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

000670644

(660) 665-6284

202 PFEIFFER AVE
KIRKSVILLE
MO  63501-5044

NORTHEAST MISSOURI COMMUNITY ACTION AGENCY

202 PFEIFFER AVE
KIRKSVILLE
MO  63501-5044

SULLIVAN, SHEILA DENISE

ssullivan@capnemo.org

Incorporated

BETHANY DUCKWORTH

36 MONTHS - 5 YEARS

40

GROUP HOME AND CENTER

 
Inspection Information

09/25/2025

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2500939358


DocumentDocument-Date
ANNUAL DECLARATION 06/02/2025
APPLICATION 08/29/2024
CHILD CARE PRACTICES 09/04/2024
DAILY SCHEDULE 09/04/2024
DIAGRAM/INDOOR 09/04/2024
DIAGRAM/OUTDOOR 09/04/2024
DISASTER AND EMERGENCY PREPAREDNESS PLAN 09/04/2024
EQUIPMENT LIST 06/02/2025
DISCIPLINE POLICIES 09/04/2024
JOB RESPONSIBILITIES 09/04/2024
LINES OF ADMINISTRATIVE AUTHORITY 09/04/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 06/02/2025
ARTICLES OF INCORPORATION 09/04/2024
LOCAL ZONING APPROVAL 09/04/2024
POLICIES 09/04/2024
SAMPLE WEEKLY MENU 09/04/2024
SAMPLE FORMS 09/04/2024
DIRECTOR'S QUALIFICATIONS 12/26/2019
FIRE/SAFETY INSPECTION 06/04/2025
CERTIFICATE OF GOOD STANDING 09/05/2024
SANITATION INSPECTION 05/29/2025




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
Violation
 Provider Comments
Violation
Diapering requirements were not met as evidenced by there was no diapering table within the group space.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times.
Correction Required
The facility shall provide a safe and clean diapering table as required.

Correction Verification
Submit Documentation

Compliance Date
9/22/2025
Violation
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured between 5 and 7 inches. The openings are at the bottom of the fence around 12 poles on the north, east, and south sides of the play yard.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard.

Correction Verification
Submit Documentation

Compliance Date
9/22/2025
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
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