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

000606982

(573) 996-5059

1 HOSPITAL DR
DONIPHAN
MO  63935-1274

SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY

PO BOX 158
DONIPHAN
MO  63935-0158

ROBERTS, AMANDA RENEE

SCMCAA@HOTMAIL.COM

Incorporated

SARAH L THACKER

BIRTH - 5 YEARS

83

GROUP HOME AND CENTER

16 CHILDREN IN THE INFANT/TODDLER UNIT
 
Inspection Information

10/24/2023

9:32 AM

11:38 AM

UNANNOUNCED

COMPLIANCE MONITORING

2457295402


DocumentDocument-Date
APPLICATION 07/13/2022
ARTICLES OF INCORPORATION 08/16/2022
CHILD CARE PRACTICES 08/16/2022
DIAGRAM/INDOOR 07/11/2022
DIAGRAM/OUTDOOR 07/11/2022
CERTIFICATE OF GOOD STANDING 08/16/2022
DAILY SCHEDULE 08/16/2022
DIRECTOR'S QUALIFICATIONS 08/11/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/16/2022
DISCIPLINE POLICIES 08/16/2022
EQUIPMENT LIST 09/05/2023
JOB RESPONSIBILITIES 08/16/2022
LINES OF ADMINISTRATIVE AUTHORITY 08/16/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 09/05/2023
SAMPLE FORMS 08/16/2022
SAFE SLEEP POLICY 08/16/2022
SAMPLE WEEKLY MENU 08/16/2022
POLICIES 08/16/2022
LOCAL BUILDING APPROVAL 08/16/2022
FIRE/SAFETY INSPECTION 07/11/2023
SANITATION INSPECTION 08/17/2023
ANNUAL DECLARATION 09/05/2023




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 1
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 18
Total Children 67
StaffChildClass AgeNote
2 5 INFANTS AND TODDLERS Teachers Sarah Brown and Jennifer Parres with children ages 11 months to 24 months.
2 8 MIXED Teachers Norma Arnold and Sam Gossard with 3 children ages 6 weeks to 12 months and 5 children ages 13 months to 24 months.
3 0 NO CHILDREN IN ATTENDANCE Additional staff present not counted in ratio include Director Amanda Roberts, Family Advocate Kristy Ward and Cook Elizabeth Brown.
2 13 PRESCHOOL Teachers Jennifer Parren and Benita Campbell with children ages 3 years to 5 years outside.
3 15 PRESCHOOL Teachers Rose Reynolds, Harley Sappington and Caitlin Carlisle with children ages 3 years to 5 years outside.
2 12 PRESCHOOL Teachers Shannon Martin and Felicia Rank with children ages 3 years to 5 years outside.
2 6 TWO YEAR OLDS Teachers Sherry Lynn and Rayanna Crook with children 2 years of age.
2 8 TWO YEAR OLDS Teacher Abbigail Kallbreier and Family Advocate Kellie Barlow with children 2 years of age.

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
Violation
 Provider Comments
Violation
The premises were not safe and suitable as evidenced by a chest type freezer was outside of the kitchen in the hallway. The freezer was not locked.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Corrected on Site

Compliance Date
10/24/2023
Violation
The bathroom was not clean and odor free as evidenced by the toilet was soiled.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 7. states: Bathrooms shall be clean and odor free.
Correction Required
Bathrooms shall be clean and odor free.

Correction Verification
Corrected on Site

Compliance Date
10/24/2023
Violation
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 6 inches at the bottom of the gate on the infant/toddler playground.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard.

Correction Verification
Submit Documentation

Compliance Date

Violation
The premises were not safe and suitable as evidenced by cords were unsecured in the 2 year old classroom.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Corrected on Site

Compliance Date
10/24/2023
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