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
CHRISTINA BRUCE

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
08/14/2020

Arrival Time
9:52 AM

Departure Time
11:43 AM

Notice
ANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2385827449

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	07/02/2020
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: 6

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 10

Total Children 69

Staff	Child	Class Age	Note
2	6	INFANTS AND TODDLERS	Erica Shaffer and Ebony Kemp
3	11	INFANTS AND TODDLERS	Hwaja Park, Ruth Dejesus, and Viktoria Mueshman, Children were outside on the playground.
1	10	PRESCHOOL	Delanie Wall caregiver of children ages 3-5 years old
1	10	PRESCHOOL	Dawn Frerichs was caregiver children ages 3-5
1	16	SCHOOL AGE	Brnul Wasulkar caregiver of children ages 5-10 years old
2	16	TWO YEAR OLDS	Meredith Curtis and Ellis Smith


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 Violation
19 CSR 30-62.087 Fire Safety Violation
19 CSR 30-62.090 Disaster and Emergency Preparedness Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials Violation
19 CSR 30-62.102 Personnel Violation
19 CSR 30-62.112 Staff/Child Ratios Compliance
19 CSR 30-62.122 Medical Examination Reports Violation
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
19 CSR 30-62.212 Transportation and Field Trips Compliance
19 CSR 30-62.222 Records and Reports Violation
19 CSR 30-63.040 Background Screening Findings 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