DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

HERBERT HOOVER BOYS AND GIRLS CLUB - ADAMS PARK UNIT

002068711

(314) 633-7900

4317 VISTA AVE
ST LOUIS
MO  63110

BOYS & GIRLS CLUBS OF GREATER ST. LOUIS, INC.

2901 N GRAND BLVD
ST LOUIS
MO  63107-2608

JEFFRIES, MARLA

KEISHA@BGCSTL.ORG

Incorporated

KATHERINE D SIMS

5 YEARS - 16 YEARS

256

SCHOOL AGE

 
Inspection Information

05/05/2022

2:00 PM

3:53 PM

UNANNOUNCED

COMPLIANCE MONITORING

2423185543


DocumentDocument-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/30/2022
SAMPLE WEEKLY MENU 02/28/2008
LINES OF ADMINISTRATIVE AUTHORITY 11/01/2007
JOB RESPONSIBILITIES 02/28/2008
DISCIPLINE POLICIES 02/28/2008
DIRECTOR'S QUALIFICATIONS 07/02/2012
DIRECTOR'S JOB RESPONSIBILITIES 02/28/2012
DAILY SCHEDULE 02/28/2008
CHILD CARE PRACTICES 02/28/2008
SAMPLE FORMS 02/28/2008
POLICIES 02/28/2008
CERTIFICATE OF INCORPORATION 11/01/2007
ARTICLES OF INCORPORATION 11/01/2007
CERTIFICATE OF GOOD STANDING 05/18/2018
EQUIPMENT LIST 03/30/2022
STAFF SHEET 08/21/2020
REGISTERING FICTITIOUS NAMES 07/02/2012
APPLICATION 05/04/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN 05/25/2018
ANNUAL DECLARATION 03/30/2022




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 4
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 8
StaffChildClass AgeNote
2 0 NO CHILDREN IN ATTENDANCE Marla Jefferies and Holly Ahaus present with no children in attendance
1 8 SCHOOL AGE Teri Bascom present with eight children, ages 6-years-old to 14-years-old

 
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 Shelia Rameyh, Jamie Downs, Brandy Sanford, and Mark Bulanda 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
Violation
 Provider Comments
Violation
A facility orientation was not documented and available for review for all caregivers. The following staff need documentation of a facility orientation: Brenisha Banks.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering and before being left alone with children that caregivers receive a facility orientation. The child care provider shall ensure that documentation verifying completion of the facility orientation is maintained and on file for review by the department for each caregiver. The facility orientation shall include:
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days and documentation verifying completion is maintained and on file for review by the department for each caregiver.

Correction Verification
Submit Documentation

Compliance Date

Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2021, the staff listed need the following information: Brandy Sanford needs 12hrs and Shelia Rameyh needs 1hr.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each caregiver.

Correction Verification
Submit Documentation

Compliance Date

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
1 child(ren) records did not include employers' address 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

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