MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
CENTER FOR HUMAN SERVICES, INC.

Facility DVN
002972029

Phone
(660) 717-2007

Physical Address
14246 E HIGHWAY 32
STOCKTON
MO 65785-8253

Owner
CENTER FOR HUMAN SERVICES, INC.

Mailing Address
1003 CLARK ST
CLINTON
MO 64735-1726

Provider/Director

E-mail Address
jray@chs-mo.org

Incorporated
Incorporated

Child Care Specialist
MARI LOCKWOOD

Age Range
36 MONTHS - 5 YEARS

Capacity
36

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
12/04/2023

Arrival Time
12:30 PM

Departure Time
2:37 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2459881027

Document	Document-Date
APPLICATION	12/06/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	09/20/2022
EQUIPMENT LIST	09/20/2022
SAMPLE WEEKLY MENU	09/20/2022
DAILY SCHEDULE	09/20/2022
CERTIFICATE OF GOOD STANDING	09/20/2022
SAMPLE FORMS	09/20/2022
LOCAL ZONING APPROVAL	09/20/2022
LOCAL BUILDING APPROVAL	09/20/2022
JOB RESPONSIBILITIES	09/20/2022
DISCIPLINE POLICIES	09/20/2022
CHILD CARE PRACTICES	09/20/2022
POLICIES	09/20/2022
SAFE SLEEP POLICY	09/20/2022
DIAGRAM/INDOOR	09/20/2022
DIAGRAM/OUTDOOR	09/20/2022
ARTICLES OF INCORPORATION	01/03/2023
SANITATION INSPECTION	09/19/2023
DISASTER AND EMERGENCY PREPAREDNESS PLAN	01/05/2023
LINES OF ADMINISTRATIVE AUTHORITY	01/04/2023
FIRE/SAFETY INSPECTION	10/10/2023
DIRECTOR'S QUALIFICATIONS	01/05/2023
LOCAL FIRE DEPARTMENT NOTIFICATION	01/05/2023
STAFF SHEET	09/15/2023

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 2

Total Children 12

Staff	Child	Class Age	Note
2	12	PRESCHOOL	Staff: Michaela Witulski and Jessica Hardin in ratio with 12 children. Oldest child was 5 years old and youngest 3 years old.

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 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