MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
GREEN MEADOWS PRESCHOOL, INC.

Facility DVN
000167457

Phone
(573) 449-3359

Physical Address
1000 GREEN MEADOWS RD
COLUMBIA
MO 65203

Owner
GREEN MEADOWS PRESCHOOL INC

Mailing Address

Provider/Director
DIBLASI-GORDON, STACEY MARIE

E-mail Address
administration@greenmeadowspreschool.com

Incorporated
Incorporated

Child Care Specialist
LEKEL LYONS

Age Range
BIRTH - 14 YEARS

Capacity
137

Facility Type
GROUP HOME AND CENTER

Limitations
15 CHILDREN UNDER 12 MONTHS; 35 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
08/08/2019

Arrival Time
8:06 AM

Departure Time
12:30 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2361559605

Document	Document-Date
SAMPLE WEEKLY MENU	09/25/1985
SAMPLE FORMS	07/28/2010
POLICIES	06/10/2010
LOCAL ZONING APPROVAL	10/26/1984
LOCAL BUILDING APPROVAL	10/26/1984
LINES OF ADMINISTRATIVE AUTHORITY	08/23/1993
JOB RESPONSIBILITIES	07/28/2010
DISCIPLINE POLICIES	06/10/2010
DIAGRAM/OUTDOOR	08/20/1998
DIAGRAM/INDOOR	10/07/1996
DAILY SCHEDULE	08/23/1993
CHILD CARE PRACTICES	06/10/2010
ARTICLES OF INCORPORATION	10/26/1984
DIRECTOR'S QUALIFICATIONS	08/14/2018
CERTIFICATE OF GOOD STANDING	06/12/2018
APPLICATION	07/26/2018
EQUIPMENT LIST	07/31/2018
FIRE/SAFETY INSPECTION	07/22/2019
STAFF SHEET	08/14/2018
SANITATION INSPECTION	07/23/2019
LOCAL FIRE DEPARTMENT NOTIFICATION	09/25/1985
SAFE SLEEP POLICY	07/26/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN	07/28/2010

Overlap Start Time	Overlap End Time	Overlap Submit Date
4:00PM	5:00PM	7/28/2010
7:30AM	8:30AM	7/28/2010

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 15

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 13

Total Children 60

Staff	Child	Class Age	Note
1	2	INFANTS AND TODDLERS	Audra Powell was the caregiver
1	3	INFANTS AND TODDLERS	Marie Bobbit was the caregiver
2	5	INFANTS AND TODDLERS	Kelsey Curry, and Anita Wagner were the caregivers
4	32	PRESCHOOL	Kaisha Pearson, Jennifer O'laughlin, Stephanie Sydnor, and Danielle Clark were the caregivers
1	6	TWO YEAR OLDS	Rachel Dearham was the caregiver
1	4	TWO YEAR OLDS	Alyssa Hake was the caregiver
3	8	TWO YEAR OLDS	Leeanna Sanchegraw, Noel Belzer, and Sara Slade were the caregivers