DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

FOUR LEAF CLOVER PRESCHOOL

002168729

(573) 632-6400

3525 COUNTRY CLUB DR
JEFFERSON CITY
MO  65109

DANDELION PRESCHOOL LLC



 

WILLIAMS, MARCELLA JO

fourleafmarcella@gmail.com


LAUREN R RAYWARNKE

6 WEEKS - 12 YEARS

120

GROUP HOME AND CENTER

8 CHILDREN UNDER 12 MONTHS; 16 CHILDREN UNDER 24 MONTHS
 
Inspection Information

04/28/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2446222292


DocumentDocument-Date
LINES OF ADMINISTRATIVE AUTHORITY 09/06/2012
JOB RESPONSIBILITIES 09/20/2012
DIRECTOR'S QUALIFICATIONS 09/20/2012
SAMPLE FORMS 09/06/2012
CHILD CARE PRACTICES 09/06/2012
SAMPLE WEEKLY MENU 09/06/2012
DAILY SCHEDULE 09/06/2012
POLICIES 09/06/2012
DIAGRAM/OUTDOOR 09/06/2012
DIAGRAM/INDOOR 09/06/2012
STAFF SHEET 07/22/2020
APPLICATION 07/27/2020
EQUIPMENT LIST 08/10/2022
FIRE/SAFETY INSPECTION 11/08/2022
ANNUAL DECLARATION 08/10/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 08/10/2022
SANITATION INSPECTION 06/14/2022




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.

 
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
Violation
 Provider Comments
Violation
The walls located in the small gym to to the left of two brown storage supply closets was/were not in good condition as evidenced by there was a 1 x 1 inch diameter hole in the wall. Children can easily put their hands in the hole and access the drywall behind the wall.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date
4/28/2023
Violation
The walls located in the small gym located to the right of the exit door to the main playground was/were not in good condition as evidenced by by there was a a 1x 1 inch diameter hole in the wall. Children can easily put their hands in the hole and access the drywall behind the wall.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date
4/28/2023
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 25-500.162 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