MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
NEAL, THERESA A

Facility DVN
000740603

Phone
(417) 924-4903

Physical Address
104 MADISON
MANSFIELD
MO 65704

Owner
NEAL, THERESA ANN

Mailing Address

Provider/Director

E-mail Address
DNTNEALX4@YAHOO.COM

Incorporated

Child Care Specialist
ELAINE S COX

Age Range
BIRTH - 13 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations
IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 10 CHILDREN IN CARE NO MORE THAN 2 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 6 CHILDREN IN CARE NO MORE THAN 3 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER

Inspection Information

Date
07/02/2019

Arrival Time
2:29 PM

Departure Time
3:08 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2359488925

Document	Document-Date
ASSISTANT APPROVAL REQUEST	01/07/2016
APPLICATION	10/30/2017
OWNER/PROVIDER REFERENCES	01/06/2000
CHILD CARE/DISCIPLINE POLICIES	01/18/2000
POLICIES	01/18/2000
DAILY SCHEDULE	01/18/2000
SAMPLE WEEKLY MENU	01/18/2000
ASSISTANT REFERENCES	01/12/2012
SAFE SLEEP POLICY	01/11/2016
DIAGRAM/INDOOR	01/18/2000
DIAGRAM/OUTDOOR	01/18/2000
EQUIPMENT LIST	01/12/2018
LOCAL FIRE DEPARTMENT NOTIFICATION	01/17/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	01/17/2018
FIRE/SAFETY INSPECTION	10/17/2018
SANITATION INSPECTION	12/06/2018

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:00PM	5:00PM	1/11/2016

Inspection determined facility to be in compliance with 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 1

Total Children 6

Staff	Child	Class Age	Note
1	6	MIXED	1 child under age 2 years. 3 related children in care also bringing the total of children in care to 9 with 3 under 2 years