DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

BOYS & GIRLS CLUBS OF GREATER ST. LOUIS - HAZELWOOD ELEMENTARY SCHOOL CLUB

002787275

(314) 335-8350

1025 TRAMPE AVE
ST LOUIS
MO  63138-3013

BOYS & GIRLS CLUBS OF GREATER ST. LOUIS, INC.

2901 N GRAND BLVD
ST LOUIS
MO  63107-2608

WILSON, AUDREY RENE

keisha@bgcstl.org

Incorporated

VIKTORIA ZABARA

6 YEARS - 13 YEARS

125

SCHOOL AGE

 
Inspection Information

08/06/2024

9:00 AM

11:16 AM

UNANNOUNCED

COMPLIANCE MONITORING

2475437221


DocumentDocument-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 08/06/2024
CERTIFICATE OF GOOD STANDING 08/28/2023
APPLICATION 07/22/2019
DIAGRAM/INDOOR 08/08/2019
DIAGRAM/OUTDOOR 08/08/2019
REGISTERING FICTITIOUS NAMES 08/08/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/08/2019
DAILY SCHEDULE 05/01/2024
SAMPLE WEEKLY MENU 05/01/2024
CHILD CARE PRACTICES 08/08/2019
DISCIPLINE POLICIES 08/08/2019
POLICIES 08/08/2019
SAMPLE FORMS 08/08/2019
DIRECTOR'S QUALIFICATIONS 08/08/2019
JOB RESPONSIBILITIES 08/08/2019
LINES OF ADMINISTRATIVE AUTHORITY 08/08/2019
STAFF SHEET 07/01/2022
EQUIPMENT LIST 06/27/2024
ANNUAL DECLARATION 06/27/2024




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 3
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
StaffChildClass AgeNote
3 0 NO CHILDREN IN ATTENDANCE Levi Galloway, youth development professional, Nick Chandler, program coordinator, and Audrey Wilson, site coordinator, were present with no children in attendance

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
Violation
 Provider Comments
Violation
A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Dorianna Macon, Jamila Boyd
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering, and before being left alone with children, that caregivers employed on or after August 30, 2019, receive a facility orientation. The facility orientation shall include--
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

Correction Verification
Submit Documentation

Compliance Date

Violation
A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: Dorianna Macon, Jamila Boyd.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (F) 1. states: Caregivers shall obtain a Missouri Professional Development Identification (MOPD ID) number from the department.
Correction Required
All caregivers shall obtain a MOPD ID.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
One child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
8/6/2024
Violation
One child(ren) records did not include address of another individual who might be reached in an emergency.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
8/6/2024
Violation
Records were not available for inspection by the department upon request as evidenced by there was no a copy of a driver's license (class E, or CDL) on file for the following bus drivers: Todd Herron, Sheila Ramsey, Brandy Sanford.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (10) states: All records shall be available in the facility for inspection by the department upon request.
Correction Required
Records shall be available at the facility for inspection.

Correction Verification
Submit Documentation

Compliance Date

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