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

002817170

(660) 665-9855

200 PFEIFFER AVE
KIRKSVILLE
MO  63501-5044

NORTHEAST MISSOURI COMMUNITY ACTION AGENCY



 

BASS, CRYSTAL KAY

cbass@capnemo.org

Incorporated

BETHANY CARREL DUCKWORTH

BIRTH - 2 YEARS

12

GROUP HOME AND CENTER

4 CHILDREN UNDER 12 MONTHS
 
Inspection Information

05/14/2024

12:58 PM

1:40 PM

UNANNOUNCED

COMPLIANCE MONITORING

2470376920


DocumentDocument-Date
APPLICATION 02/04/2021
ARTICLES OF INCORPORATION 10/29/1965
CERTIFICATE OF GOOD STANDING 01/31/2020
LOCAL ZONING APPROVAL 04/30/2021
LOCAL BUILDING APPROVAL 04/30/2021
DIRECTOR'S QUALIFICATIONS 10/30/2020
SAFE SLEEP POLICY 04/07/2021
SAMPLE WEEKLY MENU 04/07/2021
DAILY SCHEDULE 04/07/2021
JOB RESPONSIBILITIES 04/07/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN 04/07/2021
CHILD CARE PRACTICES 04/07/2021
DISCIPLINE POLICIES 04/07/2021
LINES OF ADMINISTRATIVE AUTHORITY 04/07/2021
DIAGRAM/INDOOR 04/07/2021
DIAGRAM/OUTDOOR 04/07/2021
POLICIES 04/07/2021
SAMPLE FORMS 04/07/2021
LICENSING ORIENTATION 02/10/2021
FIRE/SAFETY INSPECTION 12/20/2023
EQUIPMENT LIST 02/08/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 02/08/2024
ANNUAL DECLARATION 02/08/2024
SANITATION INSPECTION 01/25/2024




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.
Attendance at Time of Inspection
Total Staff 5
Total Children 8
StaffChildClass AgeNote
1 2 INFANTS AND TODDLERS Staff: Shyannah Bass. Age range 4 months through 8 months.
2 6 MIXED Staff: Masa Johnson and Kailyn Watts. Age range 12 months through 2 years. Two 2 year old children.
2 0 NO CHILDREN IN ATTENDANCE Staff: Crystal Bass and Kendrick Rupp. Not counted in child/staff ratio at time of inspection.