MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
FOUR LEAF CLOVER PRESCHOOL

Facility DVN
002168729

Phone
(573) 632-6400

Physical Address
3525 COUNTRY CLUB DR
JEFFERSON CITY
MO 65109

Owner
DANDELION PRESCHOOL LLC

Mailing Address

Provider/Director
WILLIAMS, MARCELLA JO

E-mail Address
fourleafmarcella@gmail.com

Incorporated

Child Care Specialist
ALLA GERASIMOVA

Age Range
6 WEEKS - 12 YEARS

Capacity
120

Facility Type
GROUP HOME AND CENTER

Limitations
8 CHILDREN UNDER 12 MONTHS; 16 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
10/26/2023

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2457557368

Document	Document-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
FIRE/SAFETY INSPECTION	07/19/2023
SANITATION INSPECTION	06/26/2023
EQUIPMENT LIST	08/22/2023
ANNUAL DECLARATION	08/22/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	08/22/2023

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.