MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
WILLOW TREE PLAYSCHOOL

Facility DVN
002582932

Phone
(816) 590-8491

Physical Address
1600 W BROADWAY
COLUMBIA
MO 65203-1104

Owner
CAMPBELL, MOLLY COLLEEN

Mailing Address

Provider/Director
CAMPBELL, MOLLY COLLEEN

E-mail Address
willowtreeplayschool@gmail.com

Incorporated

Child Care Specialist
JOY LYNN NICHOLS

Age Range
36 MONTHS - 6 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations
IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 10 CHILDREN IN CARE NO MORE THAN 2 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 10 CHILDREN IN CARE NO MORE THAN 4 CHILDREN UNDER AGE 2 WITH 2 ADULT CAREGIVERS; UP TO 6 CHILDREN IN CARE NO MORE THAN 3 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER

Inspection Information

Date
04/05/2022

Arrival Time
10:45 AM

Departure Time
11:16 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2421070846

Document	Document-Date
ANNUAL DECLARATION	09/29/2021
CHILD CARE/DISCIPLINE POLICIES	08/04/2016
POLICIES	08/04/2016
DAILY SCHEDULE	08/04/2016
SAMPLE WEEKLY MENU	08/04/2016
REGISTERING FICTITIOUS NAMES	03/07/2016
ASSISTANT APPROVAL REQUEST	08/03/2016
DIAGRAM/INDOOR	08/03/2016
DIAGRAM/OUTDOOR	08/03/2016
ASSISTANT REFERENCES	08/08/2016
OWNER/PROVIDER REFERENCES	06/03/2016
APPLICATION	06/21/2018
EQUIPMENT LIST	09/29/2021
FIRE/SAFETY INSPECTION	06/15/2021
SANITATION INSPECTION	05/26/2021

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 1

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 9

Staff	Child	Class Age	Note
2	9	MIXED	children ages three to five; Molly Campbell and Isabel Accurso