DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

BOYS CLUBS OF GREATER KANSAS CITY

002229547

(816) 241-5252

2405 ELMWOOD AVE
KANSAS CITY
MO  64127-4536

BOYS CLUBS OF GREATER KANSAS CITY

4001 BLUE PKWY STE 102
KANSAS CITY
MO  64130-2350

SOREY, KENTARSHA

ksorey@helpkckids.org

Incorporated

JONI BEEM

5 YEARS - 12 YEARS

300

GROUP HOME AND CENTER

 
Inspection Information

01/10/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2391036661


DocumentDocument-Date
FIRE/SAFETY INSPECTION 12/16/2020
EQUIPMENT LIST 10/26/2020
STAFF SHEET 10/26/2020
ANNUAL DECLARATION 10/26/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/10/2018
LINES OF ADMINISTRATIVE AUTHORITY 10/29/2010
JOB RESPONSIBILITIES 10/29/2010
CHILD CARE PRACTICES 10/29/2010
SAMPLE WEEKLY MENU 10/29/2010
DAILY SCHEDULE 10/29/2010
POLICIES 10/29/2010
DIAGRAM/OUTDOOR 10/29/2010
DIAGRAM/INDOOR 10/29/2010
ARTICLES OF INCORPORATION 10/29/2010
CERTIFICATE OF GOOD STANDING 06/29/2017
DISCIPLINE POLICIES 10/29/2010
DIRECTOR'S QUALIFICATIONS 12/23/2015




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 Annual Requirements
Compliance
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
19 CSR 30-62.087 Fire Safety
Violation
 Provider Comments
Violation
Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.
Licensing Rule Reference
19 CSR 30-62.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date
12/14/2020
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
A facility orientation was not documented and available for review for all caregivers. The following staff need documentation of a facility orientation: Romeo Bai, Zechariah Benbow, Autiana Bostic, Mackenzy Jean, and Caterra Mebane-Smith.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (J) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering and before being left alone with children that caregivers receive a facility orientation. The child care provider shall ensure that documentation verifying completion of the facility orientation is maintained and on file for review by the department for each caregiver. The facility orientation shall include:
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days and documentation verifying completion is maintained and on file for review by the department for each caregiver.

Correction Verification
Submit Documentation

Compliance Date
12/14/2020
Violation
The facility did not meet requirements for a criminal background check. Results were not on file for the following staff member(s): Romeo Bai, Zechariah Benbow, Autiana Bostic, Mackenzy Jean, and Caterra Mebane-Smith.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (M) states: Child care staff members shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Return Inspection

Compliance Date
12/14/2020
19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Romeo Bai, Zechariah Benbow, Autiana Bostic, Mackenzy Jean, and Caterra Mebane-Smith.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include a “Risk Assessment for Tuberculosis” form, included herein, completed and signed by a health care professional, as provided by the Missouri Department of Health and Senior Services (MDHSS). If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
TB reports shall be on file as required

Correction Verification
Submit Documentation

Compliance Date
1/4/2021
Violation
Medical examination report(s) was/were not on file for Romeo Bai, Zechariah Benbow, Autiana Bostic, Mackenzy Jean, and Caterra Mebane-Smith as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
1/4/2021
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