MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
THE BOYS AND GIRLS CLUB OF POPLAR BLUFF

Facility DVN
002373515

Phone
(573) 776-1690

Physical Address
1200 CAMP RD
POPLAR BLUFF
MO 63901

Owner
THE BOYS & GIRLS CLUB OF POPLAR BLUFF

Mailing Address
PO BOX 55
POPLAR BLUFF
MO 63902-0055

Provider/Director
TIPTON, JEANNA DAWN

E-mail Address
lesley@bgcpb.org

Incorporated

Child Care Specialist
MELISSA JILL SMITH

Age Range
5 YEARS - 7 YEARS

Capacity
100

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
03/06/2019

Arrival Time
3:50 PM

Departure Time
4:58 PM

Notice
ANNOUNCED

Inspection Type
RENEWAL

Inspection ID
2352229610

Document	Document-Date
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
ARTICLES OF INCORPORATION	03/18/2015
CERTIFICATE OF INCORPORATION	03/18/2015
DISCIPLINE POLICIES	12/04/2012
SAMPLE WEEKLY MENU	11/20/2015
APPLICATION	02/22/2019
EQUIPMENT LIST	03/06/2019
STAFF SHEET	03/06/2019

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 6

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 4

Total Children 40

Staff	Child	Class Age	Note
2	19	SCHOOL AGE	Katlyn Hall and Morgan McGruder with volunteer Cindy DeWitt in room 188
2	21	SCHOOL AGE	Jeanna Tipton and Matt Smith in room 122


19 CSR 30-62.032 Organization and Administration Violation
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 Violation
19 CSR 30-62.090 Disaster and Emergency Preparedness Violation
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
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 Not Observed
19 CSR 30-62.212 Transportation and Field Trips Not Observed
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
RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules. Violation