MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
MARY LEE JOHNSTON COMMUNITY LEARNING CENTER

Facility DVN
001908305

Phone
(573) 449-5600

Physical Address
1509 HINKSON AVE
COLUMBIA
MO 65201-5714

Owner
MARY LEE JOHNSTON COMMUNITY LEARNING CENTER

Mailing Address

Provider/Director
GROTZINGER, SAMANTHA MARIE

E-mail Address
samanthag@mljclc.org

Incorporated
Incorporated

Child Care Specialist
CHRISTINA BRUCE

Age Range
6 WEEKS - 6 YEARS

Capacity
88

Facility Type
GROUP HOME AND CENTER

Limitations
48 CHILDREN UNDER 24 MONTHS; 40 FULL DAY PRESCHOOL CHILDREN; LICENSE INCLUDES 1505 HINKSON & 1509 HINKSON, 1511 HINKSON

Inspection Information

Date
08/22/2023

Arrival Time
2:00 PM

Departure Time
3:30 PM

Notice
UNANNOUNCED

Inspection Type
CLOSE SUPERVISION

Inspection ID
2453364268

Document	Document-Date
DISCIPLINE POLICIES	10/01/2003
CHILD CARE PRACTICES	10/01/2003
DAILY SCHEDULE	04/28/2005
POLICIES	10/01/2003
DIAGRAM/OUTDOOR	12/27/2007
DIAGRAM/INDOOR	09/16/2009
JOB RESPONSIBILITIES	07/17/2013
LINES OF ADMINISTRATIVE AUTHORITY	07/17/2013
SAMPLE WEEKLY MENU	07/17/2013
DIRECTOR'S QUALIFICATIONS	08/09/2017
CERTIFICATE OF GOOD STANDING	07/28/2015
ARTICLES OF INCORPORATION	07/17/2013
LOCAL BUILDING APPROVAL	07/17/2013
LOCAL FIRE DEPARTMENT NOTIFICATION	07/17/2013
LOCAL ZONING APPROVAL	07/17/2013
SAMPLE FORMS	07/17/2013
OWNER/PROVIDER REFERENCES	07/17/2013
APPLICATION	08/20/2019
EQUIPMENT LIST	10/03/2022
STAFF SHEET	10/03/2022
FIRE/SAFETY INSPECTION	12/27/2022
SANITATION INSPECTION	06/15/2022
ANNUAL DECLARATION	10/03/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	10/03/2022
SAFE SLEEP POLICY	07/28/2015
LICENSING ORIENTATION	10/01/2003
DISASTER AND EMERGENCY PREPAREDNESS PLAN	07/28/2015

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 11

Total Children 33

Staff	Child	Class Age	Note
2	8	INFANTS AND TODDLERS	Caregiver Diana Smith and Melony Grotzinger present in Butterflies room with children ages 4 months - 20 months old. 1509 Building
1	3	INFANTS AND TODDLERS	Caregiver Tina Deutschle present in the Bumblebees room with children ages 8 months - 18 months. 1509 Building
2	8	MIXED	Caregivers Kierra Thorpe and Michelle Wu present in the Fireflies room with children ages 20 months - 2 years old. 1509 Building
1	10	MIXED	Caregiver Taylor Haynes present in Tigers room with children ages 2 - 4 years old, with 4 children age 2 years old. 1505 Building
0	0	NO CHILDREN IN ATTENDANCE	No staff or children present in the Otter building. 1511 building
0	0	NO CHILDREN IN ATTENDANCE	No staff or children present in the Lions room. 1505 building
4	0	NO CHILDREN IN ATTENDANCE	Director Samantha Grotzinger, cook Jackie Putman, staff CM and Chris Picanso present on site.
1	4	TWO YEAR OLDS	Caregiver Mackynzie Williams present in Lady Bugs room with all 2 year old children. 1509 Building


5 CSR 25-500.032 Organization and Administration Not Observed
5 CSR 25-500.042 Licensing Process Not Observed
5 CSR 25-500.052 Annual Requirements Not Observed
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 Not Observed
5 CSR 25-500.132 Admission Policies and Procedures Not Observed
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 Not Observed
5 CSR 25-500.182 Child Care Program Compliance
5 CSR 25-500.192 Health Care Not Observed
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 Not Observed
5 CSR 25-600.020 General Requirements Not Observed
5 CSR 25-600.040 Background Screening Findings Not Observed
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. — Not Observed
RSMo 210.211. License required - exceptions - written notice of licensure status, when. Compliance