DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
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Facility Information

BLEVINS, MARY JO

000776030

(417) 725-5386

208 S MAIN ST
NIXA
MO  65714-9685

BLEVINS, MARY JO



 

HENRY, JENNIFER ANNETTE

jenquig@yahoo.com


BILLIE RUSSELL

6 WEEKS - 12 YEARS

50

GROUP HOME AND CENTER

15 CHILDREN IN THE INFANT/TODDLER UNIT; 7 CHILDREN UNDER 12 MONTHS
 
Inspection Information

02/15/2022

11:45 AM

1:59 PM

UNANNOUNCED

COMPLIANCE MONITORING

2418157169


DocumentDocument-Date
FIRE/SAFETY INSPECTION 11/10/2021
SANITATION INSPECTION 11/29/2021
ANNUAL DECLARATION 12/28/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 02/15/2022
LINES OF ADMINISTRATIVE AUTHORITY 11/20/1979
JOB RESPONSIBILITIES 10/10/1979
DIRECTOR'S QUALIFICATIONS 05/26/1996
CHILD CARE PRACTICES 10/03/1981
SAMPLE WEEKLY MENU 11/03/1981
DAILY SCHEDULE 11/03/1981
POLICIES 10/29/1982
DIAGRAM/OUTDOOR 10/03/1979
DIAGRAM/INDOOR 04/16/1981
LOCAL ZONING APPROVAL 10/26/1979
LOCAL BUILDING APPROVAL 10/26/1979
APPLICATION 11/15/2019
EQUIPMENT LIST 02/15/2022
STAFF SHEET 12/09/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 12/09/2019

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:00PM   5:00PM   12/3/2013



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 3
Total Children 8
StaffChildClass AgeNote
1 4 INFANTS AND TODDLERS Caregiver, Kathy Bolin, was with seven (7) to 23 month old child.
1 4 INFANTS AND TODDLERS Caregiver, Bri Radosavlevici, was with four (4) to twelve (12) month old children.
1 0 MIXED Additional caregiver, Jennifer Henry was present during inspection.

 
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
Violation
 Provider Comments
Violation
Furniture/equipment, counter top, in the toddler room was not free of loose parts as evidenced by the counter top was not attached to the counter and easily moved.
Licensing Rule Reference
5 CSR 25-500.092 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
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
Not Observed
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