DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY

000687529

(573) 323-8905

1810 WINSTON DR
VAN BUREN
MO  63965

SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY

PO BOX 453
VAN BUREN
MO  63965

FORDHAM, BRENNA KAYLYNN

SCMCAA@HOTMAIL.COM

Incorporated

LESLEY WARREN

BIRTH - 3 YEARS

16

GROUP HOME AND CENTER

8 CHILDREN IN THE INFANT/TODDLER UNIT; 4 CHILDREN UNDER 12 MONTHS
 
Inspection Information

12/09/2025

12:24 PM

12:59 PM

UNANNOUNCED

COMPLIANCE MONITORING

2505044233


DocumentDocument-Date
DIAGRAM/INDOOR 06/12/2017
DIAGRAM/OUTDOOR 06/12/2017
DAILY SCHEDULE 07/12/2017
CHILD CARE PRACTICES 07/12/2017
LOCAL FIRE DEPARTMENT NOTIFICATION 06/28/2017
POLICIES 07/12/2017
LOCAL ZONING APPROVAL 06/28/2017
LOCAL BUILDING APPROVAL 06/22/2017
DISCIPLINE POLICIES 07/12/2017
JOB RESPONSIBILITIES 07/12/2017
LINES OF ADMINISTRATIVE AUTHORITY 07/12/2017
SAMPLE WEEKLY MENU 07/12/2017
DIRECTOR'S QUALIFICATIONS 02/11/2016
ARTICLES OF INCORPORATION 01/19/2011
SAFE SLEEP POLICY 07/12/2017
CERTIFICATE OF GOOD STANDING 04/03/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 06/11/2020
APPLICATION 02/20/2020
EQUIPMENT LIST 05/06/2025
FIRE/SAFETY INSPECTION 03/04/2025
SANITATION INSPECTION 02/27/2025
ANNUAL DECLARATION 05/06/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 05/06/2025




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 1
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 14
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS Caregivers Paige Weaver and Sharon Pritchett 10 months through 2 years old A parent was in the room during the inspection
2 0 NO CHILDREN IN ATTENDANCE Director Brenna Fordham and Cook Angie Meade
2 7 TWO YEAR OLDS Caregivers Courtney Koslandich and Madison Hawkins

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
Children were not restricted to approved space as evidenced by the laundry room door was unlocked in the 2 year old room and I/T unit allowing access to children.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.

Correction Verification
Corrected on Site

Compliance Date
12/9/2025
Violation
The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that an outlet was not covered in the 2 year old room. The outlet was located in between the cubbies.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children.
Correction Required
The facility shall use outlet covers or twist-lock outlets as required.

Correction Verification
Corrected on Site

Compliance Date
12/9/2025
Violation
The facility's outdoor space was not safe for children's activities as evidenced by the weed barrier was exposed under the jungle gym causing a tripping hazard.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Submit Documentation

Compliance Date

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