DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

HALL, JACKIE

000496557

(417) 924-8338

2320 HIGHWAY 5
MANSFIELD
MO  65704

HALL, JACKIE MYRTLE



 


jackiehall@centurytel.net


ELAINE S COX

BIRTH - 12 YEARS

10

FAMILY HOME

UP TO 10 CHILDREN IN CARE NO MORE THAN 2 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 10 CHILDREN IN CARE NO MORE THAN 4 CHILDREN UNDER AGE 2 WITH 2 ADULT CAREGIVERS; UP TO 6 CHILDREN IN CARE NO MORE THAN 3 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER
 
Inspection Information

08/05/2020

9:04 AM

9:28 AM

ANNOUNCED

SUPPLEMENTAL

2383467710


DocumentDocument-Date
EQUIPMENT LIST 05/11/2020
APPLICATION 05/11/2020
FIRE/SAFETY INSPECTION 06/09/2020
SANITATION INSPECTION 07/30/2020
DAILY SCHEDULE 03/03/1997
ASSISTANT REFERENCES 08/27/2012
OWNER/PROVIDER REFERENCES 08/13/1996
SAMPLE WEEKLY MENU 08/27/1996
DIAGRAM/OUTDOOR 07/19/1996
DIAGRAM/INDOOR 07/19/1996
ASSISTANT APPROVAL REQUEST 08/27/1996
CHILD CARE/DISCIPLINE POLICIES 09/06/2002
POLICIES 09/06/2002
LOCAL FIRE DEPARTMENT NOTIFICATION 02/13/2018
SAFE SLEEP POLICY 02/13/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 02/07/2018

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:40PM   3:55PM   7/30/2012
  7:00AM   7:45AM   7/30/2012



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.
Attendance at Time of Inspection
Total Staff 2
Total Children 7
StaffChildClass AgeNote
2 7 MIXED children in care are from age 10 months to 6 years. Donna Rippee, and Jackie Hall

 
19 CSR 30-61.025 Organization and Administration
Not Observed
19 CSR 30-61.045 Initial Licensing Information
Not Observed
19 CSR 30-61.055 License Renewal
Not Observed
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Not Observed
19 CSR 30-61.086 Fire Safety
Not Observed
19 CSR 30-61.090 Disaster and Emergency Preparedness
Not Observed
19 CSR 30-61.095 Furniture, Equipment and Materials
Not Observed
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel
Not Observed
19 CSR 30-61.115 Day Care Family and Household
Not Observed
19 CSR 30-61.125 Medical Examination Reports
Not Observed
19 CSR 30-61.135 Admission Policies and Procedures
Violation
19 CSR 30-61.145 Nighttime Care
Not Observed
19 CSR 30-61.155 Overlap Care of Children
Not Observed
19 CSR 30-61.165 Emergency School Closings
Not Observed
19 CSR 30-61.175 Child Care Program
Not Observed
19 CSR 30-61.185 Health Care
Not Observed
19 CSR 30-61.190 Nutrition and Food Service
Not Observed
19 CSR 30-61.200 Transportation and Field Trips
Not Observed
19 CSR 30-61.210 Records and Reports
Violation
19 CSR 30-63.040 Background Screening Findings
Not Observed
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.
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed
RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Not Observed