DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

BELTON SCHOOL DISTRICT 124

000656740

(816) 489-7533

405 WESTOVER
BELTON
MO  64012

BELTON SCHOOL DISTRICT 124

614 W MILL ST
BELTON
MO  64012

WILLIAMS, JENNIFER ELIZABETH; SWARTWOOD, LUKE NOEL

lswartwood@bsd124.org


MARY C MALOID

5 YEARS - 10 YEARS

60

SCHOOL AGE

60 SCHOOL-AGE CHILDREN DURING THE SCHOOL YEAR; 60 SCHOOL-AGE CHILDREN DURING THE SUMMER; BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

11/03/2022

3:35 PM

4:33 PM

UNANNOUNCED

COMPLIANCE MONITORING

2434665302


DocumentDocument-Date
SAMPLE WEEKLY MENU 03/01/2012
POLICIES 03/01/2012
JOB RESPONSIBILITIES 03/01/2012
DISCIPLINE POLICIES 03/01/2012
DAILY SCHEDULE 03/01/2012
CHILD CARE PRACTICES 03/01/2012
DIAGRAM/OUTDOOR 06/01/2012
DIAGRAM/INDOOR 06/01/2012
DIRECTOR'S QUALIFICATIONS 03/28/2016
SAMPLE FORMS 10/18/2011
DIRECTOR'S JOB RESPONSIBILITIES 10/18/2011
LINES OF ADMINISTRATIVE AUTHORITY 10/18/2011
APPLICATION 01/08/2018
STAFF SHEET 04/19/2018
EQUIPMENT LIST 04/12/2022
ANNUAL DECLARATION 03/22/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/22/2022




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 3
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 26
StaffChildClass AgeNote
3 26 SCHOOL AGE Director LC, caregivers SZ and JM with 26 children 5-11 yrs

 
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
Violation
 Provider Comments
Violation
The premises were not safe and suitable as evidenced by outlet covers missing from one two outlet .
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Submit Documentation

Compliance Date

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
A school-age child's health report was not on file at the time of enrollment as evidenced by No form for KB.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (2) (D) states: The parent(s) of a school-age child shall provide a report at the time of enrollment indicating the child's health history, any current health problems, and any restrictions necessary for the child's care.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.132 Admission Policies and Procedures
Violation
 Provider Comments
Violation
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.
Licensing Rule Reference
5 CSR 25-500.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
Correction Required
An individualized plan from a professional source shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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