MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
NORTHEAST MISSOURI COMMUNITY ACTION AGENCY

Facility DVN
000670653

Phone
(660) 727-2622

Physical Address
157 E COMMERCIAL ST
KAHOKA
MO 63445-1701

Owner
NORTHEAST MISSOURI COMMUNITY ACTION AGENCY

Mailing Address
PO BOX 966
KIRKSVILLE
MO 63501

Provider/Director
SHOUP, CHRISTINA E

E-mail Address
cshoup@capnemo.ORG

Incorporated
Incorporated

Child Care Specialist
BETHANY CARREL DUCKWORTH

Age Range
36 MONTHS - 5 YEARS

Capacity
20

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
09/24/2024

Arrival Time
11:05 AM

Departure Time
11:42 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2478814270

Document	Document-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.

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 6

Total Children 18

Staff	Child	Class Age	Note
3	18	MIXED	Staff: Rachel Dunlap, Gloria Mohr, Marcia Stewart. Age range 3 years through 5 years.
3	0	NO CHILDREN IN ATTENDANCE	Staff: Chris Shoup, Renate Garner, Lynn Kleine. Not counted in staff/child ratio at time of inspection.

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 Not Observed
5 CSR 25-500.090 Disaster and Emergency Preparedness Not Observed
5 CSR 25-500.092 Furniture, Equipment and Materials Compliance
5 CSR 25-500.102 Personnel Not Observed
5 CSR 25-500.112 Staff/Child Ratios Compliance
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 Compliance
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 Compliance
5 CSR 25-500.192 Health Care Not Observed
5 CSR 25-500.202 Nutrition and Food Service Compliance
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. — Compliance
RSMo 210.211. License required - exceptions - written notice of licensure status, when. Compliance