MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE GHC INSPECTION REPORT

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Facility Information

Facility Name
CHA LOW-INCOME SERVICES, INC.

Facility DVN
002331060

Phone
(573) 443-2556

Physical Address
301 N PROVIDENCE RD
COLUMBIA
MO 65203-4091

Owner
CHA LOW-INCOME SERVICES, INC.

Mailing Address
201 SWITZLER ST
COLUMBIA
MO 65203-4156

Provider/Director
HAMMONS, CAITLIN

E-mail Address
chammons@columbiaha.com

Incorporated
Incorporated

Child Care Specialist
CYNTHIA D MADDOX

Age Range
5 YEARS - 16 YEARS

Capacity
99

Facility Type
SCHOOL AGE GHC

Limitations

Inspection Information

Date
04/28/2025

Arrival Time
4:20 PM

Departure Time
4:58 PM

Notice
UNANNOUNCED

Inspection Type
CLOSE SUPERVISION

Inspection ID
2492246763

Document	Document-Date
DISCIPLINE POLICIES	04/19/2012
LINES OF ADMINISTRATIVE AUTHORITY	05/01/2012
JOB RESPONSIBILITIES	05/01/2012
SAMPLE FORMS	04/19/2012
CHILD CARE PRACTICES	04/19/2012
SAMPLE WEEKLY MENU	05/01/2012
DAILY SCHEDULE	05/01/2012
POLICIES	04/19/2012
DIAGRAM/OUTDOOR	05/01/2012
DIAGRAM/INDOOR	04/09/2012
CERTIFICATE OF GOOD STANDING	12/27/2011
ARTICLES OF INCORPORATION	04/28/2003
LOCAL ZONING APPROVAL	05/01/2012
LOCAL BUILDING APPROVAL	05/01/2012
APPLICATION	03/12/2018
STAFF SHEET	05/10/2021
DIRECTOR'S QUALIFICATIONS	02/28/2024
EQUIPMENT LIST	03/27/2024
FIRE/SAFETY INSPECTION	02/08/2024
SANITATION INSPECTION	04/04/2024
ANNUAL DECLARATION	03/27/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	03/27/2024

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 10

Total Children 45

Staff	Child	Class Age	Note
2	0	NO CHILDREN IN ATTENDANCE	Additional staff at the facility: Michaela Flores (Program Coordinator) and Pam Lytle (kitchen) were additional staff at the facility.
1	8	SCHOOL AGE	Charlie Glover was the staff with the children. Children ranged in age from 7 years to 9 years.
1	12	SCHOOL AGE	Audrey Bryan was the staff with the children. Children ranged in age from 6 years to 8 years.
2	6	SCHOOL AGE	Vida Lux and Ruby Stevens were the staff with the children. Children ranged in age from 5 years to 6 years.
1	7	SCHOOL AGE	KJ Byrd was the staff with the children. Children ranged in age from 10 years to 12 years.
1	7	SCHOOL AGE	Alexis Seals was the staff with the children. Children ranged in age from 12 years to 15 years.
2	5	SCHOOL AGE	Lauren Latta and Miqual Flores were the staff with the children in the Zen Room. Children ranged in age from 6 years to 11 years.

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 Not Observed
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers 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 Not Observed
5 CSR 25-500.132 Admission Policies and Procedures Compliance
5 CSR 25-500.142 Nighttime Care Not Observed
5 CSR 25-500.162 Overlap Care of Children Compliance
5 CSR 25-500.162 Overlap Care of Children Compliance
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 Compliance
5 CSR 25-500.202 Nutrition and Food Service Not Observed
5 CSR 25-500.212 Transportation and Field Trips Compliance
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