MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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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
02/10/2023

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2437233999

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
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.