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
000753528

Phone
(573) 729-3188

Physical Address
1405 S WINES ST
SALEM
MO 65560

Owner
SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY

Mailing Address

Provider/Director
BENOWITZ, KAREL SUE

E-mail Address
SCMCAA@HOTMAIL.COM

Incorporated
Incorporated

Child Care Specialist
KATINA D KATTICH

Age Range
BIRTH - 5 YEARS

Capacity
72

Facility Type
GROUP HOME AND CENTER

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

Inspection Information

Date
03/04/2024

Arrival Time
11:00 AM

Departure Time
2:44 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2465430223

Document	Document-Date
ARTICLES OF INCORPORATION	11/09/2012
SAMPLE WEEKLY MENU	12/08/1995
DAILY SCHEDULE	12/08/1995
DISCIPLINE POLICIES	12/08/1995
CHILD CARE PRACTICES	12/08/1995
POLICIES	12/08/1995
DIAGRAM/OUTDOOR	03/24/2003
DIAGRAM/INDOOR	03/24/2003
LOCAL BUILDING APPROVAL	11/09/2012
LINES OF ADMINISTRATIVE AUTHORITY	12/08/1995
JOB RESPONSIBILITIES	12/08/1995
DIRECTOR'S QUALIFICATIONS	08/19/2011
APPLICATION	01/16/2019
STAFF SHEET	01/16/2019
SAFE SLEEP POLICY	01/16/2019
LOCAL FIRE DEPARTMENT NOTIFICATION	01/16/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	01/16/2019
FIRE/SAFETY INSPECTION	11/29/2022
LOCAL ZONING APPROVAL	01/24/2007
CERTIFICATE OF GOOD STANDING	02/06/2023
EQUIPMENT LIST	02/06/2023
SANITATION INSPECTION	03/09/2023
ANNUAL DECLARATION	02/06/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	02/06/2023

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 1

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 17

Total Children 38

Staff	Child	Class Age	Note
2	6	INFANTS AND TODDLERS	Present was Cteacher Chrissie Warner and Shellia Ball with three 1 year olds and three 2 year olds
2	8	INFANTS AND TODDLERS	Present was Jennifer Nash and Aron Ford with 8 children, one 8m, two 2 year olds, and five 1 year olds
2	0	NO CHILDREN IN ATTENDANCE	Present in Kitchen was Christina Grossenbacher and Ashley Womble
1	0	NO CHILDREN IN ATTENDANCE	Karol Benowitz Site Supervisor Director present with 0 children
3	0	NO CHILDREN IN ATTENDANCE	Family Advocate Melody Segivia, SVSG Sarah Arnett, Katelynn Rictor,
3	13	PRESCHOOL	Present was teachers Sara Pollard, Disire Ranzini, Kim Swartz with 13 children nine 3 year olds, four 4 year olds
2	5	PRESCHOOL	Present was teachers Jesslyn Hutching and Jaycie Segovia with two 3 year olds and three 2 year olds
2	6	PRESCHOOL	Present was teachers Sonia Wisdom and Stacy Foster with 6 2/3 year olds. three 2 years olds and three 3 year olds

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 equipment list was not submitted. Licensing Rule Reference 5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment. Correction Required The facility shall submit an equipment list as required. Correction Verification Corrected on Site Compliance Date 3/4/2024
Violation The staff sheet was not submitted. Licensing Rule Reference 5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet. Correction Required The facility shall submit a current staff sheet as required. Correction Verification Corrected on Site Compliance Date 3/4/2024
Violation The Family Care Safety Registry check was not conducted for Ashley Womble 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

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