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
000687529

Phone
(573) 323-8905

Physical Address
1810 WINSTON DR
VAN BUREN
MO 63965

Owner
SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY

Mailing Address
PO BOX 453
VAN BUREN
MO 63965

Provider/Director
FORDHAM, BRENNA KAYLYNN

E-mail Address
SCMCAA@HOTMAIL.COM

Incorporated
Incorporated

Child Care Specialist
LESLEY WARREN

Age Range
BIRTH - 3 YEARS

Capacity
16

Facility Type
GROUP HOME AND CENTER

Limitations
8 CHILDREN IN THE INFANT/TODDLER UNIT; 4 CHILDREN UNDER 12 MONTHS

Inspection Information

Date
12/04/2023

Arrival Time
11:40 AM

Departure Time
12:19 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2459978812

Document	Document-Date
DIAGRAM/INDOOR	06/12/2017
DIAGRAM/OUTDOOR	06/12/2017
DAILY SCHEDULE	07/12/2017
CHILD CARE PRACTICES	07/12/2017
LOCAL FIRE DEPARTMENT NOTIFICATION	06/28/2017
POLICIES	07/12/2017
LOCAL ZONING APPROVAL	06/28/2017
LOCAL BUILDING APPROVAL	06/22/2017
DISCIPLINE POLICIES	07/12/2017
JOB RESPONSIBILITIES	07/12/2017
LINES OF ADMINISTRATIVE AUTHORITY	07/12/2017
SAMPLE WEEKLY MENU	07/12/2017
DIRECTOR'S QUALIFICATIONS	02/11/2016
ARTICLES OF INCORPORATION	01/19/2011
SAFE SLEEP POLICY	07/12/2017
CERTIFICATE OF GOOD STANDING	04/03/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	06/11/2020
APPLICATION	02/20/2020
SANITATION INSPECTION	06/21/2022
EQUIPMENT LIST	05/01/2023
FIRE/SAFETY INSPECTION	03/02/2023
ANNUAL DECLARATION	05/01/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	05/01/2023

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 6

Total Children 14

Staff	Child	Class Age	Note
3	6	INFANTS AND TODDLERS	Teachers Kayla O'Conner, Brittney Neal and Kierstyn Todd present with six children ages months through 18 months old.
2	8	MIXED	Teachers Hannah Goble and Priscilla Zarate present with eight children ages two 2 year olds and six 3 year olds.
1	0	NO CHILDREN IN ATTENDANCE	Cook and Designated person in charge Angie Meade.

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

Violation

	Provider Comments
Violation The door, located in the preschool classroom going out to the playground, used as an exit from the facility was locked. Licensing Rule Reference 5 CSR 25-500.087 Fire Safety (4) (C) 3. states: No door in a means of egress shall be locked against egress travel when the building is occupied. Locking devices that impede or prohibit egress or that cannot be disengaged easily shall not be used. Dead bolt locks that require a key to unlock the door from the inside shall not be used. Locking or latching devices installed on doors shall not be located higher than fifty inches (50") above the finished floor. Correction Required Exit doors shall not be locked/impede exit from the building. Correction Verification Corrected on Site Compliance Date 12/4/2023

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