MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
BOYS & GIRLS CLUB OF JEFFERSON CITY

Facility DVN
002957091

Phone
(573) 634-2582

Physical Address
1123 CHARM VILLA DR
JEFFERSON CITY
MO 65109-0366

Owner
BOYS & GIRLS CLUB OF JEFFERSON CITY

Mailing Address
1105 LAFAYETTE ST
JEFFERSON CITY
MO 65101-3572

Provider/Director
MCGOWAN, CONNIE ANN

E-mail Address
wmiddaugh@bgcjc.com

Incorporated
Incorporated

Child Care Specialist
KATHLEEN WILSON

Age Range
5 YEARS - 12 YEARS

Capacity
175

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
12/23/2024

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2484958526

Document	Document-Date
SANITATION INSPECTION	06/28/2024
SAMPLE WEEKLY MENU	07/26/2023
SAMPLE FORMS	07/26/2023
POLICIES	09/14/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	11/14/2023
LINES OF ADMINISTRATIVE AUTHORITY	07/26/2023
JOB RESPONSIBILITIES	07/26/2023
FIRE/SAFETY INSPECTION	06/25/2024
EQUIPMENT LIST	11/14/2023
DISCIPLINE POLICIES	09/14/2023
DISASTER AND EMERGENCY PREPAREDNESS PLAN	01/09/2024
DIRECTOR'S QUALIFICATIONS	09/14/2023
DIAGRAM/OUTDOOR	07/26/2023
DIAGRAM/INDOOR	07/26/2023
DAILY SCHEDULE	09/14/2023
CHILD CARE PRACTICES	09/14/2023
CERTIFICATE OF GOOD STANDING	07/26/2023
ARTICLES OF INCORPORATION	07/26/2023
APPLICATION	04/23/2024

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.

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

Compliance

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

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

Compliance

5 CSR 25-600.020 General Requirements

Violation

	Provider Comments
Violation Criminal background check results were not on file for Sierra Nunally, Jamal Brown, Reggie Ford, Casey Pletz. Licensing Rule Reference 5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department. Correction Required Required results of criminal background checks shall be on file. Correction Verification Submit Documentation Compliance Date 12/23/2024

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