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

kmarshall@bgcjc.com


SHELBY N KOETTING

5 YEARS - 16 YEARS

250

GROUP HOME AND CENTER

 
Inspection Information

10/27/2020

2:00 PM

5:21 PM

UNANNOUNCED

CLOSE SUPERVISION

2387087854


DocumentDocument-Date
ANNUAL DECLARATION 10/08/2020
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 08/31/2020
FIRE/SAFETY INSPECTION 08/11/2020




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.
Attendance at Time of Inspection
Total Staff 21
Total Children 87
StaffChildClass AgeNote
3 0 NO CHILDREN IN ATTENDANCE Wade Middaugh, John Schaefferkoetter, Paris Lewis, and Kelly Marshall in the office with 0 children.
1 0 NO CHILDREN IN ATTENDANCE Tommy Jones in the kitchen with 0 children.
2 0 NO CHILDREN IN ATTENDANCE Tai-Reece Basey and Chantel Miller with 0 children in the front of the building helping with pick up during COVID-19.
1 1 SCHOOL AGE Rushonia Blanche with 1 school age child in the tutoring room.
1 10 SCHOOL AGE Janay Brown with 10 school age children.
2 12 SCHOOL AGE Mason Finch and Monique McCurry with 12 school age children.
1 8 SCHOOL AGE Tijuana Bradley with 8 school age children.
2 12 SCHOOL AGE Eva Muenks and Millile Dixon with 12 school age children.
1 9 SCHOOL AGE Francesca Evans with 9 school age children.
1 1 SCHOOL AGE Blessing Kpae with 1 school age child in the cafeteria.
2 11 SCHOOL AGE Angella Smikle and Shelby Beauchamp with 11 school age children.
1 10 SCHOOL AGE Donna Horton-Taylor with 10 school age children.
2 8 SCHOOL AGE Miles Cooper and Nick Smith with 8 teen children.
1 5 SCHOOL AGE Sabria Hendricks with 5 teen children.

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Initial Licensing Information
Compliance
19 CSR 30-62.052 Annual Requirements
Compliance
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
Hazardous items as follows were accessible to children: iron. The item(s) was/were located in a storage 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
10/27/2020
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
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 30-62.142 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
Compliance
19 CSR 30-62.222 Records and Reports
Compliance
19 CSR 30-63.020 General Requirements
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