DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY

000753528

(573) 729-3188

1405 S WINES ST
SALEM
MO  65560

SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY



 

BENOWITZ, KAREL SUE

SCMCAA@HOTMAIL.COM

Incorporated

KATINA D KATTICH

BIRTH - 5 YEARS

72

GROUP HOME AND CENTER

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

07/01/2024

4:10 PM

4:10 PM

UNANNOUNCED

SUPPLEMENTAL

2473823240


DocumentDocument-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.
Compliance 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.

Compliance List
5 CSR 25-500.032 Organization and Administration
Not Observed
5 CSR 25-500.042 Licensing Process
Not Observed
5 CSR 25-500.052 Annual Requirements
Violation
 Provider Comments
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
Not Observed
5 CSR 25-500.087 Fire Safety
Not Observed
5 CSR 25-500.090 Disaster and Emergency Preparedness
Not Observed
5 CSR 25-500.092 Furniture, Equipment and Materials
Not Observed
5 CSR 25-500.102 Personnel
Not Observed
5 CSR 25-500.112 Staff/Child Ratios
Not Observed
5 CSR 25-500.122 Medical Examination Reports
Not Observed
5 CSR 25-500.132 Admission Policies and Procedures
Not Observed
5 CSR 25-500.142 Nighttime Care
Not Observed
5 CSR 25-500.162 Overlap Care of Children
Not Observed
5 CSR 25-500.172 Emergency School Closings
Not Observed
5 CSR 25-500.182 Child Care Program
Not Observed
5 CSR 25-500.192 Health Care
Not Observed
5 CSR 25-500.202 Nutrition and Food Service
Not Observed
5 CSR 25-500.212 Transportation and Field Trips
Not Observed
5 CSR 25-500.222 Records and Reports
Not Observed
5 CSR 25-600.020 General Requirements
Not Observed
5 CSR 25-600.040 Background Screening Findings
Not Observed
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. —
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed