MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
BLEVINS, MARY JO

Facility DVN
000177026

Phone
(417) 725-2833

Physical Address
402 S MAIN ST
NIXA
MO 65714-9694

Owner
BLEVINS, MARY JO

Mailing Address

Provider/Director
BLEVINS, MARY JO

E-mail Address
MROSYJOE@AOL.COM

Incorporated

Child Care Specialist
ANGEL DONSON

Age Range
24 MONTHS - 6 YEARS

Capacity
50

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
12/16/2021

Arrival Time
12:45 PM

Departure Time
1:42 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2414627331

Document	Document-Date
STAFF SHEET	10/30/2020
SAMPLE WEEKLY MENU	10/03/2010
POLICIES	10/25/2002
DIAGRAM/INDOOR	04/06/1981
JOB RESPONSIBILITIES	10/03/1979
CHILD CARE PRACTICES	10/03/1979
DIAGRAM/OUTDOOR	10/03/1979
LOCAL ZONING APPROVAL	10/18/1979
LOCAL BUILDING APPROVAL	10/18/1979
APPLICATION	09/17/2018
SANITATION INSPECTION	09/21/2021
FIRE/SAFETY INSPECTION	08/30/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	12/16/2021
EQUIPMENT LIST	12/16/2021
ANNUAL DECLARATION	10/28/2021

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 4

Total Children 33

Staff	Child	Class Age	Note
1	9	MIXED	Caregiver Rachel Sutter with nine children. One child is 2 years old and eight children are 3 years old.
2	17	PRESCHOOL	Caregiver Mary Jo Blevins and Morgan Jones with 17 children ages 3-5 years old.
1	7	TWO YEAR OLDS	Caregiver Morgan Kronholm with seven children ages 2 years old.


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 Compliance
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