DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

EAST MISSOURI ACTION AGENCY, INC.

000725531

(573) 546-2185

321A S KNOB ST
IRONTON
MO  63650

EAST MISSOURI ACTION AGENCY, INC.



 

BRAKEFIELD, ALTHEA

ABRAKEFIELD@EASTMOAA.ORG

Incorporated

JESSICA SPENCER

36 MONTHS - 5 YEARS

40

GROUP HOME AND CENTER

 
Inspection Information

10/26/2023

8:35 AM

10:00 AM

UNANNOUNCED

COMPLIANCE MONITORING

2457529443


DocumentDocument-Date
LOCAL ZONING APPROVAL 01/31/2014
CHILD CARE PRACTICES 09/01/2006
DAILY SCHEDULE 09/01/2006
DIRECTOR'S QUALIFICATIONS 08/30/2001
DISCIPLINE POLICIES 09/01/2006
JOB RESPONSIBILITIES 09/01/2006
LINES OF ADMINISTRATIVE AUTHORITY 09/01/2006
OWNER/PROVIDER REFERENCES 09/01/2006
POLICIES 09/01/2006
SAMPLE WEEKLY MENU 09/01/2006
CERTIFICATE OF GOOD STANDING 02/06/2018
DIAGRAM/INDOOR 02/06/2018
DIAGRAM/OUTDOOR 02/06/2018
APPLICATION 02/18/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN 04/05/2022
ANNUAL DECLARATION 04/06/2023
FIRE/SAFETY INSPECTION 03/21/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/06/2023
EQUIPMENT LIST 04/06/2023
SANITATION INSPECTION 11/28/2022




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 3
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 10
Total Children 33
StaffChildClass AgeNote
3 0 NO CHILDREN IN ATTENDANCE Christy Whited- Family Advocate Krisi Holbert- Site Manager/Designated Person in Charge Patty Braun-Cook
4 16 PRESCHOOL Caregivers: Meagan Pikey, Angela Files, Amanda Huff and Christie Booth with sixteen children ages three years of age to five years of age. Note: One High School Volunteer was present and not counted in ratio.
3 17 PRESCHOOL Caregivers: Lexie Meyer, Rhyanniah Hodge and Carol Janes with seventeen children ages three yeas of age to five years of age. Note: One High School Volunteer was present and not counted in ratio.

 
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
Violation
 Provider Comments
Violation
The director is not routinely on duty, as evidenced by Director Althea Brakefield has not worked more than 5 hours a week since May 2023. The facility was closed June 2023 and July 2023. Site Manager, Krisi Holbert stated that Althea Brakefield has not been employed since August 2023.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (2) (A) 2. states: Center directors and group child care home providers routinely shall be on duty during the hours of highest attendance a minimum of forty (40) hours per week. If the facility operates less than forty (40) hours per week, the center director or group child care home provider shall be on duty at least fifty percent (50%) of the operating hours.
Correction Required
The director/group home provider shall be routinely on duty, as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility does not have an approved director on staff.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff.
Correction Required
The facility shall have an approved director/group home provider.

Correction Verification
Submit Documentation

Compliance Date

Violation
The department did not receive notification of a director change.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (2) (A) 6. states: The center owner(s), or the board president or chairperson, shall notify the department immediately when there is a change of directors and shall have a qualifying criminal background check on file as required by 5 CSR 25-600.020 General Requirements.
Correction Required
The facility shall notify the department immediately when there is a change of directors and submit required background check request.

Correction Verification
Submit Documentation

Compliance Date

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