DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

BELTON SCHOOL DISTRICT 124

002072224

(816) 348-1104

8301 E 163RD ST
BELTON
MO  64012

BELTON SCHOOL DISTRICT 124

614 W MILL ST
BELTON
MO  64012

WITHERSPOON, YVETTA B

lswartwood@bsd124.org


MARY C MALOID

5 YEARS - 10 YEARS

60

SCHOOL AGE

60 SCHOOL-AGE CHILDREN DURING THE SCHOOL YEAR; 60 SCHOOL-AGE CHILDREN DURING THE SUMMER
 
Inspection Information

06/21/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2449581749


DocumentDocument-Date
DIAGRAM/OUTDOOR 03/19/2012
DIAGRAM/INDOOR 03/19/2012
SAMPLE WEEKLY MENU 03/01/2012
SAMPLE FORMS 03/01/2012
POLICIES 03/01/2012
DISCIPLINE POLICIES 03/01/2012
JOB RESPONSIBILITIES 03/01/2012
DAILY SCHEDULE 03/01/2012
CHILD CARE PRACTICES 03/01/2012
DIRECTOR'S QUALIFICATIONS 05/22/2012
DIRECTOR'S JOB RESPONSIBILITIES 07/21/2011
LINES OF ADMINISTRATIVE AUTHORITY 07/21/2011
APPLICATION 01/31/2020
STAFF SHEET 03/06/2020
ANNUAL DECLARATION 04/12/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/12/2022
EQUIPMENT LIST 04/12/2022




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
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
Violation
 Provider Comments
Violation
A medical examination report did not include either a completed Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) within 12 months of the individual's begin date at the facility for the following staff: Jessica Basurto Reyes.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberulin skin test (TST) as required.

Correction Verification
Submit Documentation

Compliance Date
5/17/2023
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