MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
CENTRAL MISSOURI COMMUNITY ACTION

Facility DVN
002795882

Phone
(417) 745-2133

Physical Address
23824 POLK ST
HERMITAGE
MO 65668-8213

Owner
CENTRAL MISSOURI COMMUNITY ACTION

Mailing Address
807B N PROVIDENCE RD
COLUMBIA
MO 65203-4359

Provider/Director
SHADDOX, CASSANDRA E

E-mail Address
cassies@cmca.us

Incorporated
Incorporated

Child Care Specialist
KATHLEEN WILSON

Age Range
6 WEEKS - 5 YEARS

Capacity
25

Facility Type
GROUP HOME AND CENTER

Limitations
4 CHILDREN UNDER 12 MONTHS; 8 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
12/08/2023

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2460467467

Document	Document-Date
APPLICATION	08/29/2019
DAILY SCHEDULE	10/24/2019
DIAGRAM/INDOOR	10/16/2019
DIRECTOR'S QUALIFICATIONS	08/24/2019
SAMPLE WEEKLY MENU	10/24/2019
JOB RESPONSIBILITIES	10/24/2019
POLICIES	10/24/2019
DIAGRAM/OUTDOOR	10/24/2019
CERTIFICATE OF GOOD STANDING	10/24/2019
DISCIPLINE POLICIES	10/24/2019
CHILD CARE PRACTICES	10/17/2019
SAFE SLEEP POLICY	10/25/2019
LINES OF ADMINISTRATIVE AUTHORITY	10/25/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	11/21/2019
SAMPLE FORMS	10/25/2019
ARTICLES OF INCORPORATION	11/06/2019
REGISTERING FICTITIOUS NAMES	11/04/2019
LOCAL FIRE DEPARTMENT NOTIFICATION	08/16/2021
STAFF SHEET	11/23/2021
FIRE/SAFETY INSPECTION	10/05/2023
SANITATION INSPECTION	10/18/2023
EQUIPMENT LIST	11/14/2022
ANNUAL DECLARATION	10/13/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	10/13/2023

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.

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 Violation
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