DHSS MO
MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES

SECTION FOR CHILD CARE REGULATION

SCHOOL AGE INSPECTION REPORT
Facility Information

THE BOYS AND GIRLS CLUB OF POPLAR BLUFF

002373515

(573) 776-1690

1200 CAMP RD
POPLAR BLUFF
MO  63901

THE BOYS & GIRLS CLUB OF POPLAR BLUFF

PO BOX 55
POPLAR BLUFF
MO  63902-0055

TIPTON, JEANNA DAWN

LITTLES, RONALD B

lesley@bgcpb.org



MELISSA JILL SMITH

5 YEARS - 7 YEARS

100

SCHOOL AGE

 
Inspection Information

10/10/2018

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2341593197


DocumentDocument-Date
SAMPLE WEEKLY MENU 11/20/2015
APPLICATION 03/06/2017
DAILY SCHEDULE 12/04/2012
POLICIES 12/04/2012
LINES OF ADMINISTRATIVE AUTHORITY 12/04/2012
DIRECTOR'S JOB RESPONSIBILITIES 12/04/2012
JOB RESPONSIBILITIES 12/04/2012
CHILD CARE PRACTICES 12/04/2012
SAMPLE FORMS 12/04/2012
DIRECTOR'S QUALIFICATIONS 04/18/2013
EQUIPMENT LIST 03/06/2017
STAFF SHEET 03/06/2017
ARTICLES OF INCORPORATION 03/18/2015
CERTIFICATE OF INCORPORATION 03/18/2015
DISCIPLINE POLICIES 12/04/2012




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
Violation
 Provider Comments
Violation
The provider did not meet requirements for requests/results of background reviews for personnel as evidenced by there was no request/result of a current background check on file. Reviews were missing/out of date for the following personnel/volunteers Kat Hall.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (3) (K) states: The child abuse/neglect screening request form shall be submitted to the department for all personnel employed during child care hours, with a copy on file at the facility.
Correction Required
Required requests/results of current background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
9/27/2018
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
Compliance
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