DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

BOYS' AND GIRLS' CLUBS OF WEST CENTRAL MISSOURI

002172143

(660) 826-8331

1901 S NEW YORK AVE
SEDALIA
MO  65301-7806

BOYS' AND GIRLS' CLUBS OF WEST CENTRAL MISSOURI

3100 AARON AVE
SEDALIA
MO  65301-7907

WATKINS, KIMBERLEE SIDES

lschirlls@bgckids.com

Incorporated

SUSAN MARIE DOUGLAS

5 YEARS - 13 YEARS

100

SCHOOL AGE

 
Inspection Information

06/03/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2401463474


DocumentDocument-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/18/2021
ANNUAL DECLARATION 02/11/2021
LINES OF ADMINISTRATIVE AUTHORITY 08/13/2009
JOB RESPONSIBILITIES 08/13/2009
DIRECTOR'S QUALIFICATIONS 04/29/2021
CERTIFICATE OF GOOD STANDING 08/13/2009
SAMPLE FORMS 08/13/2009
POLICIES 08/13/2009
CHILD CARE PRACTICES 08/13/2009
SAMPLE WEEKLY MENU 08/13/2009
DIAGRAM/OUTDOOR 08/13/2009
DIAGRAM/INDOOR 08/13/2009
LOCAL FIRE DEPARTMENT NOTIFICATION 08/13/2009
DISCIPLINE POLICIES 08/13/2009
ARTICLES OF INCORPORATION 08/13/2009
DAILY SCHEDULE 08/13/2009
DIRECTOR'S JOB RESPONSIBILITIES 08/13/2009
CERTIFICATE OF INCORPORATION 01/11/2019
APPLICATION 01/10/2019
STAFF SHEET 02/22/2019
EQUIPMENT LIST 03/18/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/29/2019




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 Licensing Process
Compliance
19 CSR 30-62.052 Annual Requirements
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Laurie Schrills within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
19 CSR 30-62.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date
5/12/2021
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
Violation
 Provider Comments
Violation
Background screening information was not available for review for Tyler Hudson and Alana Patton.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (Q) states: Background screening information received by the provider shall be retained in the individual’s file in a confidential manner and available for review.
Correction Required
Background screening information shall be available and kept confidential.

Correction Verification
Submit Documentation

Compliance Date
6/1/2021
Violation
A facility orientation was not documented and available for review for all caregivers. The following staff need documentation of a facility orientation: Chelsea Clark, Hannah Schrills and Laurie Schrills, Alana Patton.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (K) . 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
5/12/2021
19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report was not on file for Chelsea Clark, Tyler Hudson, Laurie Schrills, Alana Patton 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
5/12/2021
Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Chelsea Clark, Tyler Hudson, Laurie Schrills, Alana Patton.
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
5/12/2021
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