MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
OZARK ACTION, INC.

Facility DVN
000693512

Phone
(573) 674-2100

Physical Address
123 CEDAR ST
LICKING
MO 65542-8294

Owner
OZARK ACTION, INC.

Mailing Address

Provider/Director
JETT, ROSE MARIE

E-mail Address
HS-EHSstateinspections@oaiwp.org

Incorporated
Incorporated

Child Care Specialist
KATHLEEN WILSON

Age Range
36 MONTHS - 5 YEARS

Capacity
20

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
09/26/2023

Arrival Time
9:40 AM

Departure Time
10:03 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2455584967

Document	Document-Date
DIRECTOR'S QUALIFICATIONS	12/12/2022
DIAGRAM/OUTDOOR	02/02/1995
DIAGRAM/INDOOR	02/02/1995
LOCAL ZONING APPROVAL	12/27/1995
JOB RESPONSIBILITIES	03/08/1996
ARTICLES OF INCORPORATION	11/03/1965
CHILD CARE PRACTICES	08/08/2014
DISCIPLINE POLICIES	08/08/2014
LOCAL BUILDING APPROVAL	04/05/1996
DAILY SCHEDULE	05/18/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN	02/20/2018
LOCAL FIRE DEPARTMENT NOTIFICATION	02/20/2018
SAMPLE WEEKLY MENU	02/20/2018
LINES OF ADMINISTRATIVE AUTHORITY	03/26/2019
APPLICATION	01/02/2020
CERTIFICATE OF GOOD STANDING	02/24/2023
STAFF SHEET	02/25/2021
EQUIPMENT LIST	02/24/2023
ANNUAL DECLARATION	02/24/2023
FIRE/SAFETY INSPECTION	09/29/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	02/24/2023
SANITATION INSPECTION	02/03/2023

Inspection determined facility to be in compliance with 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.

Attendance at Time of Inspection

Total Staff 4

Total Children 16

Staff	Child	Class Age	Note
2	16	MIXED	Carla Elliott and Kim Smith with sixteen children ages 3-5 years.
2	0	NO CHILDREN IN ATTENDANCE	Michelle Long (family advocate) and Rose Jett (director) present with no children at this time.


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 Compliance
5 CSR 25-500.112 Staff/Child Ratios Compliance
5 CSR 25-500.122 Medical Examination Reports Compliance
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