MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE GHC INSPECTION REPORT

Back

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
CHAVEZ-PASCUAL, JOPXILIN

E-mail Address
Lswartwood@bsd124.org

Incorporated

Child Care Specialist
KRYSTAL WILLIAMS

Age Range
5 YEARS - 10 YEARS

Capacity
60

Facility Type
SCHOOL AGE GHC

Limitations

Inspection Information

Date
04/29/2025

Arrival Time
3:50 PM

Departure Time
4:55 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2492202129

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	03/17/2025
ANNUAL DECLARATION	03/17/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	03/17/2025
LOCAL ZONING APPROVAL	03/17/2025

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 4

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 4

Total Children 30

Staff	Child	Class Age	Note
4	30	SCHOOL AGE	Noah Floyd, Malaysia Bell, Kim Green, and Jopxilin Chavez-Pascual with thirty children, all school-age