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
HART, VICKI LYNN

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
05/06/2021

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2399459872

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: 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.