DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

BOYS AND GIRLS CLUBS OF WEST CENTRAL MISSOURI

001671034

(660) 826-8331

1100 W 16TH ST
SEDALIA
MO  65301-7010

BOYS' AND GIRLS' CLUBS OF WEST CENTRAL MISSOURI

3100 AARON AVE
SEDALIA
MO  65301-7907

FULTON, SHARLIENE DESIR'EE

sfulton@bgckids.com

Incorporated

SUSAN MARIE DOUGLAS

5 YEARS - 12 YEARS

100

SCHOOL AGE

AFTER SCHOOL CARE ONLY
 
Inspection Information

05/23/2019

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2357315522


DocumentDocument-Date
JOB RESPONSIBILITIES 05/19/2009
CERTIFICATE OF INCORPORATION 05/19/2009
ARTICLES OF INCORPORATION 05/19/2009
LINES OF ADMINISTRATIVE AUTHORITY 05/19/2009
DIRECTOR'S JOB RESPONSIBILITIES 05/19/2009
DIRECTOR'S QUALIFICATIONS 07/08/2009
SAMPLE FORMS 05/19/2009
CHILD CARE PRACTICES 05/19/2009
SAMPLE WEEKLY MENU 05/19/2009
DAILY SCHEDULE 05/19/2009
POLICIES 05/19/2009
DISCIPLINE POLICIES 05/19/2009
APPLICATION 05/08/2019
STAFF SHEET 05/08/2019
EQUIPMENT LIST 05/08/2019
LOCAL FIRE DEPARTMENT NOTIFICATION 11/02/2018
CERTIFICATE OF GOOD STANDING 05/10/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 05/17/2019




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
Violation
 Provider Comments
Violation
The provider did not meet requirements for a criminal background check. Results were missing for: fingerprint documentation was missing for Sharilene Fulton, Sheridan Harigs, Hanna Schrills, Jessica Coble,.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (3) states: The facility owner(s), board president or chairperson, and the center director or group day care home provider, shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements, prior to renewal of the license.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
5/23/2019
Violation
The Family Care Safety Registry check was not conducted for Jessica Coble within 60 days prior to the expiration of the license.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (2) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within sixty (60) days prior to the expiration of the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all staff member(s) within sixty (60) days prior to the expiration of the license.

Correction Verification
Submit Documentation

Compliance Date
5/9/2019
Violation
The application for renewal of the facility's license was not filed at least sixty (60) days prior to expiration of the license.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (1) states: An application for license renewal shall be filed at least sixty (60) days prior to expiration of the license. In addition, the following information is required:
Correction Required
The facility shall submit an application as required for renewal.

Correction Verification
Submit Documentation

Compliance Date
5/8/2019
Violation
The staff sheet was not submitted.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (1) (J) states: Current staff sheet;
Correction Required
The facility shall submit a current staff sheet as required for renewal.

Correction Verification
Submit Documentation

Compliance Date
5/8/2019
Violation
The equipment list was not submitted.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (1) (I) states: A current list of available equipment;
Correction Required
The facility shall submit an equipment list as required for renewal.

Correction Verification
Submit Documentation

Compliance Date
5/8/2019
Violation
The facility is incorporated and the Annual Registration Report/Certificate of Good Standing was not received.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (1) (D) states: If incorporated, a copy of the current Annual Registration Report filed with the Missouri secretary of state;
Correction Required
The facility shall submit corporation paperwork as required for renewal.

Correction Verification
Submit Documentation

Compliance Date
5/10/2019
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
19 CSR 30-63.040 Background Screening Findings
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.
Compliance