MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
BELTON SCHOOL DISTRICT 124

Facility DVN
000656311

Phone
(816) 348-1527

Physical Address
109 W CAMBRIDGE RD
BELTON
MO 64012-3160

Owner
BELTON SCHOOL DISTRICT 124

Mailing Address
614 MILL ST
BELTON
MO 64012-3403

Provider/Director
ST HELENE, MARY ANN

E-mail Address
Lswartwood@bsd124.org

Incorporated

Child Care Specialist
KRYSTAL WILLIAMS

Age Range
5 YEARS - 10 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
08/29/2024

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2477055729

Document	Document-Date
JOB RESPONSIBILITIES	03/23/2012
CHILD CARE PRACTICES	03/23/2012
DISCIPLINE POLICIES	03/23/2012
POLICIES	03/23/2012
DAILY SCHEDULE	03/23/2012
DIAGRAM/OUTDOOR	03/23/2012
DIAGRAM/INDOOR	03/23/2012
DIRECTOR'S QUALIFICATIONS	04/05/2016
DIRECTOR'S JOB RESPONSIBILITIES	09/07/2011
SAMPLE FORMS	09/07/2011
SAMPLE WEEKLY MENU	09/07/2011
APPLICATION	01/08/2018
STAFF SHEET	03/23/2018
EQUIPMENT LIST	01/25/2024
ANNUAL DECLARATION	01/25/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	01/25/2024

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.