MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
HALE, TERESA ANN

Facility DVN
000178525

Phone
(417) 732-6203

Physical Address
525 S VENTURA AVE
REPUBLIC
MO 65738-1705

Owner
HALE, TERESA ANN

Mailing Address

Provider/Director
HALE, TERESA ANN

E-mail Address
Halehomedaycare@gmail.com

Incorporated

Child Care Specialist
BILLIE RUSSELL

Age Range
36 MONTHS - 14 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations

Inspection Information

Date
10/20/2021

Arrival Time
11:00 AM

Departure Time
11:40 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2411435615

Document	Document-Date
ANNUAL DECLARATION	02/26/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	03/19/2021
SAMPLE WEEKLY MENU	05/14/1981
POLICIES	02/01/1993
OWNER/PROVIDER REFERENCES	06/01/1981
ASSISTANT APPROVAL REQUEST	03/04/2013
DIAGRAM/OUTDOOR	05/15/1981
DIAGRAM/INDOOR	05/14/1981
DAILY SCHEDULE	04/14/1981
CHILD CARE/DISCIPLINE POLICIES	02/01/1993
ASSISTANT REFERENCES	03/04/2013
APPLICATION	01/07/2019
EQUIPMENT LIST	02/26/2021
FIRE/SAFETY INSPECTION	10/28/2020
SANITATION INSPECTION	01/26/2021

Overlap Start Time	Overlap End Time	Overlap Submit Date
11:00AM	1:00PM	12/28/2012

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 1

Total Children 1

Staff	Child	Class Age	Note
1	1	PRESCHOOL	Caregiver, Teresa Hale, was present with one (1) five (5) year old child.


5 CSR 25-400.025 Organization and Administration Compliance
5 CSR 25-400.045 Licensing Process Compliance
5 CSR 25-400.055 Annual Requirements Compliance
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home Compliance
5 CSR 25-400.086 Fire Safety Compliance
5 CSR 25-400.090 Disaster and Emergency Preparedness Compliance
5 CSR 25-400.095 Furniture, Equipment and Materials Compliance
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel Compliance
5 CSR 25-400.115 Day Care Family and Household Compliance
5 CSR 25-400.125 Medical Examination Reports Compliance
5 CSR 25-400.135 Admission Policies and Procedures Compliance
5 CSR 25-400.145 Nighttime Care Compliance
5 CSR 25-400.155 Overlap Care of Children Compliance
5 CSR 25-400.165 Emergency School Closings Compliance
5 CSR 25-400.175 Child Care Program Compliance
5 CSR 25-400.185 Health Care Compliance
5 CSR 25-400.190 Nutrition and Food Service Not Observed
5 CSR 25-400.200 Transportation and Field Trips Compliance
5 CSR 25-400.210 Records and Reports Compliance
5 CSR 25-600.020 Background Screening Findings Compliance
5 CSR 25-600.040 General Requirements 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
RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. Compliance