DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

BOYS & GIRLS CLUBS OF GREATER KANSAS CITY

001872979

(816) 257-7010

16995 E DOVER LN
INDEPENDENCE
MO  64056-1591

BOYS CLUBS OF GREATER KANSAS CITY

4001 BLUE PKWY STE 102
KANSAS CITY
MO  64130-2350

WOODS, TYRA KEVINA

mruffin@helpkckids.org

Incorporated

JANA BARTON

5 YEARS - 12 YEARS

150

GROUP HOME AND CENTER

 
Inspection Information

11/13/2024

4:41 PM

6:07 PM

UNANNOUNCED

COMPLIANCE MONITORING

2478053211


DocumentDocument-Date
SAMPLE WEEKLY MENU 03/24/2005
SAMPLE FORMS 08/20/2004
POLICIES 08/20/2004
LOCAL ZONING APPROVAL 08/20/2004
LOCAL BUILDING APPROVAL 08/20/2004
LINES OF ADMINISTRATIVE AUTHORITY 08/20/2004
JOB RESPONSIBILITIES 08/20/2004
DISCIPLINE POLICIES 08/20/2004
DIAGRAM/OUTDOOR 09/26/2007
DIAGRAM/INDOOR 03/26/2008
DAILY SCHEDULE 03/24/2005
CHILD CARE PRACTICES 08/20/2004
ARTICLES OF INCORPORATION 08/20/2004
REGISTERING FICTITIOUS NAMES 09/27/2013
DIRECTOR'S QUALIFICATIONS 08/27/2015
SANITATION INSPECTION 08/08/2024
FIRE/SAFETY INSPECTION 09/26/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 10/21/2024
EQUIPMENT LIST 10/21/2024
CERTIFICATE OF GOOD STANDING 11/06/2024
ANNUAL DECLARATION 08/26/2024




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 6
Total Children 35
StaffChildClass AgeNote
3 0 NO CHILDREN IN ATTENDANCE Director Tyra Agee, Lead Christian Greer, Front Desk Aleisa Washington
1 9 SCHOOL AGE middle school (ages 10-12) with Wesley Bryant
1 11 SCHOOL AGE 2nd and 3rd grade with Shirley Johnson
1 15 SCHOOL AGE K and 1st grade with Summer Grayer

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 Family Care Safety Registry check was not conducted for Tyra Agee, Alisia Dunlap Reynolds, Glenda Hightower, Shirley Johnson, Summer Grayer, Christian Greer, Aleisa Washington, Kathleen Rector, Jason Roth, Michelle Ruffin within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date

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
A school-age child's health report was not on file at the time of enrollment as evidenced by not on file for children enrolled, per director.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (2) (D) states: The parent(s) of a school-age child shall provide a report at the time of enrollment indicating the child's health history, any current health problems, and any restrictions necessary for the child's care.
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
Compliance
5 CSR 25-500.162 Overlap Care of Children
Compliance
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
Compliance
5 CSR 25-500.222 Records and Reports
Violation
 Provider Comments
Violation
The provider failed to maintain accurate records to meet administrative requirements as evidenced by enrollment forms containing the required information per licensing rules were not on file for any of the children enrolled, per director. .
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (1) states: The child care provider shall maintain accurate records to meet administrative requirements and to ensure knowledge of the individual needs of children and their families.
Correction Required
Accurate records shall be maintained.

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