DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

BOYS' AND GIRLS' CLUBS OF WEST CENTRAL MISSOURI

003014688

(660) 672-9031

300 E DAVIS ST
FAYETTE
MO  65248-1431

BOYS' AND GIRLS' CLUBS OF WEST CENTRAL MISSOURI

3100 AARON AVE
SEDALIA
MO  65301-7907

ATWOOD, MIRANDA LEEANN

lschirlls@bgckids.com

Incorporated

LU A GAINES

5 YEARS - 16 YEARS

39

GROUP HOME AND CENTER

 
Inspection Information

05/10/2024

2:45 PM

4:09 PM

UNANNOUNCED

POST LICENSING

2470220433


DocumentDocument-Date
LOCAL ZONING APPROVAL 02/07/2024
SAMPLE WEEKLY MENU 01/15/2024
EQUIPMENT LIST 02/07/2024
DIAGRAM/OUTDOOR 02/15/2024
DIAGRAM/INDOOR 05/23/2023
DIRECTOR'S QUALIFICATIONS 02/08/2024
CHILD CARE PRACTICES 02/20/2024
CERTIFICATE OF GOOD STANDING 01/16/2024
DAILY SCHEDULE 02/20/2024
SAMPLE FORMS 01/15/2024
LINES OF ADMINISTRATIVE AUTHORITY 01/15/2024
JOB RESPONSIBILITIES 01/15/2024
DISCIPLINE POLICIES 02/20/2024
POLICIES 02/20/2024
DISASTER AND EMERGENCY PREPAREDNESS PLAN 02/06/2024
APPLICATION 12/07/2023
ARTICLES OF INCORPORATION 01/16/2024
SANITATION INSPECTION 02/20/2024
FIRE/SAFETY INSPECTION 02/29/2024
LICENSING ORIENTATION 02/28/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/06/2024
LOCAL BUILDING APPROVAL 02/07/2024
LOCAL FIRE DEPARTMENT NOTIFICATION 02/22/2024




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 1
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 13
StaffChildClass AgeNote
3 13 SCHOOL AGE Director Miranda Atwood, caregivers Aleah Walters and Latreveana Crump with 13 children, 5-to-11 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 25-500.087 Fire Safety
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
Violation
 Provider Comments
Violation
The medical examination report and/or the school-age health report form(s) used was not supplied by the department or did not contain all the required information as evidenced by Child A (enrollment date 03/12/2024) had a School-age Health Report on file that was not signed or dated by a parent.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (2) (E) states: The medical examination report form and the health history report for school-age children shall be supplied by the department or the facility may use its own form if it contains all the information on the department’s form. The School-Age Child Health Report form, revised 2021, is 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 athttps://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.142 Nighttime Care
Not Observed
5 CSR 25-500.162 Overlap Care of Children
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
Compliance
5 CSR 25-500.212 Transportation and Field Trips
Not Observed
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