DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

JEFFERSON FRANKLIN COMMUNITY ACTION CORPORATION

000684068

(636) 481-5036

3251 HIGHWAY MM
GRAY SUMMIT
MO  63039

JEFFERSON FRANKLIN COMMUNITY ACTION CORPORATION

2 MERCHANTS DR
HILLSBORO
MO  63050-5212

TEEMS, TIFFANY LEA

tteems@jfcac.org

Incorporated

LAUREN R RAYWARNKE

12 MONTHS - 5 YEARS

36

GROUP HOME AND CENTER

8 CHILDREN UNDER 24 MONTHS
 
Inspection Information

04/16/2024

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2468440480


DocumentDocument-Date
LINES OF ADMINISTRATIVE AUTHORITY 01/05/1995
JOB RESPONSIBILITIES 01/05/1995
ARTICLES OF INCORPORATION 09/20/2010
SAMPLE FORMS 08/16/2010
CHILD CARE PRACTICES 08/16/2010
SAMPLE WEEKLY MENU 03/03/2005
DAILY SCHEDULE 08/16/2010
DIAGRAM/OUTDOOR 08/07/2010
DIAGRAM/INDOOR 08/17/2010
LOCAL ZONING APPROVAL 09/24/2010
LOCAL BUILDING APPROVAL 09/30/2010
POLICIES 09/19/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN 02/15/2018
DISCIPLINE POLICIES 08/16/2010
DIRECTOR'S QUALIFICATIONS 11/20/2018
STAFF SHEET 02/11/2019
APPLICATION 02/11/2019
CERTIFICATE OF GOOD STANDING 03/09/2021
ANNUAL DECLARATION 04/11/2024
EQUIPMENT LIST 04/11/2024
FIRE/SAFETY INSPECTION 01/30/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/11/2024
SANITATION INSPECTION 01/30/2024




Inspection determined facility to be in compliance with licensing rules.
Compliance 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
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Lesley Deason, Tiffany Teems and Lacy Hood 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
4/16/2024
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
Violation
 Provider Comments
Violation
Requirements of facilities participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (3) (A) states: The licensee shall ensure that the facility has on file documentation that, at least every three (3) months, all staff and children at the facility have participated in a disaster or emergency drill based on the facility's disaster and emergency plan.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date
4/12/2024
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