MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
MISSOURI VALLEY COMMUNITY ACTION AGENCY

Facility DVN
000610173

Phone
(660) 886-9980

Physical Address
1498 LEXINGTON
MARSHALL
MO 65340

Owner
MISSOURI VALLEY COMMUNITY ACTION AGENCY

Mailing Address

Provider/Director
BULLARD, DANIELLE NICOLE

E-mail Address
crossr@mvcaa.net

Incorporated
Incorporated

Child Care Specialist
JONATHAN BRADLEY

Age Range
36 MONTHS - 5 YEARS

Capacity
50

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
10/03/2023

Arrival Time
10:22 AM

Departure Time
10:57 AM

Notice
UNANNOUNCED

Inspection Type
CLOSE SUPERVISION

Inspection ID
2455949487

Document	Document-Date
ARTICLES OF INCORPORATION	04/08/2015
DISASTER AND EMERGENCY PREPAREDNESS PLAN	10/09/2018
SAMPLE WEEKLY MENU	08/23/2007
CHILD CARE PRACTICES	08/23/2007
POLICIES	08/23/2007
LOCAL ZONING APPROVAL	08/27/2007
DIAGRAM/INDOOR	08/23/2007
DIAGRAM/OUTDOOR	08/23/2007
DISCIPLINE POLICIES	10/16/2018
JOB RESPONSIBILITIES	10/16/2018
LINES OF ADMINISTRATIVE AUTHORITY	10/16/2018
LOCAL FIRE DEPARTMENT NOTIFICATION	11/08/2018
APPLICATION	03/28/2019
DIRECTOR'S QUALIFICATIONS	04/16/2019
EQUIPMENT LIST	01/24/2023
DAILY SCHEDULE	09/09/2021
CERTIFICATE OF GOOD STANDING	12/13/2021
STAFF SHEET	10/15/2021
ANNUAL DECLARATION	01/24/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	01/24/2023
FIRE/SAFETY INSPECTION	10/05/2022
SANITATION INSPECTION	10/06/2022

Overlap Start Time	Overlap End Time	Overlap Submit Date
11:30AM	12:30PM	8/13/2008

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 8

Total Children 21

Staff	Child	Class Age	Note
2	10	MIXED	Teacher Stephanie Brown, foster grandparent Charlotte Wagner with children ages 3 years through 5 years old.
4	11	MIXED	Teachers Danielle Boullard, Samantha Goode, and Sarafina Marar, foster grandparent Jesse Edde, with children ages 3 years through 5 years old.
2	0	NO CHILDREN IN ATTENDANCE	Cook Cassandra Dotson and teacher Mercedes Meck were on premise, not in ratio.

Compliance List
5 CSR 25-500.032 Organization and Administration Compliance
5 CSR 25-500.042 Licensing Process Not Observed
5 CSR 25-500.052 Annual Requirements Not Observed
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Compliance
5 CSR 25-500.087 Fire Safety Not Observed
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 Not Observed
5 CSR 25-500.112 Staff/Child Ratios Compliance
5 CSR 25-500.122 Medical Examination Reports Not Observed
5 CSR 25-500.132 Admission Policies and Procedures Not Observed
5 CSR 25-500.142 Nighttime Care Compliance
5 CSR 25-500.162 Overlap Care of Children Not Observed
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 Not Observed
5 CSR 25-500.202 Nutrition and Food Service Not Observed
5 CSR 25-500.212 Transportation and Field Trips Compliance
5 CSR 25-500.222 Records and Reports Not Observed
5 CSR 25-600.020 General Requirements Not Observed
5 CSR 25-600.040 Background Screening Findings Not Observed
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. — Not Observed
RSMo 210.211. License required - exceptions - written notice of licensure status, when. Not Observed