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
002073036

Phone
(660) 826-8331

Physical Address
500 S KEENEY ST
COLE CAMP
MO 65325-1059

Owner
BOYS' AND GIRLS' CLUBS OF WEST CENTRAL MISSOURI

Mailing Address
3100 AARON AVE
SEDALIA
MO 65301-7907

Provider/Director
HAZEL, JESSICA RENE

E-mail Address
lschirlls@bgckids.com

Incorporated
Incorporated

Child Care Specialist
KATHLEEN WILSON

Age Range
5 YEARS - 16 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations
AFTER SCHOOL CARE ONLY

Inspection Information

Date
03/12/2024

Arrival Time
3:10 PM

Departure Time
4:02 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2466148946

Document	Document-Date
SAMPLE FORMS	08/20/2009
LOCAL FIRE DEPARTMENT NOTIFICATION	08/20/2009
JOB RESPONSIBILITIES	08/20/2009
CHILD CARE PRACTICES	08/20/2009
SAMPLE WEEKLY MENU	08/20/2009
POLICIES	08/20/2009
LINES OF ADMINISTRATIVE AUTHORITY	08/20/2009
DIRECTOR'S QUALIFICATIONS	03/01/2010
DAILY SCHEDULE	08/20/2009
ARTICLES OF INCORPORATION	08/20/2009
CERTIFICATE OF GOOD STANDING	11/14/2013
APPLICATION	09/30/2019
STAFF SHEET	09/23/2021
EQUIPMENT LIST	09/19/2023
ANNUAL DECLARATION	09/26/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	09/19/2023

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 4

Total Children 49

Staff	Child	Class Age	Note
4	49	SCHOOL AGE	Karlie Tucker, Daynelle Wolford, Emily Hatfield, and Jennifer Peace with forty nine children ages 5-16 years old.

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 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 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 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