MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
A DISCOVERY ZONE PRESCHOOL

Facility DVN
001612008

Phone
(573) 443-5795

Physical Address
62 E HACKBERRY BLVD
COLUMBIA
MO 65203

Owner
GAINES, LU ANNE

Mailing Address

Provider/Director
GAINES, LU ANNE

E-mail Address
adz123@aol.com

Incorporated

Child Care Specialist
LEKEL LYONS

Age Range
BIRTH - 13 YEARS

Capacity
20

Facility Type
GROUP HOME AND CENTER

Limitations
4 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
10/22/2021

Arrival Time
10:50 AM

Departure Time
11:32 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2411012792

Document	Document-Date
ANNUAL DECLARATION	02/01/2021
REGISTERING FICTITIOUS NAMES	11/29/2011
OWNER/PROVIDER REFERENCES	08/27/2001
DIRECTOR'S QUALIFICATIONS	03/01/2006
LINES OF ADMINISTRATIVE AUTHORITY	02/24/2006
JOB RESPONSIBILITIES	02/24/2006
SAMPLE FORMS	02/24/2006
SAMPLE WEEKLY MENU	02/24/2006
DAILY SCHEDULE	02/24/2006
DISCIPLINE POLICIES	02/24/2006
POLICIES	02/24/2006
CHILD CARE PRACTICES	02/24/2006
DIAGRAM/OUTDOOR	03/13/2006
DIAGRAM/INDOOR	01/30/2008
LOCAL ZONING APPROVAL	03/29/2006
LOCAL BUILDING APPROVAL	03/26/2006
APPLICATION	02/01/2021
STAFF SHEET	02/01/2021
EQUIPMENT LIST	02/02/2021
FIRE/SAFETY INSPECTION	02/07/2020
SANITATION INSPECTION	02/01/2021

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 3

Total Children 13

Staff	Child	Class Age	Note
1	4	INFANTS AND TODDLERS	Shelby Laird was the caregiver of infants age ranging 9 months-1 year old
2	9	MIXED	Luanne Ganines and Jacob Renfro were the caregivers of children age ranging 2-5 years old


5 CSR 25-500.032 Organization and Administration Compliance
5 CSR 25-500.042 Licensing Process Compliance
5 CSR 25-500.052 Annual Requirements Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Compliance
5 CSR 25-500.087 Fire Safety Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials Compliance
5 CSR 25-500.102 Personnel Compliance
5 CSR 25-500.112 Staff/Child Ratios Compliance
5 CSR 25-500.122 Medical Examination Reports Compliance
5 CSR 25-500.132 Admission Policies and Procedures Compliance
5 CSR 25-500.142 Nighttime Care Compliance
5 CSR 25-500.152 Hourly Care Facilities Compliance
5 CSR 25-500.162 Overlap Care of Children Compliance
5 CSR 25-500.172 Emergency School Closings Compliance
5 CSR 25-500.182 Child Care Program Compliance
5 CSR 25-500.192 Health Care Compliance
5 CSR 25-500.202 Nutrition and Food Service Compliance
5 CSR 25-500.212 Transportation and Field Trips Compliance
5 CSR 25-500.222 Records and Reports Compliance
5 CSR 25-600.020 General Requirements Compliance
5 CSR 25-600.040 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