DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

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

002787275

(314) 335-8350

1025 TRAMPE AVE
ST LOUIS
MO  63138-3013

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

2901 N GRAND BLVD
ST LOUIS
MO  63107-2608

WILSON, AUDREY RENE

keisha@bgcstl.org

Incorporated

VIKTORIA ZABARA

6 YEARS - 13 YEARS

125

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

08/28/2023

3:50 PM

6:14 PM

UNANNOUNCED

COMPLIANCE MONITORING

2453425061


DocumentDocument-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 08/28/2023
APPLICATION 07/22/2019
DIAGRAM/INDOOR 08/08/2019
DIAGRAM/OUTDOOR 08/08/2019
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
STAFF SHEET 07/01/2022
EQUIPMENT LIST 08/28/2023
ANNUAL DECLARATION 07/01/2023




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 1
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 2
Total Children 9
StaffChildClass AgeNote
1 0 NO CHILDREN IN ATTENDANCE Audrey Wilson, site coordinator, was present with no children in attendance
1 9 SCHOOL AGE Nick Chandler, program coordinator, was present with nine children aged 6-years-old to 10-years-old

 
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Violation
 Provider Comments
Violation
The name of the board chairperson was not prominently posted near the license.
Licensing Rule Reference
5 CSR 25-500.042 Licensing Process (13) (C) states: Board president or chairperson;
Correction Required
The name, address, and board president or chairperson shall be posted near the license.

Correction Verification
Corrected on Site

Compliance Date
8/28/2023
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
Violation
 Provider Comments
Violation
The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by there was no plan available in the gym.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (A) states: At all times, a copy of the facility's disaster and emergency plan is readily available in the office area and in each room used for care of children;
Correction Required
The facilities disaster and emergency plan must be available in required locations.

Correction Verification
Corrected on Site

Compliance Date
8/28/2023
Violation
The facility’s name, address and telephone number was not posted in each room.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (B) 1. A. states: The name, address, and telephone number of the facility;
Correction Required
Facility must post information as required.

Correction Verification
Corrected on Site

Compliance Date
8/28/2023
Violation
The facility's list of emergency numbers are not posted in each room used for child care, specifically in the gym .
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (B) 1. B. states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station;
Correction Required
Facility must post information as required.

Correction Verification
Corrected on Site

Compliance Date
8/28/2023
Violation
The facility's evacuation route diagram was not posted in each room.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (B) 2. states: A diagram of evacuation routes from the room;
Correction Required
Facility must post information as required.

Correction Verification
Corrected on Site

Compliance Date
8/28/2023
Violation
The facility’s special instructions for infants and non-ambulatory children were not posted in each room.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (B) 3. states: Any special instructions for infants and non-ambulatory children;
Correction Required
Facility must post information as required.

Correction Verification
Corrected on Site

Compliance Date
8/28/2023
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
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Levi Galloway.
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

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