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
CYNTHIA D MADDOX

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
10/06/2022

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2432720572

Document	Document-Date
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
FIRE/SAFETY INSPECTION	10/05/2022
SANITATION INSPECTION	06/06/2022
EQUIPMENT LIST	09/20/2022
ANNUAL DECLARATION	09/20/2022
SAFETY PLAN	09/20/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	09/20/2022

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.