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

000670653

(660) 727-2622

157 E COMMERCIAL ST
KAHOKA
MO  63445-1701

NORTHEAST MISSOURI COMMUNITY ACTION AGENCY

PO BOX 966
KIRKSVILLE
MO  63501

SHOUP, CHRISTINA E

rdunlap@capnemo.org

Incorporated

BETHANY CARREL DUCKWORTH

36 MONTHS - 5 YEARS

20

GROUP HOME AND CENTER

 
Inspection Information

12/19/2024

1:42 PM

1:42 PM

UNANNOUNCED

SUPPLEMENTAL

2484597543


DocumentDocument-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.
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 director was not approved as evidenced by Christina Shoup retired in October, 2024 and the center does not have an approved director. At this time, the submitted director approval form has been submitted for Rachel Dunlap who CI Duckworth has spoken to and she requests that she not be made director of the Center.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (2) (A) 1. . states: An approved certificated group child care home provider or center director shall be an adult who is responsible for planning, monitoring, and managing the facility’s daily program.
Correction Required
The director or group home provider shall be an approved, certificated adult who is responsible for the daily program.

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