MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

Back

Facility Information

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

Facility DVN
002045576

Phone
(660) 826-8331

Physical Address
301 S WASHINGTON ST
LA MONTE
MO 65337-1183

Owner
BOYS' AND GIRLS' CLUBS OF WEST CENTRAL MISSOURI

Mailing Address
3100 AARON AVE
SEDALIA
MO 65301-7907

Provider/Director
HAZEL, JESSICA RENE

E-mail Address
jhazel@bgckids.com

Incorporated
Incorporated

Child Care Specialist
SUSAN MARIE DOUGLAS

Age Range
5 YEARS - 16 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
05/05/2021

Arrival Time
2:45 PM

Departure Time
3:41 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2399294905

Document	Document-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	10/23/2020
ANNUAL DECLARATION	10/23/2020
DIAGRAM/INDOOR	08/16/2007
DISCIPLINE POLICIES	06/12/2007
SAMPLE FORMS	06/12/2007
POLICIES	06/12/2007
JOB RESPONSIBILITIES	06/12/2007
CHILD CARE PRACTICES	06/12/2007
CERTIFICATE OF GOOD STANDING	09/03/2009
LINES OF ADMINISTRATIVE AUTHORITY	06/12/2007
DIRECTOR'S QUALIFICATIONS	11/06/2007
ARTICLES OF INCORPORATION	06/12/2007
DIRECTOR'S JOB RESPONSIBILITIES	01/04/2019
SAMPLE WEEKLY MENU	01/11/2019
CERTIFICATE OF INCORPORATION	01/11/2019
DAILY SCHEDULE	09/23/2019
STAFF SHEET	09/23/2019
APPLICATION	08/30/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	09/23/2019
EQUIPMENT LIST	10/28/2020

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 3

Total Children 23

Staff	Child	Class Age	Note
3	23	SCHOOL AGE	Rachel Anderson, Jessica Hazel and Holly Thomas were present with 23 children ages 5 to 12


19 CSR 30-62.032 Organization and Administration Compliance
19 CSR 30-62.042 Licensing Process 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 30-62.090 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 30-62.172 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