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
000776030

Phone
(417) 725-5386

Physical Address
208 S MAIN ST
NIXA
MO 65714-9685

Owner
BLEVINS, MARY JO

Mailing Address

Provider/Director
HENRY, JENNIFER ANNETTE

E-mail Address
jenquig@yahoo.com

Incorporated

Child Care Specialist
ANGEL DONSON

Age Range
6 WEEKS - 12 YEARS

Capacity
50

Facility Type
GROUP HOME AND CENTER

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

Inspection Information

Date
07/30/2025

Arrival Time
11:20 AM

Departure Time
12:00 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2497491885

Document	Document-Date
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
STAFF SHEET	02/21/2023
FIRE/SAFETY INSPECTION	10/02/2024
ANNUAL DECLARATION	01/03/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	01/27/2025
SANITATION INSPECTION	12/27/2024
EQUIPMENT LIST	01/27/2025

Overlap Start Time	Overlap End Time	Overlap 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.

Attendance at Time of Inspection

Total Staff 6

Total Children 48

Staff	Child	Class Age	Note
1	4	INFANTS AND TODDLERS	Briana Radosavlevici with four children age 1 year old.
1	4	INFANTS AND TODDLERS	Rachel Hale with four children ages 5-14 months old.
2	15	SCHOOL AGE	Jennifer Donaldson and Lily Hunsucker with 15 children ages 5-11 years old.
2	25	SCHOOL AGE	Jennifer Henry and Cathy Bolin with 25 children ages 5-11 years old.

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 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 Compliance
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