MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
BLEVINS, MARY JO

Facility DVN
000177026

Phone
(417) 725-2833

Physical Address
402 S MAIN ST
NIXA
MO 65714-9694

Owner
BLEVINS, MARY JO

Mailing Address

Provider/Director
BLEVINS, MARY JO

E-mail Address
MROSYJOE@AOL.COM

Incorporated

Child Care Specialist
PENNY KREITZER

Age Range
24 MONTHS - 6 YEARS

Capacity
50

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
12/28/2023

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2461561917

Document	Document-Date
SAMPLE WEEKLY MENU	10/03/2010
POLICIES	10/25/2002
DIAGRAM/INDOOR	04/06/1981
JOB RESPONSIBILITIES	10/03/1979
CHILD CARE PRACTICES	10/03/1979
DIAGRAM/OUTDOOR	10/03/1979
LOCAL ZONING APPROVAL	10/18/1979
LOCAL BUILDING APPROVAL	10/18/1979
APPLICATION	09/17/2018
STAFF SHEET	10/30/2020
ANNUAL DECLARATION	10/27/2023
SANITATION INSPECTION	09/18/2023
EQUIPMENT LIST	12/14/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	12/14/2023
FIRE/SAFETY INSPECTION	08/30/2023

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.