DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
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Facility Information

SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY

000662948

(573) 785-2372

405 KAREN DR
POPLAR BLUFF
MO  63901-6529

SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY



 

PHILLIPS, KATHY SUE

SCMCAA@HOTMAIL.COM

Incorporated

LESLEY WARREN

BIRTH - 5 YEARS

44

GROUP HOME AND CENTER

8 CHILDREN IN THE INFANT/TODDLER UNIT; 4 CHILDREN UNDER 12 MONTHS; MAIN BUILDING: 28 CAPACITY, BIRTH THROUGH 5 YEARS; BUILDING #2: 16 CAPACITY, 2 THROUGH 5 YEARS
 
Inspection Information

08/19/2024

4:07 PM

4:07 PM

UNANNOUNCED

SUPPLEMENTAL

2476212449


DocumentDocument-Date
LOCAL ZONING APPROVAL 09/29/1994
ARTICLES OF INCORPORATION 09/29/1994
LINES OF ADMINISTRATIVE AUTHORITY 09/29/1994
JOB RESPONSIBILITIES 09/29/1994
DIRECTOR'S QUALIFICATIONS 07/23/2015
LOCAL FIRE DEPARTMENT NOTIFICATION 01/15/2016
CHILD CARE PRACTICES 10/22/2019
DAILY SCHEDULE 10/22/2019
DISCIPLINE POLICIES 10/22/2019
POLICIES 10/22/2019
SAMPLE WEEKLY MENU 10/22/2019
SAFE SLEEP POLICY 10/29/2019
DIAGRAM/INDOOR 10/28/2019
DIAGRAM/OUTDOOR 10/28/2019
APPLICATION 03/30/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN 03/30/2020
CERTIFICATE OF GOOD STANDING 03/23/2020
EQUIPMENT LIST 06/03/2024
SANITATION INSPECTION 05/24/2024
FIRE/SAFETY INSPECTION 04/17/2024
ANNUAL DECLARATION 06/03/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 06/03/2024




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
Not Observed
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
Violation
 Provider Comments
Violation
The facility does not have an approved director on staff.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff.
Correction Required
The facility shall have an approved director/group home provider.

Correction Verification
Submit Documentation

Compliance Date
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