MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
HALL, JACKIE MYRTLE

Facility DVN
000496557

Phone
(417) 924-8338

Physical Address
2320 HIGHWAY 5
MANSFIELD
MO 65704-8303

Owner
HALL, JACKIE MYRTLE

Mailing Address

Provider/Director
HALL, JACKIE MYRTLE

E-mail Address
jackiehall@centurytel.net

Incorporated

Child Care Specialist
ELAINE S COX

Age Range
BIRTH - 12 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations
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; IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE UNDER AGE 2 WITH 1 ADULT CAREGIVER

Inspection Information

Date
06/11/2026

Arrival Time
9:49 AM

Departure Time
10:36 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2514863958

Document	Document-Date
DAILY SCHEDULE	03/03/1997
ASSISTANT REFERENCES	08/27/2012
OWNER/PROVIDER REFERENCES	08/13/1996
SAMPLE WEEKLY MENU	08/27/1996
DIAGRAM/OUTDOOR	07/19/1996
DIAGRAM/INDOOR	07/19/1996
ASSISTANT APPROVAL REQUEST	08/27/1996
CHILD CARE/DISCIPLINE POLICIES	09/06/2002
POLICIES	09/06/2002
LOCAL FIRE DEPARTMENT NOTIFICATION	02/13/2018
SAFE SLEEP POLICY	02/13/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	02/07/2018
SAFETY PLAN	01/12/2023
FIRE/SAFETY INSPECTION	09/30/2025
EQUIPMENT LIST	11/05/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	11/05/2025
ANNUAL DECLARATION	11/05/2025
SANITATION INSPECTION	10/10/2025

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:40PM	3:55PM	7/30/2012
7:00AM	7:45AM	7/30/2012

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 2

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 2

Total Children 6

Staff	Child	Class Age	Note
2	6	MIXED	Jackie Hall and Donna Rippee with 6 children ages 7 months to 4 years-old. This included only one child under age 24 months. Verlin Hall also in the home.