DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

JEFFERSON FRANKLIN COMMUNITY ACTION CORPORATION

000684068

(636) 481-5036

3251 HIGHWAY MM
GRAY SUMMIT
MO  63039

JEFFERSON FRANKLIN COMMUNITY ACTION CORPORATION

2 MERCHANTS DR
HILLSBORO
MO  63050-5212

HINSON, RANDI

rhinson@jfcac.org

Incorporated

LAUREN R RAYWARNKE

12 MONTHS - 5 YEARS

36

GROUP HOME AND CENTER

8 CHILDREN UNDER 24 MONTHS
 
Inspection Information

04/08/2025

11:40 AM

1:02 PM

UNANNOUNCED

COMPLIANCE MONITORING

2490680314


DocumentDocument-Date
LINES OF ADMINISTRATIVE AUTHORITY 01/05/1995
JOB RESPONSIBILITIES 01/05/1995
ARTICLES OF INCORPORATION 09/20/2010
SAMPLE FORMS 08/16/2010
CHILD CARE PRACTICES 08/16/2010
SAMPLE WEEKLY MENU 03/03/2005
DAILY SCHEDULE 08/16/2010
DIAGRAM/OUTDOOR 08/07/2010
DIAGRAM/INDOOR 08/17/2010
LOCAL ZONING APPROVAL 09/24/2010
LOCAL BUILDING APPROVAL 09/30/2010
POLICIES 09/19/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN 02/15/2018
DISCIPLINE POLICIES 08/16/2010
DIRECTOR'S QUALIFICATIONS 11/20/2018
STAFF SHEET 02/11/2019
APPLICATION 02/11/2019
CERTIFICATE OF GOOD STANDING 03/09/2021
ANNUAL DECLARATION 03/21/2025
EQUIPMENT LIST 03/21/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/21/2025
FIRE/SAFETY INSPECTION 12/09/2024
SANITATION INSPECTION 01/15/2025




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 2
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
StaffChildClass AgeNote
2 6 INFANTS AND TODDLERS Caregiver Tiffany Teems and Veronica Padilla with 6 children, four children age 1 and two children age 2.
1 0 NO CHILDREN IN ATTENDANCE Additional staff present: Heather Klein (cook) in the kitchen with 0 children.
2 5 PRESCHOOL Caregivers Lacy Hood and Leslie Becker with 5 children age 3.
1 7 PRESCHOOL Caregiver Kim Sobeck with 7 children age 3.

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
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Leslie Becker, Randi Hinson, Christine Lyerla, Veronica Padilla, Kimberly Sobeck and Tiffany Teems within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
5 CSR 25-500.087 Fire Safety
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials
Compliance
5 CSR 25-500.102 Personnel
Compliance
5 CSR 25-500.112 Staff/Child Ratios
Compliance
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 8/26/2024 (1 child) 8/19/2024 (2 children).
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

5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.142 Nighttime Care
Compliance
5 CSR 25-500.162 Overlap Care of Children
Compliance
5 CSR 25-500.172 Emergency School Closings
Compliance
5 CSR 25-500.182 Child Care Program
Compliance
5 CSR 25-500.192 Health Care
Compliance
5 CSR 25-500.202 Nutrition and Food Service
Compliance
5 CSR 25-500.212 Transportation and Field Trips
Compliance
5 CSR 25-500.222 Records and Reports
Compliance
5 CSR 25-600.020 General Requirements
Compliance
5 CSR 25-600.040 Background Screening Findings
Compliance
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