DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

BLEVINS, MARY JO

000177026

(417) 725-2833

402 S MAIN ST
NIXA
MO  65714

BLEVINS, MARY JO



 

BLEVINS, MARY JO

MROSYJOE@AOL.COM


ANGEL DONSON

24 MONTHS - 6 YEARS

50

GROUP HOME AND CENTER

 
Inspection Information

05/31/2018

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2332985588


DocumentDocument-Date
SAMPLE WEEKLY MENU 10/03/2010
POLICIES 10/25/2002
DIAGRAM/INDOOR 04/06/1981
JOB RESPONSIBILITIES 10/03/1979
CHILD CARE PRACTICES 10/03/1979
DIAGRAM/OUTDOOR 10/03/1979
LOCAL ZONING APPROVAL 10/18/1979
LOCAL BUILDING APPROVAL 10/18/1979
APPLICATION 09/06/2016
SANITATION INSPECTION 08/02/2016
FIRE/SAFETY INSPECTION 08/29/2016
EQUIPMENT LIST 10/11/2016
STAFF SHEET 10/11/2016




Inspection determined facility to be in compliance with 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.

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Initial Licensing Information
Compliance
19 CSR 30-62.052 License Renewal
Compliance
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
19 CSR 30-62.087 Fire Safety
Compliance
19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
19 CSR 30-62.102 Personnel
Compliance
19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Mary Jo Blevins, Cathy Bolin, Jennifer Henry and Betty Quigley.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (B) states: Medical examination reports shall include a “Risk Assessment for Tuberculosis” form, included herein, completed and signed by a health care professional, as provided by the Missouri Department of Health and Senior Services (MDHSS). If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
TB reports shall be on file as required

Correction Verification
Submit Documentation

Compliance Date
5/8/2018
19 CSR 30-62.132 Admission Policies and Procedures
Compliance
19 CSR 30-62.142 Nighttime Care
Compliance
19 CSR 30-62.152 Hourly Care Facilities
Compliance
19 CSR 30-62.162 Overlap Care of Children
Compliance
19 CSR 30-62.172 Emergency School Closings
Compliance
19 CSR 30-62.182 Child Care Program
Violation
 Provider Comments
Violation
Requirements for supervision of napping or sleeping children were not met as evidenced by the caregiver was present with napping children but was unable to see and hear all children.
Licensing Rule Reference
19 CSR 30-62.182 Child Care Program (1) (A) 5. states: A caregiver shall remain in the room with preschool and school-age children while they are napping or sleeping and shall be able to see and hear them if they have difficulty during napping or when they awaken.
Correction Required
A caregiver shall be in the room with napping children, and shall be able to see and hear them.

Correction Verification
Submit Documentation

Compliance Date
5/8/2018
19 CSR 30-62.192 Health Care
Compliance
19 CSR 30-62.202 Nutrition and Food Service
Compliance
19 CSR 30-62.212 Transportation and Field Trips
Compliance
19 CSR 30-62.222 Records and Reports
Compliance
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance