MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

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

Facility DVN
002988030

Phone
(314) 655-0007

Physical Address
3022 OREGON AVE
ST LOUIS
MO 63118-1412

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

Mailing Address
2524 S 11TH ST
ST LOUIS
MO 63104-4308

Provider/Director
WILSON, SARAH

E-mail Address
bking@gsgbcstl.org

Incorporated
Incorporated

Child Care Specialist
SAMANTHA UPSHAW

Age Range
5 YEARS - 15 YEARS

Capacity
100

Facility Type
SCHOOL AGE

Limitations
AFTER SCHOOL CARE ONLY

Inspection Information

Date
04/29/2024

Arrival Time
3:00 PM

Departure Time
4:01 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2469362423

Document	Document-Date
CERTIFICATE OF INCORPORATION	01/20/2023
CERTIFICATE OF GOOD STANDING	01/20/2023
DAILY SCHEDULE	01/20/2023
DISASTER AND EMERGENCY PREPAREDNESS PLAN	01/26/2023
SAMPLE WEEKLY MENU	01/20/2023
ARTICLES OF INCORPORATION	01/20/2023
DISCIPLINE POLICIES	01/20/2023
CHILD CARE PRACTICES	01/20/2023
POLICIES	01/20/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	08/08/2023
APPLICATION	08/14/2023
EQUIPMENT LIST	02/23/2023
LINES OF ADMINISTRATIVE AUTHORITY	02/17/2023
JOB RESPONSIBILITIES	02/15/2023
DIRECTOR'S QUALIFICATIONS	05/01/2023
DIRECTOR'S JOB RESPONSIBILITIES	02/15/2023
LICENSING ORIENTATION	05/10/2023

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 60

Staff	Child	Class Age	Note
1	15	SCHOOL AGE	Tia Patterson, Youth Program Specialist, was present with fifteen children in care, from both Kindergarten and First Grade.
2	30	SCHOOL AGE	Clementine Mayhorn, Direct Care Staff and Sarah Wilson, Program Director, were present with thirty children in care, ages 5-years-old to 14-years-old.
1	15	SCHOOL AGE	Eric Strode, Assistant Site Program Director, was present with fifteen children in care, from 3rd Grade to 6th Grade.

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 Not Observed
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 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