MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
BELTON SCHOOL DISTRICT 124

Facility DVN
000656768

Phone
(816) 348-1134

Physical Address
106 S HILLCREST RD
BELTON
MO 64012-4935

Owner
BELTON SCHOOL DISTRICT 124

Mailing Address
614 MILL ST
BELTON
MO 64012-3403

Provider/Director
MCCLAUGHRY, MOLLY

E-mail Address
msthelene@bsd124.org

Incorporated

Child Care Specialist
BIONICA D SMITHJACKSON

Age Range
5 YEARS - 12 YEARS

Capacity
99

Facility Type
SCHOOL AGE

Limitations
99 SCHOOL-AGE CHILDREN DURING THE SCHOOL YEAR; 99 SCHOOL-AGE CHILDREN DURING THE SUMMER

Inspection Information

Date
04/25/2022

Arrival Time
7:00 AM

Departure Time
7:32 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2422260597

Document	Document-Date
SAMPLE FORMS	03/01/2012
SAMPLE WEEKLY MENU	03/01/2012
POLICIES	03/01/2012
JOB RESPONSIBILITIES	03/01/2012
DISCIPLINE POLICIES	03/01/2012
DAILY SCHEDULE	03/01/2012
CHILD CARE PRACTICES	03/01/2012
DIAGRAM/INDOOR	06/01/2012
DIRECTOR'S QUALIFICATIONS	01/05/2016
APPLICATION	01/08/2018
STAFF SHEET	04/27/2018
EQUIPMENT LIST	04/12/2022
ANNUAL DECLARATION	03/22/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	03/22/2022

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.

Attendance at Time of Inspection

Total Staff 4

Total Children 16

Staff	Child	Class Age	Note
4	16	SCHOOL AGE	director Molly McClaughry and staff Savannah Webster, Jason Carey, and Kristy Hardee with sixteen school aged children


5 CSR 25-500.032 Organization and Administration Compliance
5 CSR 25-500.042 Licensing Process Compliance
5 CSR 25-500.052 Annual Requirements Compliance
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