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

11/04/2021

2:00 PM

3:43 PM

UNANNOUNCED

COMPLIANCE MONITORING

2411605046


DocumentDocument-Date
EQUIPMENT LIST 02/04/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 02/04/2021
ANNUAL DECLARATION 01/18/2021
SANITATION INSPECTION 02/04/2021
FIRE/SAFETY INSPECTION 04/01/2021
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




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 8
StaffChildClass AgeNote
2 8 SCHOOL AGE Jayme Keith and Kiley Appleby with 8 school age children from ages 5 to 11 years.

 
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
5 CSR 25-500.087 Fire Safety
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials
Compliance
5 CSR 25-500.102 Personnel
Compliance
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Compliance
5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.142 Nighttime Care
Compliance
5 CSR 25-500.152 Hourly Care Facilities
Compliance
5 CSR 25-500.162 Overlap Care of Children
Compliance
5 CSR 25-500.172 Emergency School Closings
Compliance
5 CSR 25-500.182 Child Care Program
Compliance
5 CSR 25-500.192 Health Care
Compliance
5 CSR 25-500.202 Nutrition and Food Service
Compliance
5 CSR 25-500.212 Transportation and Field Trips
Compliance
5 CSR 25-500.222 Records and Reports
Violation
 Provider Comments
Violation
1 child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
11/4/2021
5 CSR 25-600.020 General Requirements
Compliance
5 CSR 25-600.040 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