DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CENTRAL MISSOURI COMMUNITY ACTION

002829283

(573) 505-0253

26691 HIGHWAY 5
GRAVOIS MILLS
MO  65037-3340

CENTRAL MISSOURI COMMUNITY ACTION

807B N PROVIDENCE RD
COLUMBIA
MO  65203-4359

WITTE, BREANNA FAYE

breannaW@cmca.us

Incorporated

KATHLEEN WILSON

6 WEEKS - 6 YEARS

28

GROUP HOME AND CENTER

6 CHILDREN UNDER 12 MONTHS; 8 CHILDREN IN THE INFANT/TODDLER UNIT
 
Inspection Information

01/04/2024

9:00 AM

10:43 AM

UNANNOUNCED

COMPLIANCE MONITORING

2461864217


DocumentDocument-Date
APPLICATION 10/28/2020
DIRECTOR'S QUALIFICATIONS 01/06/2021
ARTICLES OF INCORPORATION 11/05/2020
CERTIFICATE OF GOOD STANDING 11/05/2020
LINES OF ADMINISTRATIVE AUTHORITY 10/30/2020
DISCIPLINE POLICIES 11/03/2020
POLICIES 11/03/2020
CHILD CARE PRACTICES 11/03/2020
JOB RESPONSIBILITIES 10/30/2020
SAMPLE WEEKLY MENU 11/04/2020
SAMPLE FORMS 11/04/2020
SAFE SLEEP POLICY 12/09/2020
LOCAL FIRE DEPARTMENT NOTIFICATION 01/06/2021
LICENSING ORIENTATION 04/15/2020
DAILY SCHEDULE 01/15/2021
DIAGRAM/INDOOR 01/12/2021
DIAGRAM/OUTDOOR 01/22/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/21/2021
LOCAL BUILDING APPROVAL 01/15/2021
LOCAL ZONING APPROVAL 01/15/2021
STAFF SHEET 12/21/2021
EQUIPMENT LIST 01/05/2023
FIRE/SAFETY INSPECTION 12/18/2023
SANITATION INSPECTION 09/15/2023
ANNUAL DECLARATION 01/05/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 01/05/2023




Inspection determined facility to be in compliance with licensing rules.
Compliance 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 8
Total Children 16
StaffChildClass AgeNote
2 6 INFANTS AND TODDLERS Son-Se-Ray Colburn and Mary Berry with six children ages 8 months to 2 years old (including one 8 month old, two 1 year olds, and three 2 year olds).
4 0 NO CHILDREN IN ATTENDANCE Assistant Director Amber Eis, cook Pam Moore, trainers Brandi Terrell and Jenna Johnson present at the facility.
2 10 PRESCHOOL Allison Baker and Rayanna Williams with ten children ages 3-4 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
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for B.Witte, G.Wallace, B.Terrell, A.Eis, R.Williams, S.Colburn, L. Tharaldson, P.Moore, and A.Baker, T.Pace within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Corrected on Site

Compliance Date
1/4/2024
Violation
The Family Care Safety Registry check was not conducted for M.Berry within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date

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
 Provider Comments
Violation
Medical examination report(s) was/were not on file for S.Colburn as evidenced by the medical examination was not signed by the required medical source.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file 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