MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
BOYS' AND GIRLS' CLUBS OF WEST CENTRAL MISSOURI

Facility DVN
001671034

Phone
(660) 826-8331

Physical Address
1100 W 16TH ST
SEDALIA
MO 65301-7010

Owner
BOYS' AND GIRLS' CLUBS OF WEST CENTRAL MISSOURI

Mailing Address
3100 AARON AVE
SEDALIA
MO 65301-7907

Provider/Director
ROGERS, JACOB M

E-mail Address
jrogers@bgckids.com

Incorporated
Incorporated

Child Care Specialist
SUSAN MARIE DOUGLAS

Age Range
5 YEARS - 11 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
03/07/2021

Arrival Time
2:45 PM

Departure Time
3:51 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2394822661

Document	Document-Date
ANNUAL DECLARATION	02/11/2021
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
LOCAL FIRE DEPARTMENT NOTIFICATION	11/02/2018
APPLICATION	05/08/2019
STAFF SHEET	05/08/2019
EQUIPMENT LIST	03/01/2021
CERTIFICATE OF GOOD STANDING	05/10/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	05/17/2019
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	03/01/2021

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 2

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 4

Total Children 28

Staff	Child	Class Age	Note
4	28	SCHOOL AGE	Staff present at inspection Hannah Schirlls, Sydney Fockler, Sarai Cervantes, and Kenneth Schulte 28 children ages 5 to 11