DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

GENE SLAY'S BOYS' CLUB OF ST. LOUIS, INC.

002788023

(314) 257-0101

3216 PULASKI ST
ST LOUIS
MO  63111-1507

GENE SLAY'S BOYS' CLUB OF ST. LOUIS, INC.

2425 S 11TH ST
ST LOUIS
MO  63104-4305

KING, ELIZABETH

estrauther@gsgbcstl.org

Incorporated

SAMANTHA UPSHAW

6 YEARS - 16 YEARS

80

GROUP HOME AND CENTER

AFTER SCHOOL CARE ONLY
 
Inspection Information

04/12/2024

4:00 PM

5:12 PM

UNANNOUNCED

CLOSE SUPERVISION

2468334021


DocumentDocument-Date
APPLICATION 01/27/2021
CHILD CARE PRACTICES 01/26/2021
SAMPLE WEEKLY MENU 01/06/2021
JOB RESPONSIBILITIES 01/12/2021
DAILY SCHEDULE 01/14/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN 03/11/2021
DISCIPLINE POLICIES 03/11/2021
DIAGRAM/INDOOR 12/15/2020
EQUIPMENT LIST 02/20/2021
DIRECTOR'S QUALIFICATIONS 01/06/2021
LINES OF ADMINISTRATIVE AUTHORITY 03/30/2021
CERTIFICATE OF GOOD STANDING 03/30/2021
SAMPLE FORMS 03/30/2021
POLICIES 03/11/2021
LOCAL FIRE DEPARTMENT NOTIFICATION 07/02/2021
STAFF SHEET 02/20/2021
DIAGRAM/OUTDOOR 03/30/2021
SANITATION INSPECTION 03/07/2022
LOCAL ZONING APPROVAL 03/30/2021
FIRE/SAFETY INSPECTION 10/06/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 10/30/2023
ANNUAL DECLARATION 10/30/2023




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 6
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 7
Total Children 17
StaffChildClass AgeNote
4 0 NO CHILDREN IN ATTENDANCE Valencia Pettigrew, Youth Program Manager, Mary Bueckendorf, Education Coordinator, Erica Johnson, Tutor, and Antoinette McGee, Teacher, were present with no children in care.
1 5 SCHOOL AGE Madison Beautenana, Trauma Specialist, was present with five children in care, ages 8-years-old to 9-years-old.
1 7 SCHOOL AGE Jon'Neice Wilson, Teacher, was present with seven children in care, ages 7-years-old to 9-years-old.
1 5 SCHOOL AGE Mark Garcia, Teacher, was present with five children in care, ages 11-years-old to 12-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
Violation
 Provider Comments
Violation
The equipment list did not contain a list of equipment as required in 5 CSR 25-500.092.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment.
Correction Required
The facility shall submit an equipment list as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The Annual Declaration was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, revised 2021 and incorporated by reference in this rule. As published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms, indicating the licensee’s intent to continue operating a licensed group child care home or child care center and agreement to comply with all statutes and department licensing rules.
Correction Required
The facility shall submit the Annual Declaration as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The annual sanitation inspection was not approved.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements.
Correction Required
The facility shall submit evidence of compliance with annual sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
Bathroom supplies were not available and accessible to children as evidenced by there were no paper towels.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 4. states: Paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance.
Correction Required
The facility shall provide paper towels, soap and toilet paper, accessible for children's use.

Correction Verification
Corrected on Site

Compliance Date
4/12/2024
5 CSR 25-500.087 Fire Safety
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
The facility did not meet requirements for manipulatives. The facility needed an additional 24 items in this category.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. B. states: Manipulatives;
Correction Required
The facility shall provide appropriate equipment for children as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet requirements for dramatic and housekeeping play. The facility needed an additional 16 items in this category.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. G. states: Dramatic and housekeeping play; and
Correction Required
The facility shall provide appropriate equipment for children as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet requirements for science activities and sensory experiences. The facility needed an additional 24 items in this category.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. H. states: Science activities or sensory experiences.
Correction Required
The facility shall provide appropriate equipment for children as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.102 Personnel
Compliance
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
Compliance
5 CSR 25-500.142 Nighttime Care
Compliance
5 CSR 25-500.162 Overlap Care of Children
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
Not Observed
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
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