DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

BOONSLICK HEARTLAND YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.

002205536

(660) 882-8500

757 THIRD ST
BOONVILLE
MO  65233

BOONSLICK HEARTLAND YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.

757 3RD ST
BOONVILLE
MO  65233-1670

BROWNING, OLIVIA M

cyndir@bhymca.org

Incorporated

LU A GAINES

5 YEARS - 15 YEARS

74

GROUP HOME AND CENTER

 
Inspection Information

05/15/2023

2:00 PM

5:36 PM

UNANNOUNCED

COMPLIANCE MONITORING

2446901869


DocumentDocument-Date
DISASTER AND EMERGENCY PREPAREDNESS PLAN 03/14/2018
DIRECTOR'S QUALIFICATIONS 02/14/2018
LOCAL ZONING APPROVAL 02/23/2010
ARTICLES OF INCORPORATION 02/23/2010
JOB RESPONSIBILITIES 02/25/2010
DAILY SCHEDULE 04/24/2018
DIAGRAM/INDOOR 04/27/2018
DIAGRAM/OUTDOOR 04/27/2018
LOCAL FIRE DEPARTMENT NOTIFICATION 10/18/2018
APPLICATION 03/02/2020
STAFF SHEET 08/31/2020
CERTIFICATE OF GOOD STANDING 04/29/2021
FIRE/SAFETY INSPECTION 03/07/2023
SANITATION INSPECTION 03/24/2023
EQUIPMENT LIST 04/10/2023
CHILD CARE PRACTICES 04/12/2022
DISCIPLINE POLICIES 04/12/2022
LINES OF ADMINISTRATIVE AUTHORITY 04/12/2022
POLICIES 04/12/2022
ANNUAL DECLARATION 04/10/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/10/2023
SAMPLE WEEKLY MENU 05/02/2022
SAMPLE FORMS 05/02/2022




Inspection determined facility to be in compliance with licensing rules.
Compliance 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 8
Total Children 51
StaffChildClass AgeNote
3 0 NO CHILDREN IN ATTENDANCE Staff Cyndi Roth, Ashley Tillman and cook Corey Price present on site.
2 14 SCHOOL AGE Staff Ethan Williams and Ashlee Pickens present in the BIG room with children ages 9 - 11 years old.
1 16 SCHOOL AGE Macey Nowlin present in LITTLE room with children ages 5 - 8 years old.
2 21 SCHOOL AGE Viola Wayland and Abby Pickens present in the MIDDLE room with children ages 6 -8 years old.