DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

MANSFIELD AREA COMMUNITY BETTERMENT ORG.

002275854

(417) 924-7070

205 N MISSOURI AVE
MANSFIELD
MO  65704-9542

MANSFIELD AREA COMMUNITY BETTERMENT ORG.

PO BOX 38
MANSFIELD
MO  65704-0038

KEITH, JAYME LYNN

boatright.astcc@gmail.com

Incorporated

ELAINE S COX

5 YEARS - 14 YEARS

60

GROUP HOME AND CENTER

 
Inspection Information

10/27/2020

2:12 PM

3:46 PM

UNANNOUNCED

COMPLIANCE MONITORING

2386998801


DocumentDocument-Date
FIRE/SAFETY INSPECTION 12/23/2019
SANITATION INSPECTION 02/11/2020
LOCAL FIRE DEPARTMENT NOTIFICATION 09/05/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 09/05/2019
CHILD CARE PRACTICES 05/03/2011
DIRECTOR'S QUALIFICATIONS 02/25/2013
ARTICLES OF INCORPORATION 03/23/1998
LINES OF ADMINISTRATIVE AUTHORITY 05/03/2011
JOB RESPONSIBILITIES 04/26/2011
SAMPLE WEEKLY MENU 05/03/2011
DAILY SCHEDULE 05/03/2011
POLICIES 05/03/2011
DISCIPLINE POLICIES 05/03/2011
DIAGRAM/OUTDOOR 05/03/2011
DIAGRAM/INDOOR 05/03/2011
LOCAL ZONING APPROVAL 05/03/2011
LOCAL BUILDING APPROVAL 05/03/2011
CERTIFICATE OF GOOD STANDING 03/10/2017
APPLICATION 01/11/2019
EQUIPMENT LIST 01/14/2019
STAFF SHEET 01/14/2019




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 1
Total Children 10
StaffChildClass AgeNote
1 10 SCHOOL AGE

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Initial Licensing Information
Compliance
19 CSR 30-62.052 Annual Requirements
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
Compliance
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
Compliance
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
Violation
 Provider Comments
Violation
1 child(ren) records did not include name of another individual who might be reached in an emergency.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
10/27/2020
19 CSR 30-63.020 General Requirements
Compliance
19 CSR 30-63.040 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