MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
JACK N JILL DAYCARE

Facility DVN
002681209

Phone
(573) 406-1096

Physical Address
391 LAKE APOLLO DR
HANNIBAL
MO 63401-6202

Owner
HOBSON, LORI ANN

Mailing Address

Provider/Director
HOBSON, LORI ANN

E-mail Address
lahobsons@yahoo.com

Incorporated

Child Care Specialist
BETHANY CARREL DUCKWORTH

Age Range
12 MONTHS - 12 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations
IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 10 CHILDREN IN CARE NO MORE THAN 2 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 10 CHILDREN IN CARE NO MORE THAN 4 CHILDREN UNDER AGE 2 WITH 2 ADULT CAREGIVERS; UP TO 6 CHILDREN IN CARE NO MORE THAN 3 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER

Inspection Information

Date
07/16/2024

Arrival Time
10:57 AM

Departure Time
11:36 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2474260633

Document	Document-Date
REGISTERING FICTITIOUS NAMES	10/03/2017
DIAGRAM/INDOOR	01/30/2018
DIAGRAM/OUTDOOR	10/30/2017
SAMPLE WEEKLY MENU	12/28/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN	10/16/2017
DAILY SCHEDULE	10/16/2017
CHILD CARE/DISCIPLINE POLICIES	10/24/2017
POLICIES	10/24/2017
SAFE SLEEP POLICY	10/24/2017
OWNER/PROVIDER REFERENCES	11/14/2017
ASSISTANT REFERENCES	11/28/2017
ASSISTANT APPROVAL REQUEST	12/12/2017
APPLICATION	09/18/2019
LICENSING ORIENTATION	09/29/2017
EQUIPMENT LIST	11/20/2023
ANNUAL DECLARATION	11/20/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	11/20/2023
FIRE/SAFETY INSPECTION	07/17/2023
SANITATION INSPECTION	08/09/2023

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.

Attendance at Time of Inspection

Total Staff 1

Total Children 6

Staff	Child	Class Age	Note
1	6	MIXED	Staff: Lori Hobson. Age range 18 months through 4 years. One child under 2 years old.

Compliance List

5 CSR 25-400.025 Organization and Administration

Compliance

5 CSR 25-400.045 Licensing Process

Compliance

5 CSR 25-400.055 Annual Requirements

Compliance

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Compliance

5 CSR 25-400.086 Fire Safety

Violation

	Provider Comments
Violation The requirements for protective outlet covers were not met as evidenced by 2 outlets did not have protective covers. Licensing Rule Reference 5 CSR 25-400.086 Fire Safety (11) (B) states: Protective covers or inserts for electrical receptacles shall be installed in all areas occupied by children. Correction Required The facility shall use protective outlet covers as required. Correction Verification Corrected on Site Compliance Date 7/16/2024

5 CSR 25-400.090 Disaster and Emergency Preparedness

Not Observed

5 CSR 25-400.095 Furniture, Equipment and Materials

Compliance

5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel

Compliance

5 CSR 25-400.115 Child Care Family and Household

Not Observed

5 CSR 25-400.125 Medical Examination Reports

Not Observed

5 CSR 25-400.135 Admission Policies and Procedures

Not Observed

5 CSR 25-400.145 Nighttime Care

Not Observed

5 CSR 25-400.155 Overlap Care of Children

Not Observed

5 CSR 25-400.165 Emergency School Closings

Not Observed

5 CSR 25-400.175 Child Care Program

Compliance

5 CSR 25-400.185 Health Care

Not Observed

5 CSR 25-400.190 Nutrition and Food Service

Not Observed

5 CSR 25-400.200 Transportation and Field Trips

Not Observed

5 CSR 25-400.210 Records and Reports

Not Observed

5 CSR 25-600.020 General Requirements

Not Observed

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.

Compliance

RSMo 210.211. License required - exceptions - written notice of licensure status, when.

Not Observed

RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.

Compliance