MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
CENTRAL MISSOURI COMMUNITY ACTION

Facility DVN
001471303

Phone
(573) 642-3201

Physical Address
1600 WESTMINSTER AVE
FULTON
MO 65251

Owner
CENTRAL MISSOURI COMMUNITY ACTION

Mailing Address
807B N PROVIDENCE RD
COLUMBIA
MO 65203-4359

Provider/Director
PAYNE, MICHELLE LYNN

E-mail Address
michellep@cmca.us

Incorporated
Incorporated

Child Care Specialist
JOY LYNN NICHOLS

Age Range
6 WEEKS - 5 YEARS

Capacity
36

Facility Type
GROUP HOME AND CENTER

Limitations
16 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
01/24/2025

Arrival Time
9:35 AM

Departure Time
10:27 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2486261913

Document	Document-Date
LINES OF ADMINISTRATIVE AUTHORITY	04/13/2000
JOB RESPONSIBILITIES	03/20/2012
ARTICLES OF INCORPORATION	04/27/2000
CHILD CARE PRACTICES	03/20/2012
SAMPLE WEEKLY MENU	03/20/2012
DAILY SCHEDULE	04/30/2010
POLICIES	03/20/2012
DIAGRAM/OUTDOOR	03/09/2010
DIAGRAM/INDOOR	03/09/2010
LOCAL BUILDING APPROVAL	03/05/2014
LOCAL ZONING APPROVAL	03/05/2014
DIRECTOR'S QUALIFICATIONS	05/03/2016
CERTIFICATE OF GOOD STANDING	04/05/2018
STAFF SHEET	04/05/2018
APPLICATION	01/24/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	03/20/2012
DISCIPLINE POLICIES	03/20/2012
LOCAL FIRE DEPARTMENT NOTIFICATION	03/20/2012
SAMPLE FORMS	03/20/2012
SAFE SLEEP POLICY	03/20/2012
LICENSING ORIENTATION	03/20/2012
SANITATION INSPECTION	02/01/2024
FIRE/SAFETY INSPECTION	03/08/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/30/2024
ANNUAL DECLARATION	04/30/2024
EQUIPMENT LIST	04/30/2024

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 10

Staff	Child	Class Age	Note
3	8	MIXED	children ages three to five; Ashley Gallbreath, Emilee Hughes, and Shawna Holtgrewe
2	0	NO CHILDREN IN ATTENDANCE	Michelle Payne (director) and Angelica Whaley (cook)
1	2	TWO YEAR OLDS	Kamiella Watson