MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

Back

Facility Information

Facility Name
BOYS & GIRLS CLUBS OF GREATER KANSAS CITY

Facility DVN
001872979

Phone
(816) 257-7010

Physical Address
16995 E DOVER LN
INDEPENDENCE
MO 64056-1591

Owner
BOYS CLUBS OF GREATER KANSAS CITY

Mailing Address
4001 BLUE PKWY STE 102
KANSAS CITY
MO 64130-2350

Provider/Director
JAMES, CAMERON DAVONE

E-mail Address
mruffin@helpkckids.org

Incorporated
Incorporated

Child Care Specialist
JANA BARTON

Age Range
5 YEARS - 12 YEARS

Capacity
150

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
11/03/2022

Arrival Time
4:25 PM

Departure Time
5:39 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2434687653

Document	Document-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	09/29/2022
ANNUAL DECLARATION	09/29/2022
CERTIFICATE OF GOOD STANDING	11/03/2022
SAMPLE WEEKLY MENU	03/24/2005
SAMPLE FORMS	08/20/2004
POLICIES	08/20/2004
LOCAL ZONING APPROVAL	08/20/2004
LOCAL BUILDING APPROVAL	08/20/2004
LINES OF ADMINISTRATIVE AUTHORITY	08/20/2004
JOB RESPONSIBILITIES	08/20/2004
DISCIPLINE POLICIES	08/20/2004
DIAGRAM/OUTDOOR	09/26/2007
DIAGRAM/INDOOR	03/26/2008
DAILY SCHEDULE	03/24/2005
CHILD CARE PRACTICES	08/20/2004
ARTICLES OF INCORPORATION	08/20/2004
REGISTERING FICTITIOUS NAMES	09/27/2013
DIRECTOR'S QUALIFICATIONS	08/27/2015
STAFF SHEET	01/13/2021
FIRE/SAFETY INSPECTION	10/23/2020
SANITATION INSPECTION	06/28/2022

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 5

Total Children 17

Staff	Child	Class Age	Note
2	0	NO CHILDREN IN ATTENDANCE	Director and Cook GH
1	9	SCHOOL AGE	with staff GR
1	3	SCHOOL AGE	with staff JL
1	5	SCHOOL AGE	with staff SJ