DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

JACK N JILL DAYCARE

002681209

(573) 406-1096

391 LAKE APOLLO DR
HANNIBAL
MO  63401-6202

HOBSON, LORI ANN



 

HOBSON, LORI ANN

lahobsons@yahoo.com


BETHANY C DUCKWORTH

12 MONTHS - 12 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 10 CHILDREN IN CARE NO MORE THAN 4 CHILDREN UNDER AGE 2 WITH 2 ADULT CAREGIVERS; UP TO 6 CHILDREN IN CARE NO MORE THAN 3 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER
 
Inspection Information

01/14/2022

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2416089195


DocumentDocument-Date
ANNUAL DECLARATION 11/17/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/08/2021
LICENSING ORIENTATION 09/29/2017
REGISTERING FICTITIOUS NAMES 10/03/2017
DIAGRAM/INDOOR 01/30/2018
DIAGRAM/OUTDOOR 10/30/2017
SAMPLE WEEKLY MENU 12/28/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/16/2017
DAILY SCHEDULE 10/16/2017
CHILD CARE/DISCIPLINE POLICIES 10/24/2017
POLICIES 10/24/2017
SAFE SLEEP POLICY 10/24/2017
OWNER/PROVIDER REFERENCES 11/14/2017
ASSISTANT REFERENCES 11/28/2017
ASSISTANT APPROVAL REQUEST 12/12/2017
APPLICATION 09/18/2019
EQUIPMENT LIST 11/17/2021
FIRE/SAFETY INSPECTION 11/17/2021
SANITATION INSPECTION 08/02/2021




Inspection determined facility to be in compliance with licensing rules.
Compliance 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.

Compliance List
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
Violation
 Provider Comments
Violation
Furniture/equipment, sleeping maps (6), in the sleeping area downstairs was not in good condition as evidenced by there were rips and the stuffing from inside was accessible to the children.
Licensing Rule Reference
5 CSR 25-400.095 Furniture, Equipment and Materials 1 (A) 1 states: All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead free paint shall be used.
Correction Required
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Submit Documentation

Compliance Date
1/7/2022
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel
Violation
 Provider Comments
Violation
The requirements for first aid and CPR certification were not met as evidenced by at least one caregiver certified in first aid/CPR was not on site.
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (S) states: The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification, include an in-person skills assessment, and be approved by the department. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. First aid/CPR training may count toward the annual clock hour training requirement.
Correction Required
Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

Correction Verification
Submit Documentation

Compliance Date
1/10/2022
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
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