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
002829283

Phone
(573) 505-0253

Physical Address
26691 HIGHWAY 5
GRAVOIS MILLS
MO 65037-3340

Owner
CENTRAL MISSOURI COMMUNITY ACTION

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

Provider/Director
WITTE, BREANNA FAYE

E-mail Address
breannaW@cmca.us

Incorporated
Incorporated

Child Care Specialist
KATHLEEN WILSON

Age Range
6 WEEKS - 6 YEARS

Capacity
28

Facility Type
GROUP HOME AND CENTER

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

Inspection Information

Date
01/08/2024

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2462209178

Document	Document-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.

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 Violation
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