DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

GREEN MEADOWS PRESCHOOL

002980118

(573) 449-3359

1000 W GREEN MEADOWS RD
COLUMBIA
MO  65203-3021

PREMIER MO COLUMBIA LLC



 

MANTLO, MINDY S

mmantlo@greenmeadowspreschool.com


JOY LYNN NICHOLS

6 WEEKS - 12 YEARS

131

GROUP HOME AND CENTER

33 CHILDREN UNDER 24 MONTHS
 
Inspection Information

12/17/2024

9:30 AM

11:29 AM

UNANNOUNCED

COMPLIANCE MONITORING

2484462221


DocumentDocument-Date
SANITATION INSPECTION 09/23/2024
ANNUAL DECLARATION 11/12/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/17/2024
EQUIPMENT LIST 12/17/2024
FIRE/SAFETY INSPECTION 04/04/2024
LLC ARTICLES OF ORGANIZATION 10/18/2022
REGISTERING FICTITIOUS NAMES 11/30/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN 11/21/2022
POLICIES 10/26/2022
LOCAL ZONING APPROVAL 11/21/2022
LOCAL BUILDING APPROVAL 11/21/2022
JOB RESPONSIBILITIES 11/21/2022
DIRECTOR'S QUALIFICATIONS 10/26/2022
DAILY SCHEDULE 10/26/2022
LINES OF ADMINISTRATIVE AUTHORITY 10/26/2022
SAFE SLEEP POLICY 10/26/2022
DISCIPLINE POLICIES 10/26/2022
CHILD CARE PRACTICES 10/26/2022
LLC OPERATING AGREEMENT 10/18/2022
SAMPLE WEEKLY MENU 10/18/2022
DIAGRAM/OUTDOOR 10/18/2022
DIAGRAM/INDOOR 10/18/2022
APPLICATION 10/18/2022
LICENSING ORIENTATION 11/04/2020




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 4
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 13
Total Children 53
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS children ages 3 months to 10 months; Emma Walker and Mary Kidenya
2 6 INFANTS AND TODDLERS children ages 8 months to 15 months; Ali Rachell and Sanna Haile
1 4 INFANTS AND TODDLERS children ages 14 months to 18 months; Dariana Coleman
1 4 MIXED children ages 19 months to two years; Cheyenne Stroman
2 8 MIXED 7 children age two; 1 child age three; Evyn Smith and Victoria Endsley
2 15 MIXED children ages three to five; Makayla Cutter and Angelayah Carter
2 0 NO CHILDREN IN ATTENDANCE Mindy Mantlo and Delaney Wahl
1 9 PRESCHOOL children ages three and four; Gabrielle Gooridge

Compliance List
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Violation
 Provider Comments
Violation
The annual fire safety inspection was not approved.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
Correction Required
The facility shall submit evidence of compliance with annual fire safety requirements.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
Safe sleep training was not completed within the past 3 years for the following staff Sanna Haile and Delaney Wahl.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) (A) . states: Every three (3) years, the child care provider, group child care home provider, child care staff members, and volunteers in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Policy Statement on sleep-related infant deaths. The Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment, July 2022, is incorporated by reference in this rule, as published by the American Academy of Pediatrics and available at https://publications.aap.org/pediatrics/article/150/1/e2022057990/188304/Sleep-Related-Infant-Deaths-Updated-2022 or as published in PEDIATRICS Volume 150, Issue 1, July 2022. A copy can also be obtained from the Department of Elementary and Secondary Education, Office of Childhood, 205 Jefferson Street, PO Box 480, Jefferson City, MO 65102-0480 and at https://dese.mo.gov/governmental-affairs/deseadministrativerules/incorporated-reference-materials. This rule does not incorporate any subsequent amendments or additions.
Correction Required
The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report(s) was/were not on file for Mary Kidenya and Dariana Coleman as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Mary Kidenya.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

Correction Verification
Submit Documentation

Compliance Date

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