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
002164009

Phone
(660) 826-8331

Physical Address
401 W PETTIS ST
GREEN RIDGE
MO 65332-0070

Owner
BOYS' AND GIRLS' CLUBS OF WEST CENTRAL MISSOURI

Mailing Address
3100 AARON AVE
SEDALIA
MO 65301-7907

Provider/Director
FULTON, SHARLIENE DESIR'EE

E-mail Address
jhazel@bgckids.com

Incorporated
Incorporated

Child Care Specialist
JONATHAN BRADLEY

Age Range
5 YEARS - 16 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
09/22/2022

Arrival Time
2:55 PM

Departure Time
3:59 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2431486336

Document	Document-Date
LINES OF ADMINISTRATIVE AUTHORITY	05/19/2009
JOB RESPONSIBILITIES	05/19/2009
SAMPLE FORMS	05/19/2009
SAMPLE WEEKLY MENU	05/19/2009
CHILD CARE PRACTICES	05/19/2009
POLICIES	05/19/2009
DIAGRAM/OUTDOOR	05/19/2009
DIAGRAM/INDOOR	05/19/2009
ARTICLES OF INCORPORATION	05/19/2009
DIRECTOR'S JOB RESPONSIBILITIES	05/19/2009
DISCIPLINE POLICIES	05/19/2009
DIRECTOR'S QUALIFICATIONS	10/26/2015
APPLICATION	04/02/2018
DAILY SCHEDULE	04/06/2018
STAFF SHEET	04/06/2018
CERTIFICATE OF GOOD STANDING	04/25/2018
LOCAL FIRE DEPARTMENT NOTIFICATION	10/01/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	12/13/2019
ANNUAL DECLARATION	10/25/2021
EQUIPMENT LIST	03/03/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	03/03/2022

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 2

Total Children 15

Staff	Child	Class Age	Note
2	15	SCHOOL AGE	Teachers Ashlee Youngman and Cameron Belmore were present. There were 15 children when I took attendance as reflected in the attendance log.