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
LEKEL LYONS

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
10/25/2021

Arrival Time
9:15 AM

Departure Time
11:42 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2411550907

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	06/24/2020
STAFF SHEET	08/14/2018
SANITATION INSPECTION	06/25/2020
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: 13

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 18

Total Children 100

Staff	Child	Class Age	Note
2	7	INFANTS AND TODDLERS	Haile Alexander and Alexandria Dalley were the caregivers of 1 year old children
2	8	INFANTS AND TODDLERS	Daniele Johanning-Meier, Olivia Williams were the caregivers of children 1-2 years old
2	8	INFANTS AND TODDLERS	Sheanna Crane, and Makayla Courtney was the caregiver of infants age ranging 2 months-1 year old
2	6	INFANTS AND TODDLERS	Jill Lute, and Deborah Anderson were the caregivers of children age ranging 3-10 months old
3	17	MIXED	Delanie Wahl, Stephanie Sydner, and Nancy Tighman were the caregivers of children age ranging 3-5 years old
1	10	MIXED	Anna Khoilan was the caregiver of children age ranging 2-5 years old
1	8	MIXED	Allie May is the caregiver of children age ranging 2-3 years old
2	17	MIXED	Jana Lijewski ans Carla Hopsecker were the caregivers of children age ranging 3-5 years old
1	8	MIXED	Dawn Frerich was the caregiver of children age ranging 2-5 years old
2	11	TWO YEAR OLDS	Jaden Flora and Kristin Tragen weee the caregivers of children 2 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 Violation
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Compliance
5 CSR 25-500.087 Fire Safety Violation
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 Violation
5 CSR 25-500.112 Staff/Child Ratios Compliance
5 CSR 25-500.122 Medical Examination Reports Violation
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 Violation
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 Violation
5 CSR 25-600.020 General Requirements Violation
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