DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CENTER FOR HUMAN SERVICES, INC

002986676

(660) 826-4400

206 W 7TH ST
CALHOUN
MO  65323-1316

CENTER FOR HUMAN SERVICES, INC.

1003 CLARK ST
CLINTON
MO  64735-1726

MALLORY, ROXINE JOANN

jray@chs-mo.org

Incorporated

KATHLEEN WILSON

BIRTH - 5 YEARS

84

GROUP HOME AND CENTER

24 CHILDREN UNDER 24 MONTHS
 
Inspection Information

12/14/2023

12:05 PM

2:27 PM

UNANNOUNCED

POST LICENSING

2460956118


DocumentDocument-Date
EQUIPMENT LIST 08/29/2023
JOB RESPONSIBILITIES 03/24/2023
SANITATION INSPECTION 05/26/2023
FIRE/SAFETY INSPECTION 04/12/2023
APPLICATION 03/24/2023
CERTIFICATE OF GOOD STANDING 03/24/2023
ARTICLES OF INCORPORATION 07/17/2023
CHILD CARE PRACTICES 03/24/2023
DAILY SCHEDULE 03/23/2023
DIAGRAM/INDOOR 03/23/2023
DIAGRAM/OUTDOOR 03/23/2023
DIRECTOR'S QUALIFICATIONS 03/23/2023
DISASTER AND EMERGENCY PREPAREDNESS PLAN 03/24/2023
DISCIPLINE POLICIES 03/23/2023
STAFF SHEET 03/23/2023
LICENSING ORIENTATION 09/10/2022
LINES OF ADMINISTRATIVE AUTHORITY 03/03/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/23/2023
LOCAL BUILDING APPROVAL 02/16/2023
LOCAL FIRE DEPARTMENT NOTIFICATION 04/18/2023
POLICIES 03/24/2023
SAFE SLEEP POLICY 03/24/2023
SAMPLE FORMS 03/24/2023
SAMPLE WEEKLY MENU 03/23/2023
LOCAL ZONING APPROVAL 02/16/2023




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 2
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 7
Total Children 17
StaffChildClass AgeNote
2 5 INFANTS AND TODDLERS Patricia Cosens and Melissa Davis with five children ages 7 weeks through 2 1/2 years old.
3 0 NO CHILDREN IN ATTENDANCE Director Roxine Mallory, teacher Jessica Price, and cook Chris Hayes present at facility.
2 12 PRESCHOOL Elizabeth Davis and Alexis Younger with twelve children ages 3-5 years old.

 
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 facility did not conduct a Family Care Safety Registry screening for A. Stephenson, who was hired on 10/30/2023.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (P) states: The child care provider shall conduct a Family Care Safety Registry screening prior to employment for any newly hired child care staff member who has a qualifying criminal background check result.
Correction Required
Required results of the Family Care Safety Registry screening shall be on file.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: M. Grigsby.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

Correction Verification
Submit Documentation

Compliance Date

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