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

002164009

(660) 826-8331

401 W PETTIS ST
GREEN RIDGE
MO  65332-0070

BOYS' AND GIRLS' CLUBS OF WEST CENTRAL MISSOURI

3100 AARON AVE
SEDALIA
MO  65301-7907

HAZEL, JESSICA RENE

jhazel@bgckids.com

Incorporated

ELLEN DONOHO

5 YEARS - 16 YEARS

60

SCHOOL AGE

 
Inspection Information

03/03/2022

2:45 PM

3:44 PM

UNANNOUNCED

COMPLIANCE MONITORING

2419136147


DocumentDocument-Date
LINES OF ADMINISTRATIVE AUTHORITY 05/19/2009
JOB RESPONSIBILITIES 05/19/2009
SAMPLE FORMS 05/19/2009
SAMPLE WEEKLY MENU 05/19/2009
CHILD CARE PRACTICES 05/19/2009
POLICIES 05/19/2009
DIAGRAM/OUTDOOR 05/19/2009
DIAGRAM/INDOOR 05/19/2009
ARTICLES OF INCORPORATION 05/19/2009
DIRECTOR'S JOB RESPONSIBILITIES 05/19/2009
DISCIPLINE POLICIES 05/19/2009
DIRECTOR'S QUALIFICATIONS 10/26/2015
APPLICATION 04/02/2018
DAILY SCHEDULE 04/06/2018
STAFF SHEET 04/06/2018
CERTIFICATE OF GOOD STANDING 04/25/2018
LOCAL FIRE DEPARTMENT NOTIFICATION 10/01/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 12/13/2019
ANNUAL DECLARATION 10/25/2021
EQUIPMENT LIST 03/03/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/03/2022




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 2
Total Children 16
StaffChildClass AgeNote
2 16 SCHOOL AGE Kindergarten-8th grade. Breanna Lozoya and Sharliene Fulton, staff

 
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Jessica Hazel, Holly Thomas and Breanna Losoya within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 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 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials
Compliance
5 CSR 25-500.102 Personnel
Compliance
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Compliance
5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.172 Emergency School Closings
Compliance
5 CSR 25-500.182 Child Care Program
Compliance
5 CSR 25-500.192 Health Care
Compliance
5 CSR 25-500.202 Nutrition and Food Service
Compliance
5 CSR 25-500.212 Transportation and Field Trips
Compliance
5 CSR 25-500.222 Records and Reports
Violation
 Provider Comments
Violation
One child(ren) records did not include employers' name of parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Three Children child(ren) records did not include address of another individual who might be reached in an emergency.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
3/3/2022
5 CSR 25-600.020 General Requirements
Compliance
5 CSR 25-600.040 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