DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

NEAL, THERESA ANN

000740603

(417) 924-4903

104 N MADISON AVE
MANSFIELD
MO  65704-9540

NEAL, THERESA ANN



 

NEAL, THERESA ANN

DNTNEALX4@YAHOO.COM


ELAINE S COX

6 WEEKS - 13 YEARS

10

FAMILY HOME

IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 10 CHILDREN IN CARE NO MORE THAN 2 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 6 CHILDREN IN CARE NO MORE THAN 3 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
 
Inspection Information

12/20/2021

2:47 PM

3:22 PM

UNANNOUNCED

COMPLIANCE MONITORING

2414739450


DocumentDocument-Date
FIRE/SAFETY INSPECTION 04/13/2021
EQUIPMENT LIST 01/29/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 01/29/2021
ANNUAL DECLARATION 02/25/2021
SANITATION INSPECTION 12/03/2020
ASSISTANT APPROVAL REQUEST 01/07/2016
OWNER/PROVIDER REFERENCES 01/06/2000
CHILD CARE/DISCIPLINE POLICIES 01/18/2000
POLICIES 01/18/2000
DAILY SCHEDULE 01/18/2000
SAMPLE WEEKLY MENU 01/18/2000
ASSISTANT REFERENCES 01/12/2012
SAFE SLEEP POLICY 01/11/2016
DIAGRAM/INDOOR 01/18/2000
DIAGRAM/OUTDOOR 01/18/2000
LOCAL FIRE DEPARTMENT NOTIFICATION 01/17/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/17/2018

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:30PM   4:30PM   1/8/2020
  7:00AM   8:00AM   1/8/2020



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 1
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 4
StaffChildClass AgeNote
1 4 MIXED Derrick Neal with 4 children age 2 years to 5 years.

 
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
Violation
 Provider Comments
Violation
Animal excrement was observed in an outdoor area used by children; the location of the excrement was on the play yard.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (4) (D) states: Areas used by children shall be free of animal excrement.
Correction Required
No animal excrement shall be in areas used by children.

Correction Verification
Submit Documentation

Compliance Date

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
Compliance
5 CSR 25-400.200 Transportation and Field Trips
Compliance
5 CSR 25-400.210 Records and Reports
Violation
 Provider Comments
Violation
1 child(ren) records did not include date care begins and ends.
Licensing Rule Reference
5 CSR 25-400.210 Records and Reports (2) (A) states: The child’s full name, address, birth date and the date care begins and ends.
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
12/20/2021
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