DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

WILLOW TREE PLAYSCHOOL

002582932

(816) 590-8491

1600 W BROADWAY
COLUMBIA
MO  65203-1104

CAMPBELL, MOLLY COLLEEN



 

CAMPBELL, MOLLY COLLEEN

willowtreeplayschool@gmail.com


CYNTHIA D MADDOX

36 MONTHS - 6 YEARS

10

FAMILY HOME

 
Inspection Information

09/06/2023

9:30 AM

10:19 AM

UNANNOUNCED

COMPLIANCE MONITORING

2453823736


DocumentDocument-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 05/24/2023
SANITATION INSPECTION 06/09/2023
EQUIPMENT LIST 09/06/2023
ANNUAL DECLARATION 09/06/2023
SAFETY PLAN 09/20/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 09/06/2023




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 3
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 10
StaffChildClass AgeNote
2 10 MIXED Molly Campbell and Angela Marcinik were the staff with the children. Children ranged in age from 3 years to 5 years.

Compliance List
5 CSR 25-400.025 Organization and Administration
Compliance
5 CSR 25-400.045 Licensing Process
Compliance
5 CSR 25-400.055 Annual Requirements
Compliance
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home
Violation
 Provider Comments
Violation
Children were not restricted to approved space as evidenced by children were in the Orange Classroom, which is part of a revision that has not yet been approved.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (E) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-400.086 Fire Safety
Compliance
5 CSR 25-400.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-400.095 Furniture, Equipment and Materials
Compliance
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel
Compliance
5 CSR 25-400.115 Child Care Family and Household
Compliance
5 CSR 25-400.125 Medical Examination Reports
Violation
 Provider Comments
Violation
A medical examination report was not on file for assistant(s): Angela Marcinik.
Licensing Rule Reference
5 CSR 25-400.125 Medical Examination Reports (1) (D) states: Assistants who are employed or volunteer more than five (5) hours per week shall have a medical examination report on file within thirty (30) days of beginning work in the home.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-400.135 Admission Policies and Procedures
Compliance
5 CSR 25-400.145 Nighttime Care
Compliance
5 CSR 25-400.155 Overlap Care of Children
Not Observed
5 CSR 25-400.165 Emergency School Closings
Not Observed
5 CSR 25-400.175 Child Care Program
Compliance
5 CSR 25-400.185 Health Care
Compliance
5 CSR 25-400.190 Nutrition and Food Service
Compliance
5 CSR 25-400.200 Transportation and Field Trips
Not Observed
5 CSR 25-400.210 Records and Reports
Compliance
5 CSR 25-600.020 General Requirements
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Angela Marcinik.
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

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
RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance