DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

EAST MISSOURI ACTION AGENCY, INC.

000704492

(573) 334-5533

1111 LINDEN ST
CAPE GIRARDEAU
MO  63701

EAST MISSOURI ACTION AGENCY, INC.

PO BOX 658
CAPE GIRARDEAU
MO  63702

SHUTTERS, ESTHER EUNIVEE

ESHUTTERS@EASTMOAA.ORG

Incorporated

JESSICA SPENCER

36 MONTHS - 5 YEARS

91

GROUP HOME AND CENTER

 
Inspection Information

09/25/2025

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2500907080


DocumentDocument-Date
DIAGRAM/OUTDOOR 01/16/1996
DIAGRAM/INDOOR 10/03/2013
JOB RESPONSIBILITIES 01/09/1996
DISCIPLINE POLICIES 01/22/1996
POLICIES 01/22/1996
LINES OF ADMINISTRATIVE AUTHORITY 01/09/1996
ARTICLES OF INCORPORATION 09/27/1995
CHILD CARE PRACTICES 01/22/1996
SAMPLE WEEKLY MENU 01/09/1996
DAILY SCHEDULE 01/09/1996
DIRECTOR'S QUALIFICATIONS 03/08/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 02/20/2018
LOCAL FIRE DEPARTMENT NOTIFICATION 03/06/2018
APPLICATION 12/23/2019
STAFF SHEET 02/28/2020
CERTIFICATE OF GOOD STANDING 02/24/2020
LOCAL ZONING APPROVAL 04/20/2023
EQUIPMENT LIST 04/24/2025
FIRE/SAFETY INSPECTION 01/08/2025
SANITATION INSPECTION 02/27/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/24/2025
ANNUAL DECLARATION 04/24/2025




Inspection determined facility to be in compliance with licensing rules.
Compliance 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.

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
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
Sleeping equipment was not arranged to provide required spacing as evidenced by there was no aisle on the long side of the napping equipment.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 1. D. states: Sleeping equipment shall be arranged to provide at least a two foot (2') aisle on one (1) long side of the equipment.
Correction Required
Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment.

Correction Verification
Submit Documentation

Compliance Date
9/24/2025
5 CSR 25-500.102 Personnel
Compliance
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Compliance
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