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
06/16/2026

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2515032209

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: 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.