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 CITY R-I SCHOOL DISTRICT

Facility DVN
000653958

Phone
(660) 874-4126

Physical Address
301 N EAST ST
GREEN CITY
MO 63545-1005

Owner
GREEN CITY R-I SCHOOL DISTRICT

Mailing Address

Provider/Director
BALLINGER, LANESSIA LYNN

E-mail Address
lballinger@greencity.k12.mo.us

Incorporated

Child Care Specialist
ELLEN DONOHO

Age Range
36 MONTHS - 5 YEARS

Capacity
20

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
09/23/2021

Arrival Time
11:09 AM

Departure Time
12:04 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2409063486

Document	Document-Date
ANNUAL DECLARATION	03/15/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/16/2021
SAMPLE FORMS	03/01/2012
LINES OF ADMINISTRATIVE AUTHORITY	08/16/2002
DIRECTOR'S QUALIFICATIONS	08/17/2012
DIAGRAM/OUTDOOR	09/01/2000
CHILD CARE PRACTICES	04/15/2016
DAILY SCHEDULE	04/15/2016
DISCIPLINE POLICIES	04/15/2016
POLICIES	04/15/2016
DIAGRAM/INDOOR	09/01/2000
EQUIPMENT LIST	04/16/2021
STAFF SHEET	02/19/2020
APPLICATION	03/06/2020
FIRE/SAFETY INSPECTION	04/21/2021
SANITATION INSPECTION	12/16/2020

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.

Attendance at Time of Inspection

Total Staff 2

Total Children 18

Staff	Child	Class Age	Note
2	18	PRESCHOOL	3- Three year old children, 13- Four year old children, 2- Five year old children LaNessia Ballinger and Carla Glidewell, staff


19 CSR 30-62.032 Organization and Administration Compliance
19 CSR 30-62.042 Licensing Process Compliance
19 CSR 30-62.052 Annual Requirements 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 Compliance
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 Compliance
19 CSR 30-62.112 Staff/Child Ratios Compliance
19 CSR 30-62.122 Medical Examination Reports Compliance
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 Compliance
19 CSR 30-62.212 Transportation and Field Trips Compliance
19 CSR 30-62.222 Records and Reports Compliance
19 CSR 30-63.020 General Requirements Compliance
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