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.

002348909

(573) 218-9190

46 BIRCH TREE
FARMINGTON
MO  63640-7735

EAST MISSOURI ACTION AGENCY, INC.



 

COOK, AMY LEE

acook@eastmoaa.org

Incorporated

MELISSA JILL SMITH

36 MONTHS - 5 YEARS

20

GROUP HOME AND CENTER

 
Inspection Information

04/02/2026

2:10 PM

2:53 PM

UNANNOUNCED

COMPLIANCE MONITORING

2510757657


DocumentDocument-Date
LOCAL BUILDING APPROVAL 08/31/2012
LOCAL ZONING APPROVAL 08/30/2012
DIRECTOR'S QUALIFICATIONS 08/31/2012
LLC ARTICLES OF ORGANIZATION 08/23/2012
LINES OF ADMINISTRATIVE AUTHORITY 08/23/2012
ARTICLES OF INCORPORATION 08/23/2012
POLICIES 04/30/2012
JOB RESPONSIBILITIES 04/30/2012
DISCIPLINE POLICIES 04/30/2012
SAMPLE WEEKLY MENU 04/30/2012
DAILY SCHEDULE 04/30/2012
CHILD CARE PRACTICES 04/30/2012
DIAGRAM/OUTDOOR 08/22/2012
DIAGRAM/INDOOR 08/22/2012
CERTIFICATE OF GOOD STANDING 03/21/2018
STAFF SHEET 10/27/2020
APPLICATION 03/28/2020
EQUIPMENT LIST 04/02/2026
SANITATION INSPECTION 12/03/2025
FIRE/SAFETY INSPECTION 01/21/2026
DISASTER AND EMERGENCY PREPAREDNESS PLAN 04/05/2022
ANNUAL DECLARATION 04/02/2026
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/07/2025




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 4
StaffChildClass AgeNote
4 0 NO CHILDREN IN ATTENDANCE Christie Booth- Caregiver Carlee Moss- Caregiver Caitlyn Lamb- Caregiver Stacy Simily- Designated Person in Charge/Family Advocate

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
Compliance
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Stacy Simily and Christie Booth
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering, and before being left alone with children, that caregivers employed on or after August 30, 2019, receive a facility orientation. The facility orientation shall include--
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.
Licensing Rule Reference
5 CSR 25-500.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
Correction Required
An individualized plan from a professional source shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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