East Missouri Action Agency, Inc.
204 TENTH ST, PARK HILLS, MO 63601-4317Childery Rating: 4/5
Data last updated ·
Quality Indicators
See Methodology →- Overall QualityCombines daily care quality (interactions, learning, environment) with structural features like staff-to-child ratios and teacher qualifications.4 / 5
- Process QualityThe quality of daily care — caregiver-child interactions, learning activities, and the emotional climate. Drawn from the state QRIS rating, accreditations, and Head Start CLASS observations.3 / 5
- Structural QualityMeasurable features like staff-to-child ratios, group sizes, license status, and teacher qualifications. Provider-level data when available; otherwise the state regulatory baseline.4 / 5
Why this rating
This daycare earned 4 out of 5 stars overall. Structural quality reflects a 17% violation rate across 12 visits in the last 3 years (most recently inspected September 2025). The structural rating also includes Missouri's licensing baseline — what every licensed daycare in the state must meet. Missouri caps infant ratios at 1:4, toddler ratios at 1:4, and preschool ratios at 1:10. Lead-teacher education isn't regulated. Teachers must complete 12 hours of annual training.
Quality Recognitions & Accreditations
- Accreditations
- National Association for the Education of Young Children (NAEYC)Not Accredited
- National Accreditation Commission (NAC)Not Accredited
- National Early Childhood Program Accreditation (NECPA)Not Accredited
- National Association for Family Child Care (NAFCC)Not Accredited
Facility Info
- Facility type
- Child Care Center
- Age groups served
- Infants
- Licensed capacity
- 59
- Teacher-child ratios & group sizesState Minimum Displayed
Age Max ratio Max group Infants 1:4 8
Teacher Credentials
- Lead teacher credentialState Minimum Displayed
- Not Regulated
Inspection History
Across 2 inspections since 2025, the issues cited most often were Children's Records & Files (4) and Curriculum & Developmental Programming (1). Of 5 total findings, 1 was critical.
See All 2 Inspection Visits
Apr 2, 20264 Findings4 Important
- Medical Examination Reports5 CSR 25-500.122
Medical examination report form did not contain all required information as evidenced by the departments form was not used. The form used did not state whether or not the staff was in good physical and emotional health and free of contagious disease. In addition, it failed to state if there were any
- Medical Examination Reports5 CSR 25-500.122
Medical examination report form did not contain all required information as evidenced by the departments form was not used. The form used did not state whether or not the staff was in good physical and emotional health and free of contagious disease. In addition, it failed to state if there were any
- Admission Policies and Procedures5 CSR 25-500.132
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.
- Admission Policies and Procedures5 CSR 25-500.132
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.
Sep 25, 20251 Finding1 Critical
- Child Care Program5 CSR 25-500.182
A child was left without competent supervision as evidenced by one child four years of age was left alone in the classroom for fourteen minutes. The class was cleaning up the classroom and went to lunch. Child was observed not being at lunch. Child was found asleep in the safe area. Child was not fe
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