MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
BOONSLICK HEARTLAND YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.

Facility DVN
002668000

Phone
(660) 882-3070

Physical Address
16711 OAK RIDGE RD
BOONVILLE
MO 65233-2737

Owner
BOONSLICK HEARTLAND YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.

Mailing Address

Provider/Director
GREEN, CODI MICHELLE

E-mail Address
cyndir@bhymca.org

Incorporated
Incorporated

Child Care Specialist
SUSAN MARIE DOUGLAS

Age Range
6 WEEKS - 6 YEARS

Capacity
99

Facility Type
GROUP HOME AND CENTER

Limitations
28 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
12/02/2021

Arrival Time
1:15 PM

Departure Time
2:44 PM

Notice
UNANNOUNCED

Inspection Type
SUPPLEMENTAL

Inspection ID
2413545561

Document	Document-Date
ARTICLES OF INCORPORATION	08/22/2017
CHILD CARE PRACTICES	10/04/2017
DAILY SCHEDULE	08/30/2017
DIAGRAM/INDOOR	09/09/2019
DIAGRAM/OUTDOOR	08/30/2017
DIRECTOR'S QUALIFICATIONS	01/24/2020
DISCIPLINE POLICIES	10/04/2017
JOB RESPONSIBILITIES	08/31/2017
LINES OF ADMINISTRATIVE AUTHORITY	08/30/2017
LOCAL ZONING APPROVAL	10/04/2017
POLICIES	10/04/2017
SAMPLE WEEKLY MENU	08/30/2017
FIRE/SAFETY INSPECTION	07/20/2021
APPLICATION	07/29/2019
CERTIFICATE OF GOOD STANDING	08/25/2021
EQUIPMENT LIST	08/25/2021
SANITATION INSPECTION	08/25/2021
STAFF SHEET	08/01/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	09/15/2017
SAFE SLEEP POLICY	09/15/2017
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	08/25/2021
ANNUAL DECLARATION	08/27/2021

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 1

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 10

Total Children 56

Staff	Child	Class Age	Note
1	4	INFANTS AND TODDLERS	Marica Walton , teacher was present with 4 children all age one
2	8	INFANTS AND TODDLERS	Katlynn Watson and Angela Bryant , teachers were present with 8 children ages 6 months to 1 year. Out of the 8 children 6 were under 12 months
1	10	MIXED	Shyla Wurster , teacher was present with 10 children ages 4 to 5
1	10	MIXED	Caitlin Hammond, teacher was present with 10 children ages 2 to 4. Out of 10 children 1 child age 2
2	0	NO CHILDREN IN ATTENDANCE	Codi Green, director and Allie Cook was present
1	8	PRESCHOOL	Megan Jenson, teacher was present with 8 children all age 3
1	8	PRESCHOOL	Mercedes Nestell, teacher was present with 8 children ages 3 to 4
1	8	TWO YEAR OLDS	Kira Phelps , teacher was present with 8 children all age 2

5 CSR 25-500.032 Organization and Administration

Not Observed

5 CSR 25-500.042 Licensing Process

Not Observed

5 CSR 25-500.052 Annual Requirements

Not Observed

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers

Not Observed

5 CSR 25-500.087 Fire Safety

Not Observed

5 CSR 25-500.090 Disaster and Emergency Preparedness

Not Observed

5 CSR 25-500.092 Furniture, Equipment and Materials

Not Observed

5 CSR 25-500.102 Personnel

Not Observed

5 CSR 25-500.112 Staff/Child Ratios

Not Observed

5 CSR 25-500.122 Medical Examination Reports

Not Observed

5 CSR 25-500.132 Admission Policies and Procedures

Not Observed

5 CSR 25-500.142 Nighttime Care

Not Observed

5 CSR 25-500.152 Hourly Care Facilities

Not Observed

5 CSR 25-500.162 Overlap Care of Children

Not Observed

5 CSR 25-500.172 Emergency School Closings

Not Observed

5 CSR 25-500.182 Child Care Program

Not Observed

5 CSR 25-500.192 Health Care

Not Observed

5 CSR 25-500.202 Nutrition and Food Service

Not Observed

5 CSR 25-500.212 Transportation and Field Trips

Not Observed

5 CSR 25-500.222 Records and Reports

Not Observed

5 CSR 25-600.020 General Requirements

Violation

	Provider Comments
Violation Criminal background check results were not on file for Kira Phelps. Licensing Rule Reference 5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a family child care home, group child care home, child care center, or license-exempt facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department. Correction Required Required results of criminal background checks shall be on file. Correction Verification Submit Documentation Compliance Date

5 CSR 25-600.040 Background Screening Findings

Not Observed

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. —

Not Observed

RSMo 210.211. License required - exceptions - written notice of licensure status, when.

Not Observed