MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
BOYS' AND GIRLS' CLUBS OF WEST CENTRAL MISSOURI

Facility DVN
002044808

Phone
(660) 826-8331

Physical Address
500 N MAIN ST
LEETON
MO 64761-9238

Owner
BOYS' AND GIRLS' CLUBS OF WEST CENTRAL MISSOURI

Mailing Address
3100 AARON AVE
SEDALIA
MO 65301

Provider/Director
FULTON, SHARLIENE DESIR'EE

E-mail Address
LSCHIRLLS@BGCKIDS.COM

Incorporated
Incorporated

Child Care Specialist
ROBYN EMBREE

Age Range
5 YEARS - 16 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
04/26/2022

Arrival Time
2:40 PM

Departure Time
3:21 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2422565911

Document	Document-Date
DIRECTOR'S QUALIFICATIONS	08/31/2016
SAMPLE WEEKLY MENU	05/09/2007
POLICIES	07/26/2007
DISCIPLINE POLICIES	05/09/2007
DAILY SCHEDULE	05/09/2007
DIRECTOR'S JOB RESPONSIBILITIES	05/09/2007
ARTICLES OF INCORPORATION	04/29/2008
CERTIFICATE OF INCORPORATION	04/29/2008
CHILD CARE PRACTICES	05/09/2007
CERTIFICATE OF GOOD STANDING	03/20/2018
APPLICATION	02/07/2020
EQUIPMENT LIST	02/10/2020
STAFF SHEET	02/10/2020
ANNUAL DECLARATION	02/14/2022
EQUIPMENT LIST	04/26/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/26/2022

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 3

Total Children 16

Staff	Child	Class Age	Note
3	16	SCHOOL AGE	Sharliene Fulton, Anna Dodson and Delaney Gerkin present with sixteen school age children.

Compliance List
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 Not Observed
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 Not Observed
5 CSR 25-500.212 Transportation and Field Trips Compliance
5 CSR 25-500.222 Records and Reports Violation
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