MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
JEFFERSON FRANKLIN COMMUNITY ACTION CORPORATION

Facility DVN
000686557

Phone
(636) 343-9141

Physical Address
3680 HILLSBORO HEMATITE RD
HEMATITE
MO 63047

Owner
JEFFERSON FRANKLIN COMMUNITY ACTION CORPORATION

Mailing Address

Provider/Director
JACOBS, COURTNEY ALLISON

E-mail Address
cjacobs@jfcac.org

Incorporated
Incorporated

Child Care Specialist
MELISSA JILL SMITH

Age Range
18 MONTHS - 5 YEARS

Capacity
46

Facility Type
GROUP HOME AND CENTER

Limitations
16 CHILDREN IN THE INFANT/TODDLER UNIT

Inspection Information

Date
08/25/2025

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2499240483

Document	Document-Date
LINES OF ADMINISTRATIVE AUTHORITY	04/14/1997
LOCAL BUILDING APPROVAL	05/01/1995
JOB RESPONSIBILITIES	05/01/1995
SAMPLE WEEKLY MENU	06/23/2010
SAMPLE FORMS	06/23/2010
POLICIES	06/23/2010
DIAGRAM/OUTDOOR	06/23/2010
DAILY SCHEDULE	06/23/2010
CHILD CARE PRACTICES	06/23/2010
ARTICLES OF INCORPORATION	09/01/2011
DIRECTOR'S QUALIFICATIONS	03/13/2013
DISCIPLINE POLICIES	05/01/1995
LOCAL ZONING APPROVAL	01/01/2019
APPLICATION	03/14/2019
CERTIFICATE OF GOOD STANDING	08/27/2019
DIAGRAM/INDOOR	09/01/2020
STAFF SHEET	07/01/2020
FIRE/SAFETY INSPECTION	03/13/2025
SANITATION INSPECTION	06/20/2025
EQUIPMENT LIST	06/17/2025
ANNUAL DECLARATION	06/17/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	06/17/2025

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.

Compliance List
5 CSR 25-500.032 Organization and Administration Compliance
5 CSR 25-500.042 Licensing Process Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials Compliance
5 CSR 25-500.142 Nighttime Care Compliance
5 CSR 25-500.182 Child Care Program Compliance
5 CSR 25-500.202 Nutrition and Food Service Compliance
5 CSR 25-600.020 General Requirements Compliance