MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
BOYS & GIRLS CLUBS OF GREATER ST. LOUIS - HAZELWOOD ELEMENTARY SCHOOL CLUB

Facility DVN
002787275

Phone
(314) 335-8350

Physical Address
1025 TRAMPE AVE
ST LOUIS
MO 63138-3013

Owner
BOYS & GIRLS CLUBS OF GREATER ST. LOUIS, INC.

Mailing Address
2901 N GRAND BLVD
ST LOUIS
MO 63107-2608

Provider/Director
WILSON, AUDREY RENE

E-mail Address
keisha@bgcstl.org

Incorporated
Incorporated

Child Care Specialist
TANISHA BELL

Age Range
6 YEARS - 13 YEARS

Capacity
125

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
03/08/2023

Arrival Time
4:30 PM

Departure Time
5:23 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2442786833

Document	Document-Date
ANNUAL DECLARATION	07/01/2022
APPLICATION	07/22/2019
DIAGRAM/INDOOR	08/08/2019
DIAGRAM/OUTDOOR	08/08/2019
STAFF SHEET	07/01/2022
EQUIPMENT LIST	07/01/2022
REGISTERING FICTITIOUS NAMES	08/08/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	08/08/2019
DAILY SCHEDULE	08/08/2019
SAMPLE WEEKLY MENU	08/08/2019
CHILD CARE PRACTICES	08/08/2019
DISCIPLINE POLICIES	08/08/2019
POLICIES	08/08/2019
SAMPLE FORMS	08/08/2019
DIRECTOR'S QUALIFICATIONS	08/08/2019
JOB RESPONSIBILITIES	08/08/2019
LINES OF ADMINISTRATIVE AUTHORITY	08/08/2019

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.

Attendance at Time of Inspection

Total Staff 5

Total Children 28

Staff	Child	Class Age	Note
1	0	NO CHILDREN IN ATTENDANCE	Audrey Wilson (Director) was present with no children in attendance.
4	28	SCHOOL AGE	Sara Abraham (Youth Development Professional), Levi Galloway (Youth Development Professional), Cherrell Joiner (Youth Development Professional) and Nick Chandler (Program Manager) were present with twenty-eight children, 6-years-old-11-years-old.


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 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 Compliance
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