MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
BELTON SCHOOL DISTRICT 124

Facility DVN
002072224

Phone
(816) 348-1104

Physical Address
8301 E 163RD ST
BELTON
MO 64012

Owner
BELTON SCHOOL DISTRICT 124

Mailing Address
614 W MILL ST
BELTON
MO 64012

Provider/Director
WITHERSPOON, YVETTA B

E-mail Address
lswartwood@bsd124.org

Incorporated

Child Care Specialist
KRYSTAL WILLIAMS

Age Range
5 YEARS - 10 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations
60 SCHOOL-AGE CHILDREN DURING THE SCHOOL YEAR; 60 SCHOOL-AGE CHILDREN DURING THE SUMMER

Inspection Information

Date
11/07/2023

Arrival Time
7:53 AM

Departure Time
8:03 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2458299393

Document	Document-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	04/26/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/26/2023
EQUIPMENT LIST	05/17/2023

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 27

Staff	Child	Class Age	Note
1	7	SCHOOL AGE	caregiver Jessica Basurto-Reyes with seven children, all school-age
2	20	SCHOOL AGE	caregivers Eric Willias and Tranne Richards with twenty children, all school-age

Compliance List
5 CSR 25-500.032 Organization and Administration Compliance
5 CSR 25-500.042 Licensing Process Compliance
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 Not Observed
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 Not Observed
5 CSR 25-500.212 Transportation and Field Trips Not Observed
5 CSR 25-500.222 Records and Reports Not Observed
5 CSR 25-600.020 General Requirements Compliance
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. — Compliance
RSMo 210.211. License required - exceptions - written notice of licensure status, when. Compliance