DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

MERCY HOSPITAL SPRINGFIELD

000180709

(417) 820-7955

1831 S FREMONT AVE
SPRINGFIELD
MO  65804

MERCY HOSPITAL SPRINGFIELD

1235 E CHEROKEE ST
SPRINGFIELD
MO  65804-2203

GHAN, KARA GAY

Kara.Ghan@mercy.net

Incorporated

ELAINE S COX

6 WEEKS - 12 YEARS

133

GROUP HOME AND CENTER

16 CHILDREN IN THE INFANT/TODDLER UNIT
 
Inspection Information

01/12/2024

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2461548600


DocumentDocument-Date
SAMPLE WEEKLY MENU 10/24/1984
POLICIES 10/21/2009
LOCAL ZONING APPROVAL 10/05/2005
LOCAL BUILDING APPROVAL 10/05/2005
LINES OF ADMINISTRATIVE AUTHORITY 01/26/1982
JOB RESPONSIBILITIES 10/31/1997
DISCIPLINE POLICIES 10/21/2009
DIRECTOR'S QUALIFICATIONS 05/19/2006
DAILY SCHEDULE 10/24/1997
ARTICLES OF INCORPORATION 03/24/1982
CHILD CARE PRACTICES 10/21/2009
DIAGRAM/INDOOR 08/14/2014
DIAGRAM/OUTDOOR 08/15/2014
SAFE SLEEP POLICY 10/09/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/09/2019
STAFF SHEET 12/22/2020
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 11/20/2023
SANITATION INSPECTION 09/27/2023
ANNUAL DECLARATION 11/20/2023
EQUIPMENT LIST 11/20/2023
APPLICATION 11/20/2023
FIRE/SAFETY INSPECTION 09/19/2023
CERTIFICATE OF GOOD STANDING 10/03/2023




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 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Violation
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
5 CSR 25-500.087 Fire Safety
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Violation
5 CSR 25-500.092 Furniture, Equipment and Materials
Compliance
5 CSR 25-500.102 Personnel
Violation
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
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
Compliance
5 CSR 25-600.020 General Requirements
Violation
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