTANY HECHT

BIRTH - 5 YEARS

84

GROUP HOME AND CENTER

32 CHILDREN IN THE INFANT/TODDLER UNIT; 16 CHILDREN UNDER 12 MONTHS
 
Inspection Information

09/25/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2455430603


DocumentDocument-Date
DAILY SCHEDULE 08/05/2010
JOB RESPONSIBILITIES 08/05/2010
SAMPLE WEEKLY MENU 08/05/2010
ARTICLES OF INCORPORATION 08/05/2010
LINES OF ADMINISTRATIVE AUTHORITY 09/01/2010
DISCIPLINE POLICIES 12/11/2014
CHILD CARE PRACTICES 12/11/2014
POLICIES 12/11/2014
DIRECTOR'S QUALIFICATIONS 12/30/2015
DIAGRAM/INDOOR 08/05/2010
DIAGRAM/OUTDOOR 08/05/2010
LOCAL ZONING APPROVAL 01/11/2010
LOCAL FIRE DEPARTMENT NOTIFICATION 01/08/2016
APPLICATION 07/01/2020
CERTIFICATE OF GOOD STANDING 08/08/2022
SANITATION INSPECTION 07/27/2023
ANNUAL DECLARATION 08/02/2023
FIRE/SAFETY INSPECTION 06/28/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 08/02/2023
EQUIPMENT LIST 08/02/2023




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: NA
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.

Compliance List
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
5 CSR 25-500.087 Fire Safety
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials
Compliance
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
The facility orientation did not include a review of assigned duties and responsibilities for the following staff: Kailee Politte.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. E. states: The assigned duties and responsibilities of staff;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the assigned duties and responsibilities.

Correction Verification
Submit Documentation

Compliance Date
9/12/2023
Violation
The facility orientation did not include a review of the names and ages of the children for the following staff: Kailee Politte.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. F. states: The names and ages of the children for whom the staff member will be responsible, including any special health, nutritional or developmental needs;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the child information and needs.

Correction Verification
Submit Documentation

Compliance Date
9/12/2023
Violation
Safe sleep training was not completed within the past 3 years for the following staff Cheryl Tibbs.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) (A) . states: Every three (3) years, the child care provider, group child care home provider, child care staff members, and volunteers in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Policy Statement on sleep-related infant deaths. The Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment, July 2022, is incorporated by reference in this rule, as published by the American Academy of Pediatrics and available at https://publications.aap.org/pediatrics/article/150/1/e2022057990/188304/Sleep-Related-Infant-Deaths-Updated-2022 or as published in PEDIATRICS Volume 150, Issue 1, July 2022. A copy can also be obtained from the Department of Elementary and Secondary Education, Office of Childhood, 205 Jefferson Street, PO Box 480, Jefferson City, MO 65102-0480 and at https://dese.mo.gov/governmental-affairs/deseadministrativerules/incorporated-reference-materials. This rule does not incorporate any subsequent amendments or additions.
Correction Required
The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required.

Correction Verification
Submit Documentation

Compliance Date
9/25/2023
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Sarah Rodriguez.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

Correction Verification
Submit Documentation

Compliance Date
9/12/2023
5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.142 Nighttime Care
Compliance
5 CSR 25-500.162 Overlap Care of Children
Compliance
5 CSR 25-500.172 Emergency School Closings
Compliance
5 CSR 25-500.182 Child Care Program
Compliance
5 CSR 25-500.192 Health Care
Compliance
5 CSR 25-500.202 Nutrition and Food Service
Compliance
5 CSR 25-500.212 Transportation and Field Trips
Compliance
5 CSR 25-500.222 Records and Reports
Compliance
5 CSR 25-600.020 General Requirements
Compliance
5 CSR 25-600.040 Background Screening Findings
Compliance
RSMo 210.115. Reports of abuse, neglect, and under age eighteen deaths — persons required to report — supervisors and administrators not to impede reporting — deaths required to be reported to the division or child fatality review panel, when — report made to another state, when. —
Compliance
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance