MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
BOYS & GIRLS CLUB OF THE GREATER WEST PLAINS AREA

Facility DVN
002753864

Phone
(417) 372-2895

Physical Address
611 W 1ST ST
WEST PLAINS
MO 65775-2617

Owner
BOYS & GIRLS CLUB OF GREATER WEST PLAINS

Mailing Address
613 W 1ST ST
WEST PLAINS
MO 65775-2617

Provider/Director
EVANS, AARON JOSHUA

E-mail Address
evansbgcwp@outlook.com

Incorporated
Incorporated

Child Care Specialist
MELISSA JILL SMITH

Age Range
5 YEARS - 6 YEARS

Capacity
20

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
08/26/2019

Arrival Time
1:49 PM

Departure Time
2:31 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2362773155

Document	Document-Date
APPLICATION	01/11/2019
ARTICLES OF INCORPORATION	01/15/2019
DAILY SCHEDULE	01/15/2019
DIAGRAM/INDOOR	01/15/2019
DIAGRAM/OUTDOOR	01/15/2019
CHILD CARE PRACTICES	01/15/2019
DISCIPLINE POLICIES	01/15/2019
EQUIPMENT LIST	01/15/2019
JOB RESPONSIBILITIES	01/15/2019
LINES OF ADMINISTRATIVE AUTHORITY	01/15/2019
LOCAL ZONING APPROVAL	01/15/2019
POLICIES	01/15/2019
SAMPLE WEEKLY MENU	01/15/2019
STAFF SHEET	01/15/2019
DIRECTOR'S QUALIFICATIONS	01/31/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	01/17/2019
CERTIFICATE OF GOOD STANDING	01/17/2019
LOCAL FIRE DEPARTMENT NOTIFICATION	01/17/2019

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 1

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 1

Staff	Child	Class Age	Note
1	0	NO CHILDREN IN ATTENDANCE


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 Compliance
19 CSR 30-62.132 Admission Policies and Procedures Violation
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