MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY

Facility DVN
000606982

Phone
(573) 996-5059

Physical Address
1 HOSPITAL DR
DONIPHAN
MO 63935-1274

Owner
SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY

Mailing Address
PO BOX 158
DONIPHAN
MO 63935-0158

Provider/Director
ROBERTS, AMANDA RENEE

E-mail Address
SCMCAA@HOTMAIL.COM

Incorporated
Incorporated

Child Care Specialist
SARAH L THACKER

Age Range
BIRTH - 5 YEARS

Capacity
83

Facility Type
GROUP HOME AND CENTER

Limitations
16 CHILDREN IN THE INFANT/TODDLER UNIT

Inspection Information

Date
10/25/2023

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2457487869

Document	Document-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.

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.