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

04/26/2022

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2422420604


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: 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.

 
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
4/26/2022
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