DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

BELTON SCHOOL DISTRICT 124

000656768

(816) 348-1134

106 S HILLCREST RD
BELTON
MO  64012-4935

BELTON SCHOOL DISTRICT 124

614 MILL ST
BELTON
MO  64012-3403

MCCLAUGHRY, MOLLY

Mmcclaughry@124.org


MARY C MALOID

5 YEARS - 12 YEARS

99

SCHOOL AGE

99 SCHOOL-AGE CHILDREN DURING THE SCHOOL YEAR; 99 SCHOOL-AGE CHILDREN DURING THE SUMMER
 
Inspection Information

04/21/2023

8:10 AM

9:23 AM

UNANNOUNCED

COMPLIANCE MONITORING

2445847179


DocumentDocument-Date
SAMPLE FORMS 03/01/2012
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/INDOOR 06/01/2012
DIRECTOR'S QUALIFICATIONS 01/05/2016
APPLICATION 01/08/2018
STAFF SHEET 04/27/2018
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 30
StaffChildClass AgeNote
1 14 SCHOOL AGE Classroom - Caregiver Anna Pellett with fourteen children all school age
2 16 SCHOOL AGE Gym - Caregivers Kristy Hardee and Nicole Fockee with sixteen children all schoolagers

 
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 staff sheet was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet.
Correction Required
The facility shall submit a current staff sheet as required.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
Furniture/equipment, sink cabinet, in the classroom was not in good condition as evidenced by chipping paint and wood has chips out making it uneven.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
Four child(ren) records did not include work schedule of parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

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