DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

GREATER K.C. LINC, INC.

002077069

(816) 316-8150

11400 CLEVELAND AVE
KANSAS CITY
MO  64137-2335

GREATER K.C. LINC, INC.

3100 BROADWAY BLVD STE 1100
KANSAS CITY
MO  64111-2425

KUPKA, LEE

LKUPKA@KCLINC.ORG

Incorporated

BIONICA D SMITHJACKSON

5 YEARS - 14 YEARS

120

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

10/26/2022

4:00 PM

5:33 PM

UNANNOUNCED

COMPLIANCE MONITORING

2433975512


DocumentDocument-Date
ARTICLES OF INCORPORATION 11/20/2007
JOB RESPONSIBILITIES 11/20/2007
SAMPLE FORMS 01/15/2008
LINES OF ADMINISTRATIVE AUTHORITY 11/20/2007
CERTIFICATE OF GOOD STANDING 01/28/2010
LOCAL FIRE DEPARTMENT NOTIFICATION 08/15/2007
CHILD CARE PRACTICES 01/15/2008
DIRECTOR'S QUALIFICATIONS 02/04/2010
DISASTER AND EMERGENCY PREPAREDNESS PLAN 11/30/2012
DAILY SCHEDULE 01/19/2018
APPLICATION 01/09/2020
STAFF SHEET 03/25/2021
ANNUAL DECLARATION 10/25/2022
EQUIPMENT LIST 03/23/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/23/2022




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 5
Total Children 71
StaffChildClass AgeNote
5 71 SCHOOL AGE director LK and staff TS, CW, NH, FD and LK with seventy-one school age children

 
5 CSR 25-500.032 Organization and Administration
Not Observed
5 CSR 25-500.042 Licensing Process
Not Observed
5 CSR 25-500.052 Annual Requirements
Not Observed
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
Violation
 Provider Comments
Violation
Medical examination report form did not contain all required information as evidenced by medical examination reports for CG, SL, and TS were missing acceptable physician's statement.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (D) states: The medical examination report form shall be supplied by the department or the facility may use its own form if it contains all the information on the department’s form. The Medical Examination Report for Caregivers and Staff form, revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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