DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

BELTON SCHOOL DISTRICT 124 - HILLCREST

000656768

(816) 348-1134

106 S HILLCREST RD
BELTON
MO  64012-4935

BELTON SCHOOL DISTRICT 124 - HILLCREST

614 MILL ST
BELTON
MO  64012-3403

FELDER, TIM

dkuhns@bsd124.org


AMY CELESTIA NOLTE

5 YEARS - 18 YEARS

60

SCHOOL AGE

60 SCHOOL-AGE CHILDREN DURING THE SCHOOL YEAR; 60 SCHOOL-AGE CHILDREN DURING THE SUMMER; BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

03/29/2016

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2276962376


DocumentDocument-Date
APPLICATION 02/01/2016
DIRECTOR'S QUALIFICATIONS 01/05/2016
SAMPLE FORMS 03/01/2012
SAMPLE WEEKLY MENU 03/01/2012
POLICIES 03/01/2012
JOB RESPONSIBILITIES 03/01/2012
DISCIPLINE POLICIES 03/01/2012
DAILY SCHEDULE 03/01/2012
CHILD CARE PRACTICES 03/01/2012
DIAGRAM/INDOOR 06/01/2012




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.

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Initial Licensing Information
Compliance
19 CSR 30-62.052 License Renewal
Compliance
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
19 CSR 30-62.102 Personnel
Compliance
19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (B) states: Medical examination reports shall include a “Risk Assessment for Tuberculosis” form, included herein, completed and signed by a health care professional, as provided by the Missouri Department of Health and Senior Services (MDHSS). If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
TB reports shall be on file as required

Correction Verification
Submit Documentation

Compliance Date
3/28/2016
19 CSR 30-62.132 Admission Policies and Procedures
Compliance
19 CSR 30-62.172 Emergency School Closings
Compliance
19 CSR 30-62.182 Child Care Program
Compliance
19 CSR 30-62.192 Health Care
Compliance
19 CSR 30-62.202 Nutrition and Food Service
Compliance
19 CSR 30-62.212 Transportation and Field Trips
Compliance
19 CSR 30-62.222 Records and Reports
Compliance
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance