DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

BLAIR, DONNA K

001563660

(417) 546-3990

614 ROCKHILL DR
FORSYTH
MO  65653-5383

BLAIR, DONNA K

PO BOX 941
FORSYTH
MO  65653-0941

BLAIR, DONNA K

larryblair65614@yahoo.com


BILLIE RUSSELL

6 WEEKS - 12 YEARS

20

GROUP HOME AND CENTER

4 CHILDREN UNDER 24 MONTHS
 
Inspection Information

05/19/2022

11:21 AM

11:21 AM

UNANNOUNCED

SUPPLEMENTAL

2424065629


DocumentDocument-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/08/2021
ANNUAL DECLARATION 12/08/2021
OWNER/PROVIDER REFERENCES 02/20/2001
SAMPLE WEEKLY MENU 12/01/2011
POLICIES 07/23/2009
LOCAL BUILDING APPROVAL 12/20/2001
LOCAL ZONING APPROVAL 12/20/2001
LINES OF ADMINISTRATIVE AUTHORITY 12/20/2001
JOB RESPONSIBILITIES 12/20/2001
DISCIPLINE POLICIES 07/23/2009
DIRECTOR'S QUALIFICATIONS 01/02/2001
DIAGRAM/OUTDOOR 10/28/2004
DIAGRAM/INDOOR 08/05/2004
DAILY SCHEDULE 12/01/2001
CHILD CARE PRACTICES 07/23/2009
LOCAL FIRE DEPARTMENT NOTIFICATION 07/10/2017
SANITATION INSPECTION 12/08/2021
FIRE/SAFETY INSPECTION 09/08/2021
APPLICATION 06/26/2019
STAFF SHEET 06/26/2019
EQUIPMENT LIST 12/08/2021
SAFE SLEEP POLICY 12/09/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 12/09/2019

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:15PM   5:15PM   6/11/2013



Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 4
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 25-500.032 Organization and Administration
Not Observed
5 CSR 25-500.042 Licensing Process
Not Observed
5 CSR 25-500.052 Annual Requirements
Not Observed
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Not Observed
5 CSR 25-500.087 Fire Safety
Not Observed
5 CSR 25-500.090 Disaster and Emergency Preparedness
Not Observed
5 CSR 25-500.092 Furniture, Equipment and Materials
Not Observed
5 CSR 25-500.102 Personnel
Violation
5 CSR 25-500.112 Staff/Child Ratios
Not Observed
5 CSR 25-500.122 Medical Examination Reports
Not Observed
5 CSR 25-500.132 Admission Policies and Procedures
Not Observed
5 CSR 25-500.142 Nighttime Care
Not Observed
5 CSR 25-500.152 Hourly Care Facilities
Not Observed
5 CSR 25-500.162 Overlap Care of Children
Not Observed
5 CSR 25-500.172 Emergency School Closings
Not Observed
5 CSR 25-500.182 Child Care Program
Violation
5 CSR 25-500.192 Health Care
Not Observed
5 CSR 25-500.202 Nutrition and Food Service
Not Observed
5 CSR 25-500.212 Transportation and Field Trips
Not Observed
5 CSR 25-500.222 Records and Reports
Not Observed
5 CSR 25-600.020 General Requirements
Violation
5 CSR 25-600.040 Background Screening Findings
Not Observed
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. —
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed