DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

GREEN MEADOWS PRESCHOOL, INC.

000167457

(573) 449-3359

1000 GREEN MEADOWS RD
COLUMBIA
MO  65203

GREEN MEADOWS PRESCHOOL, INC.



 

DIBLASI-GORDON, STACEY MARIE

administration@greenmeadowspreschool.com

Incorporated

LEKEL LYONS

BIRTH - 14 YEARS

137

GROUP HOME AND CENTER

15 CHILDREN UNDER 12 MONTHS; 35 CHILDREN UNDER 24 MONTHS
 
Inspection Information

02/20/2020

9:48 AM

12:43 PM

UNANNOUNCED

COMPLIANCE MONITORING

2376074210


DocumentDocument-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 TimeOverlap End TimeOverlap 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: 12
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 15
Total Children 78
StaffChildClass AgeNote
2 5 INFANTS AND TODDLERS Alyssa Hake, and Kristen Mengarelli
2 6 INFANTS AND TODDLERS Brittany Hoyle, and Annie Flem
2 8 INFANTS AND TODDLERS Ruth Dejesus, and Hope Mc. Daniels
1 8 PRESCHOOL Dawn Frerichs
2 11 PRESCHOOL Danielle Smith, and Rathinam Chithra
2 16 PRESCHOOL Linda Key, and Delanie Wahl
1 8 PRESCHOOL Emily Holder
1 8 TWO YEAR OLDS Rachel Durham
2 8 TWO YEAR OLDS Kayley Huble, and Hailey Armentrout

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Initial Licensing Information
Compliance
19 CSR 30-62.052 License Renewal
Compliance
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
19 CSR 30-62.087 Fire Safety
Violation
 Provider Comments
Violation
Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill was not held at least one time every three months.
Licensing Rule Reference
19 CSR 30-62.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.
Licensing Rule Reference
19 CSR 30-62.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
Lexi Crowe, Annie Flynn, Brittany Hoyle, Kelly Mengarelli,Shirly Allyson, Taylor Robinson, Christy Smith, Megan Thomas, did not complete safe sleep training within 30 days of employment or volunteering at the facility.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (4) (C) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall complete safe sleep training described in section (4) of this rule within thirty (30) days of employment or volunteering at the facility.
Correction Required
The department approved safe sleep training must be completed within 30 days of employment or volunteering.

Correction Verification
Submit Documentation

Compliance Date

Violation
The requirements for obtaining 12 clock hours each calendar year were not met. The staff listed need the following information: Hailey Armentrout needs 3, Carson Butts needs 1, Lexi Crowe needs 4, Annie Flynn needs 1 hour, Kelly Mengarelli needs 4, Kristen Mengarelli needs 2, Shirley Allyson needs 1, Taylor Robinson needs 4, Megan Thomas needs 2, Kelsey Curry needs 1,Lauren King needs 1.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (3) (A) states: The center director, group day care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each employee.

Correction Verification
Submit Documentation

Compliance Date

Violation
The provider did not meet requirements for a criminal background check. The provider did not request the results of a criminal background check prior to employment or presence in the facility for the following staff: Kelly Mengarelli, Christy Snith, Danielle Smith.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (L) states: The provider shall request the results of a criminal background check for child care staff members as required by 19 CSR 30-63.020 General Requirements.
Correction Required
Required requests of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

Violation
A facility orientation was not documented and available for review for all caregivers. The following staff need documentation of a facility orientation: Annie Flynn, Katheryn Fuller, Brittany Hoyle, Julia Mantel, Shirley Allyson, Christy Smith, Danielle Smith.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (J) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering and before being left alone with children that caregivers receive a facility orientation. The child care provider shall ensure that documentation verifying completion of the facility orientation is maintained and on file for review by the department for each caregiver. The facility orientation shall include:
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days and documentation verifying completion is maintained and on file for review by the department for each caregiver.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Hailey Armentrout, Carson Butts, Annie Flynn,Shirley Allyson,Christy Smith,Megan Thomas.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include a “Risk Assessment for Tuberculosis” form, included herein, completed and signed by a health care professional, as provided by the Missouri Department of Health and Senior Services (MDHSS). If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
TB reports shall be on file as required

Correction Verification
Submit Documentation

Compliance Date

Violation
Medical examination report(s) was/were not on file for Hailey Armentrout, Carson Butts, Shirley Allyson, Christy Smith,Megan Thomas as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.132 Admission Policies and Procedures
Compliance
19 CSR 30-62.142 Nighttime Care
Compliance
19 CSR 30-62.152 Hourly Care Facilities
Compliance
19 CSR 30-62.162 Overlap Care of Children
Compliance
19 CSR 30-62.172 Emergency School Closings
Compliance
19 CSR 30-62.182 Child Care Program
Compliance
19 CSR 30-62.192 Health Care
Compliance
19 CSR 30-62.202 Nutrition and Food Service
Violation
 Provider Comments
Violation
Infant formulas and special baby foods provided by parents were not labeled.
Licensing Rule Reference
19 CSR 30-62.202 Nutrition and Food Service (2) (C) states: If preferred, formulas and special baby foods may be provided by the parent(s) with individual identification on each container.
Correction Required
Formula and food, provided by parents, shall be appropriately identified.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.212 Transportation and Field Trips
Compliance
19 CSR 30-62.222 Records and Reports
Violation
 Provider Comments
Violation
1 child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
4 child(ren) records did not include work schedule of parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
1 child(ren) records did not include employers' address of parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-63.040 Background Screening Findings
Compliance
RSMo 210.003. Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance
RSMo 210.1080. Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules.
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