MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
BOYS' AND GIRLS' CLUBS OF WEST CENTRAL MISSOURI

Facility DVN
002727393

Phone
(660) 826-8331

Physical Address
22675 DEPOT RD
SEDALIA
MO 65301-1530

Owner
BOYS' AND GIRLS' CLUBS OF WEST CENTRAL MISSOURI

Mailing Address
3100 AARON AVE
SEDALIA
MO 65301-7907

Provider/Director
CROSSWHITE, SHAYLEN ELIZABETH

E-mail Address
lschirlls@bgckids.com

Incorporated
Incorporated

Child Care Specialist
JONATHAN BRADLEY

Age Range
5 YEARS - 16 YEARS

Capacity
20

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
09/13/2023

Arrival Time
3:00 PM

Departure Time
3:27 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2454556436

Document	Document-Date
APPLICATION	07/19/2018
ARTICLES OF INCORPORATION	07/19/2018
CERTIFICATE OF GOOD STANDING	07/19/2018
CERTIFICATE OF INCORPORATION	07/19/2018
LINES OF ADMINISTRATIVE AUTHORITY	07/19/2018
SAMPLE WEEKLY MENU	07/19/2018
CHILD CARE PRACTICES	07/19/2018
DISCIPLINE POLICIES	07/19/2018
POLICIES	07/19/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	07/19/2018
DAILY SCHEDULE	07/24/2018
LOCAL FIRE DEPARTMENT NOTIFICATION	08/09/2018
DIRECTOR'S JOB RESPONSIBILITIES	08/21/2018
DIRECTOR'S QUALIFICATIONS	08/21/2018
JOB RESPONSIBILITIES	08/21/2018
ANNUAL DECLARATION	02/17/2023
EQUIPMENT LIST	03/16/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	03/16/2023

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 3

Total Children 9

Staff	Child	Class Age	Note
3	9	SCHOOL AGE	Teachers Shaylen Crosswhite, Zakiah Summers, and Christina Dietzman with children ages 5 years through 7 years old.


5 CSR 25-500.032 Organization and Administration Not Observed
5 CSR 25-500.042 Licensing Process Not Observed
5 CSR 25-500.052 Annual Requirements Not Observed
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 Not Observed
5 CSR 25-500.112 Staff/Child Ratios Compliance
5 CSR 25-500.122 Medical Examination Reports Not Observed
5 CSR 25-500.132 Admission Policies and Procedures Not Observed
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 Not Observed
5 CSR 25-500.202 Nutrition and Food Service Not Observed
5 CSR 25-500.212 Transportation and Field Trips Compliance
5 CSR 25-500.222 Records and Reports Not Observed
5 CSR 25-600.020 General Requirements Not Observed
5 CSR 25-600.040 Background Screening Findings Not Observed
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. — Not Observed
RSMo 210.211. License required - exceptions - written notice of licensure status, when. Not Observed