DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

EAST MISSOURI ACTION AGENCY, INC.

000704492

(573) 334-5533

1111 LINDEN ST
CAPE GIRARDEAU
MO  63701

EAST MISSOURI ACTION AGENCY, INC.

PO BOX 658
CAPE GIRARDEAU
MO  63702


ESHUTTERS@EASTMOAA.ORG

Incorporated

JESSICA SPENCER

36 MONTHS - 5 YEARS

91

GROUP HOME AND CENTER

 
Inspection Information

04/01/2024

8:55 AM

12:07 PM

UNANNOUNCED

COMPLIANCE MONITORING

2467404455


DocumentDocument-Date
DIAGRAM/OUTDOOR 01/16/1996
DIAGRAM/INDOOR 10/03/2013
JOB RESPONSIBILITIES 01/09/1996
DISCIPLINE POLICIES 01/22/1996
POLICIES 01/22/1996
LINES OF ADMINISTRATIVE AUTHORITY 01/09/1996
ARTICLES OF INCORPORATION 09/27/1995
CHILD CARE PRACTICES 01/22/1996
SAMPLE WEEKLY MENU 01/09/1996
DAILY SCHEDULE 01/09/1996
LOCAL ZONING APPROVAL 04/20/2023
DIRECTOR'S QUALIFICATIONS 03/08/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 02/20/2018
LOCAL FIRE DEPARTMENT NOTIFICATION 03/06/2018
APPLICATION 12/23/2019
STAFF SHEET 02/28/2020
CERTIFICATE OF GOOD STANDING 02/24/2020
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/01/2024
EQUIPMENT LIST 04/01/2024
FIRE/SAFETY INSPECTION 02/14/2024
SANITATION INSPECTION 01/25/2024
ANNUAL DECLARATION 04/01/2024




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 14
Total Children 24
StaffChildClass AgeNote
5 0 NO CHILDREN IN ATTENDANCE Esther Shutters- Director Joan Jones- Family Advocate Laporshia Williams- Cook Marie Redman- Cook Ashley Brock- Cook
3 5 PRESCHOOL Class D Caregivers: Alexis Naeger, Dawn Cotton and Kyanne Fox-Moore with five children ages three years of age to five years of age. Faith Linne, Student Volunteer was present observing and was not counted in ratio.
2 6 PRESCHOOL Class A Caregivers: Danielle Soest and Brittney Kimbel with six children ages three years of age to five years of age.
2 6 PRESCHOOL Class C Caregivers: Jessie Wesselmann and Timber Kimbel with six children ages three years of age to five years of age.
2 7 PRESCHOOL Class B Caregivers: Alma Gray and Carol Mack with seven children ages three years of age to five years of age.

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
 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: Sierra Thompson.
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
Violation
 Provider Comments
Violation
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.
Licensing Rule Reference
5 CSR 25-500.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
Correction Required
An individualized plan from a professional source shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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