MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
WORTH COUNTY HEAD START

Facility DVN
000603574

Phone
(660) 564-3616

Physical Address
508 E 6TH
GRANT CITY
MO 64456

Owner
COMMUNITY SERVICES, INCORPORATED, OF NORTHWEST MISSOURI

Mailing Address
PO BOX 328
MARYVILLE
MO 64468

Provider/Director
COVEY, ASHLEY RENEE

E-mail Address
LAUFFERT@CSINWMO.ORG

Incorporated
Incorporated

Child Care Specialist
KATIE BRUGGEMAN

Age Range
36 MONTHS - 6 YEARS

Capacity
20

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
10/17/2023

Arrival Time
1:20 PM

Departure Time
1:48 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2456747291

Document	Document-Date
DAILY SCHEDULE	12/13/2002
ARTICLES OF INCORPORATION	12/20/2002
DIAGRAM/OUTDOOR	08/30/2001
DIAGRAM/INDOOR	08/30/2001
LOCAL ZONING APPROVAL	03/22/2007
LOCAL BUILDING APPROVAL	03/22/2007
CHILD CARE PRACTICES	10/03/1994
JOB RESPONSIBILITIES	10/03/1994
LINES OF ADMINISTRATIVE AUTHORITY	10/03/1994
POLICIES	10/03/1994
SAMPLE WEEKLY MENU	10/03/1994
DIRECTOR'S QUALIFICATIONS	10/12/2018
APPLICATION	03/15/2019
STAFF SHEET	11/09/2020
CERTIFICATE OF GOOD STANDING	05/03/2022
REGISTERING FICTITIOUS NAMES	05/03/2022
SANITATION INSPECTION	02/03/2023
ANNUAL DECLARATION	05/11/2023
FIRE/SAFETY INSPECTION	08/17/2023
EQUIPMENT LIST	05/11/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	05/11/2023

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 3

Total Children 6

Staff	Child	Class Age	Note
3	6	PRESCHOOL	Caregivers: Abigail Stucker, Morgan O'Grady, Ashley Covey was present with six 3-5 year olds.


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