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

000670671

(660) 465-2514

238 N JOHNSON
MEMPHIS
MO  63555

NORTHEAST MISSOURI COMMUNITY ACTION AGENCY



 

CHANCE, PAMELA LYNN

pchance@capnemo.org

Incorporated

BETHANY CARREL DUCKWORTH

BIRTH - 5 YEARS

32

GROUP HOME AND CENTER

12 CHILDREN UNDER 24 MONTHS
 
Inspection Information

09/09/2024

8:02 AM

8:02 AM

UNANNOUNCED

SUPPLEMENTAL

2477546899


DocumentDocument-Date
ARTICLES OF INCORPORATION 01/24/1995
LOCAL ZONING APPROVAL 07/03/2006
JOB RESPONSIBILITIES 08/11/2006
DIRECTOR'S QUALIFICATIONS 05/16/2012
SAMPLE WEEKLY MENU 12/18/2013
POLICIES 12/18/2013
LINES OF ADMINISTRATIVE AUTHORITY 12/18/2013
DISCIPLINE POLICIES 12/18/2013
DIAGRAM/OUTDOOR 12/18/2013
DIAGRAM/INDOOR 12/18/2013
CERTIFICATE OF GOOD STANDING 12/18/2013
CHILD CARE PRACTICES 12/18/2013
DAILY SCHEDULE 04/13/2016
SAFE SLEEP POLICY 02/14/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/17/2019
APPLICATION 01/15/2020
STAFF SHEET 01/15/2020
SANITATION INSPECTION 11/30/2023
EQUIPMENT LIST 05/13/2024
ANNUAL DECLARATION 05/13/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 05/13/2024
FIRE/SAFETY INSPECTION 02/13/2024




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
Violation
 Provider Comments
Violation
The annual sanitation inspection was not conducted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements.
Correction Required
The facility shall submit evidence of compliance with annual sanitation requirements.

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
Violation
 Provider Comments
Violation
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 2-26-2024. Two children with same admission dates.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission. The provider may use the department’s medical assessment form or the provider may use its own form if it contains all the information on the department’s form. The Child Medical Examination Report (Infant/Toddler/Pre-School)form, revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
6/12/2024
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