DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

BOYS AND GIRLS CLUB OF JEFFERSON CITY

001834939

(573) 634-2582

1105 LAFAYETTE ST
JEFFERSON CITY
MO  65101

BOYS & GIRLS CLUB OF JEFFERSON CITY

PO BOX 105558
JEFFERSON CITY
MO  65110-5558

MARSHALL, KELLY NATASHA

sjohnson@bgcjc.com


SHELBY N KOETTING

5 YEARS - 16 YEARS

250

GROUP HOME AND CENTER

 
Inspection Information

08/26/2020

1:00 PM

4:35 PM

UNANNOUNCED

CLOSE SUPERVISION

2385098494


DocumentDocument-Date
CERTIFICATE OF GOOD STANDING 07/11/2017
ARTICLES OF INCORPORATION 07/11/2017
JOB RESPONSIBILITIES 07/11/2017
LINES OF ADMINISTRATIVE AUTHORITY 07/11/2017
SAMPLE WEEKLY MENU 07/11/2017
DIAGRAM/INDOOR 07/12/2017
DIAGRAM/OUTDOOR 07/12/2017
REGISTERING FICTITIOUS NAMES 07/11/2017
DAILY SCHEDULE 07/12/2017
CHILD CARE PRACTICES 07/11/2017
DISCIPLINE POLICIES 07/11/2017
POLICIES 07/11/2017
LLC OPERATING AGREEMENT 05/17/2017
LLC ARTICLES OF ORGANIZATION 05/17/2017
LOCAL FIRE DEPARTMENT NOTIFICATION 08/09/2017
DIRECTOR'S QUALIFICATIONS 08/25/2017
LOCAL ZONING APPROVAL 06/02/2017
LOCAL BUILDING APPROVAL 06/02/2017
APPLICATION 07/03/2019
EQUIPMENT LIST 07/03/2019
STAFF SHEET 07/03/2019
SANITATION INSPECTION 10/04/2019
FIRE/SAFETY INSPECTION 09/16/2019




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 22
Total Children 80
StaffChildClass AgeNote
6 0 NO CHILDREN IN ATTENDANCE Kathy Crow, David Hendrickson, Monica Smith, Linda Burris, John Schaefferkoetter, and Miles Cooper in the kitchen with 0 children.
2 0 NO CHILDREN IN ATTENDANCE Shelby Bopp and Rushonia Blanche with 0 children at the front desk.
4 0 NO CHILDREN IN ATTENDANCE Wade Middaugh, Stephanie Johnson, Kelly Marshall, and Paris Lewis in the office with 0 children.
1 11 SCHOOL AGE Angella Smikle with 11 school age children.
1 13 SCHOOL AGE Donna Horton-Taylor with 13 school age children.
1 8 SCHOOL AGE Nick Smith with 8 school age children.
3 10 SCHOOL AGE Shelby Beauchamp, Olivia Kerwath, and Ranesha Williams with 10 school age children.
1 10 SCHOOL AGE Castrele Hoy with 10 school age children.
2 16 SCHOOL AGE Tai-Rece Basey and Millenium Dixon with 16 school age children.
1 12 SCHOOL AGE Zach Stiles with 12 school age children.

 
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
Violation
 Provider Comments
Violation
The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that uncovered outlets on the basketball playground.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children.
Correction Required
The facility shall use outlet covers or twist-lock outlets as required.

Correction Verification
Corrected on Site

Compliance Date
8/26/2020
Violation
Hazardous items as follows were accessible to children: two irons. The item(s) was/were located in the teen center in an unlocked cabinet accessible to children.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Corrected on Site

Compliance Date
8/26/2020
19 CSR 30-62.087 Fire Safety
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
Violation
 Provider Comments
Violation
The provider did not meet requirements for a criminal background check. The provider did not request the results of a criminal background check prior to employment or presence in the facility for the following staff: Monica Smith and Anthony Graves.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (L) states: The provider shall request the results of a criminal background check for child care staff members as required by 19 CSR 30-63.020 General Requirements.
Correction Required
Required requests of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

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 30-62.142 Nighttime Care
Compliance
19 CSR 30-62.152 Hourly Care Facilities
Compliance
19 CSR 30-62.162 Overlap Care of Children
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
Violation
 Provider Comments
Violation
The driver of a vehicle used to transport children was not qualified as evidenced by Nick Smith did not have a valid driver's license (Class E or CDL).
Licensing Rule Reference
19 CSR 30-62.212 Transportation and Field Trips (2) (A) states: The driver of any vehicle used to transport children shall be no less than eighteen (18) years of age and shall have a valid driver's license as required by Missouri law.
Correction Required
The driver of any vehicle used to transport children shall meet age and licensing requirements.

Correction Verification
Corrected on Site

Compliance Date
8/26/2020
19 CSR 30-62.222 Records and Reports
Compliance
19 CSR 30-63.040 Background Screening Findings
Compliance
RSMo 210.115. Reports of abuse, neglect, and under age eighteen deaths — persons required to report — supervisors and administrators not to impede reporting — deaths required to be reported to the division or child fatality review panel, when — report made to another state, when. —
Compliance
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance