DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
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


CAYLIN MERTZ

6 WEEKS - 12 YEARS

50

GROUP HOME AND CENTER

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

02/24/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2441781470


DocumentDocument-Date
SANITATION INSPECTION 11/28/2022
FIRE/SAFETY INSPECTION 12/21/2022
EQUIPMENT LIST 02/21/2023
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
DISASTER AND EMERGENCY PREPAREDNESS PLAN 12/09/2019
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 02/15/2022
STAFF SHEET 02/21/2023
ANNUAL DECLARATION 02/21/2023

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: 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.

 
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 25-500.162 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
Violation
 Provider Comments
Violation
A copy of qualifying background screening results was/were not kept on file for: Briana Radosavlevici.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (8) states: A copy of qualifying background screening results shall be kept on file for child care staff members, as required by 5 CSR 25-600.020 General Requirements.
Correction Required
The facility shall keep on file a copy of qualifying background screening results for child care staff member(s).

Correction Verification
Submit Documentation

Compliance Date
2/23/2023
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