DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

NORTHEAST MISSOURI COMMUNITY ACTION AGENCY

000670653

(660) 727-2622

157 E COMMERCIAL ST
KAHOKA
MO  63445-1701

NORTHEAST MISSOURI COMMUNITY ACTION AGENCY

PO BOX 966
KIRKSVILLE
MO  63501

SHOUP, CHRISTINA E

cshoup@capnemo.ORG

Incorporated

BETHANY CARREL DUCKWORTH

36 MONTHS - 5 YEARS

20

GROUP HOME AND CENTER

 
Inspection Information

04/23/2024

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2468980656


DocumentDocument-Date
DAILY SCHEDULE 04/16/2018
CHILD CARE PRACTICES 08/29/2008
DISCIPLINE POLICIES 08/29/2008
LINES OF ADMINISTRATIVE AUTHORITY 08/29/2008
POLICIES 08/29/2008
ARTICLES OF INCORPORATION 09/30/1996
JOB RESPONSIBILITIES 09/30/1996
LOCAL ZONING APPROVAL 09/30/1996
DIRECTOR'S QUALIFICATIONS 06/19/2015
SAMPLE WEEKLY MENU 09/30/1996
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/29/2008
DIAGRAM/INDOOR 09/30/1996
DIAGRAM/OUTDOOR 09/30/1996
CERTIFICATE OF GOOD STANDING 04/17/2018
APPLICATION 01/14/2020
STAFF SHEET 01/14/2020
FIRE/SAFETY INSPECTION 02/13/2024
EQUIPMENT LIST 02/20/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 02/08/2024
ANNUAL DECLARATION 02/08/2024
SANITATION INSPECTION 12/20/2023




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
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
Violation
 Provider Comments
Violation
Furniture/equipment, the TV, in the preschool room was unsafe as evidenced by as it was wobbly and sitting on a bookshelf so it could fall over on a child if bumped. The TV needs to be secured or anchored.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Submit Documentation

Compliance Date
4/10/2024
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