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

CHRISTINA BRUCE

BIRTH - 14 YEARS

137

GROUP HOME AND CENTER

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

08/14/2020

9:52 AM

11:43 AM

ANNOUNCED

COMPLIANCE MONITORING

2385827449


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 07/02/2020
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 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: 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
StaffChildClass AgeNote
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
 Provider Comments
Violation
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 4 inches on the 2 year old playground.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard.

Correction Verification
Submit Documentation

Compliance Date

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
4/1/2020
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
4/1/2020
19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
The seats of swings in the outdoor play area did not have lightweight seats of rubber, plastic, canvas or nylon as evidenced by the infant playground swings are made out of tire and are not light weight.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (3) (G) states: Swings shall have lightweight seats of rubber, plastic, canvas or nylon.
Correction Required
Swing seats shall be constructed of an approved material.

Correction Verification
Submit Documentation

Compliance Date

Violation
The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by A plastic container that toys were stored in contained sharp edges.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (2) (A) 1. states: Play equipment and materials shall be clean, in good condition with all parts intact and accessible to children.
Correction Required
Indoor play equipment, clean and in good repair, shall be accessible to children.

Correction Verification
Corrected on Site

Compliance Date
8/14/2020
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
8/12/2020
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: Vrynal Wasulkar, Hwaja Park, Stephanie Hudnut, Ebonie Kemp, Karlee Duneman, Anna Hollinger, Hope Mc.Daniels, .
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
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
8/13/2020
Violation
A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Dana Bondan.
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

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
8/13/2020
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
8/14/2020
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
8/14/2020
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
3/3/2020
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 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
4/1/2020
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
4/1/2020
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
4/1/2020
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 210.115. 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