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

ELLEN DONOHO

5 YEARS - 13 YEARS

120

SCHOOL AGE

 
Inspection Information

04/07/2022

2:20 PM

3:34 PM

UNANNOUNCED

COMPLIANCE MONITORING

2421243405


DocumentDocument-Date
LINES OF ADMINISTRATIVE AUTHORITY 08/13/2009
JOB RESPONSIBILITIES 08/13/2009
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
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/29/2019
ANNUAL DECLARATION 10/25/2021
EQUIPMENT LIST 04/07/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 10/27/2021
DIRECTOR'S QUALIFICATIONS 04/29/2021




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 6
Total Children 79
StaffChildClass AgeNote
6 79 SCHOOL AGE Five years to 12 years old. Laura Schrillis, Hannah Shrillis, Derek Johnson, Vera Popp, Breeana Walters, Alexis Hyde, Alexa Rowe, 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 staff sheet was not fully completed as evidenced by all information was not provided on the staff sheet..
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet.
Correction Required
The facility shall submit a current staff sheet as required.

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
Compliance
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