DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

BOYS & GIRLS CLUBS OF GREATER KANSAS CITY

001872979

(816) 257-7010

16995 E DOVER LN
INDEPENDENCE
MO  64056-1591

BOYS CLUBS OF GREATER KANSAS CITY

4001 BLUE PKWY STE 102
KANSAS CITY
MO  64130-2350

JAMES, CAMERON DAVONE

mruffin@helpkckids.org

Incorporated

JANA BARTON

5 YEARS - 12 YEARS

150

GROUP HOME AND CENTER

 
Inspection Information

02/10/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2437233999


DocumentDocument-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
SANITATION INSPECTION 06/28/2022
FIRE/SAFETY INSPECTION 12/12/2022
EQUIPMENT LIST 12/05/2022




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.

 
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 CJ, GH, DD, JL, DS 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
1/18/2023
Violation
The annual fire safety inspection was not approved.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
Correction Required
The facility shall submit evidence of compliance with annual fire safety requirements.

Correction Verification
Submit Documentation

Compliance Date
12/12/2022
Violation
The equipment list did not contain a list of equipment as required in 5 CSR 25-500.092.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment.
Correction Required
The facility shall submit an equipment list as required.

Correction Verification
Submit Documentation

Compliance Date
12/5/2022
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
5 CSR 25-500.087 Fire Safety
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Violation
 Provider Comments
Violation
Requirements of facilities participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (3) (A) states: The licensee shall ensure that the facility has on file documentation that, at least every three (3) months, all staff and children at the facility have participated in a disaster or emergency drill based on the facility's disaster and emergency plan.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date
1/18/2023
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
Compliance
5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.142 Nighttime Care
Compliance
5 CSR 25-500.162 Overlap Care of Children
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