DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

CENTRAL MISSOURI COMMUNITY ACTION

002137155

(573) 442-6399

1306 ELLETA BLVD
COLUMBIA
MO  65202-1854

CENTRAL MISSOURI COMMUNITY ACTION

807B N PROVIDENCE RD
COLUMBIA
MO  65203-4359

HOUZENGA, ABBY

christines@cmca.us

Incorporated

LU A GAINES

BIRTH - 3 YEARS

8

FAMILY HOME

IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 6 CHILDREN IN CARE NO MORE THAN 3 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 8 CHILDREN IN CARE, ALL CHILDREN MAY BE UNDER AGE 2 WITH 2 ADULT CAREGIVERS; UP TO 8 CHILDREN IN CARE NO MORE THAN 4 CHILDREN UNDER AGE 2 WITH 2 ADULT CAREGIVERS; UP TO 8 CHILDREN IN CARE NO MORE THAN 2 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER
 
Inspection Information

10/23/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2457083474


DocumentDocument-Date
OWNER/PROVIDER REFERENCES 11/28/2012
ASSISTANT REFERENCES 11/28/2012
ASSISTANT APPROVAL REQUEST 11/28/2012
SAMPLE FORMS 01/13/2009
SAMPLE WEEKLY MENU 01/13/2009
DAILY SCHEDULE 01/13/2009
CHILD CARE/DISCIPLINE POLICIES 01/13/2009
POLICIES 01/13/2009
DIAGRAM/OUTDOOR 01/13/2009
DIAGRAM/INDOOR 01/13/2009
CERTIFICATE OF INCORPORATION 10/12/1994
ARTICLES OF INCORPORATION 10/12/1994
CERTIFICATE OF GOOD STANDING 04/18/2012
APPLICATION 12/04/2018
EQUIPMENT LIST 03/07/2023
SANITATION INSPECTION 12/15/2022
FIRE/SAFETY INSPECTION 10/19/2022
ANNUAL DECLARATION 03/08/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/07/2023




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.

 
5 CSR 25-400.025 Organization and Administration
Compliance
5 CSR 25-400.045 Licensing Process
Compliance
5 CSR 25-400.055 Annual Requirements
Compliance
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home
Compliance
5 CSR 25-400.086 Fire Safety
Compliance
5 CSR 25-400.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-400.095 Furniture, Equipment and Materials
Compliance
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel
Compliance
5 CSR 25-400.115 Child Care Family and Household
Compliance
5 CSR 25-400.125 Medical Examination Reports
Compliance
5 CSR 25-400.135 Admission Policies and Procedures
Compliance
5 CSR 25-400.145 Nighttime Care
Compliance
5 CSR 25-400.155 Overlap Care of Children
Compliance
5 CSR 25-400.165 Emergency School Closings
Compliance
5 CSR 25-400.175 Child Care Program
Violation
 Provider Comments
Violation
The diapering table or other approved area was not safe as evidenced by changing pad was on a counter top but had no barriers to prevent pad from sliding off the counter top or a child from rolling off.
Licensing Rule Reference
5 CSR 25-400.175 Child Care Program 1 (E) 1 states: A safe diapering table or other approved area with a waterproof, washable surface shall be used for changing diapers. The table or area shall be cleaned thoroughly with a disinfectant after each use.
Correction Required
The facility shall provide a safe and clean diapering table as required.

Correction Verification
Submit Documentation

Compliance Date
10/23/2023
5 CSR 25-400.185 Health Care
Compliance
5 CSR 25-400.190 Nutrition and Food Service
Compliance
5 CSR 25-400.200 Transportation and Field Trips
Compliance
5 CSR 25-400.210 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
RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance