DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE GHC INSPECTION REPORT
Facility Information

BOYS & GIRLS CLUBS OF GREATER ST. LOUIS - ADAMS PARK CLUB

002068711

(314) 633-7900

4317 VISTA AVE
ST LOUIS
MO  63110

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

2901 N GRAND BLVD
ST LOUIS
MO  63107-2608

BASCOM, TERI

KEISHA@BGCSTL.ORG

Incorporated

ABBIGAIL HORN

5 YEARS - 16 YEARS

256

SCHOOL AGE GHC

 
Inspection Information

05/22/2025

2:26 PM

4:00 PM

UNANNOUNCED

COMPLIANCE MONITORING

2493952158


DocumentDocument-Date
SAMPLE WEEKLY MENU 02/28/2008
LINES OF ADMINISTRATIVE AUTHORITY 11/01/2007
JOB RESPONSIBILITIES 02/28/2008
DISCIPLINE POLICIES 02/28/2008
DIRECTOR'S JOB RESPONSIBILITIES 02/28/2012
DAILY SCHEDULE 02/28/2008
CHILD CARE PRACTICES 02/28/2008
SAMPLE FORMS 02/28/2008
POLICIES 02/28/2008
CERTIFICATE OF INCORPORATION 11/01/2007
ARTICLES OF INCORPORATION 11/01/2007
DISASTER AND EMERGENCY PREPAREDNESS PLAN 05/25/2018
APPLICATION 05/04/2020
STAFF SHEET 08/21/2020
DIRECTOR'S QUALIFICATIONS 05/03/2023
REGISTERING FICTITIOUS NAMES 05/03/2023
EQUIPMENT LIST 03/28/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/28/2025
ANNUAL DECLARATION 03/28/2025
CERTIFICATE OF GOOD STANDING 05/22/2025




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 1
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
Total Children 11
StaffChildClass AgeNote
1 0 NO CHILDREN IN ATTENDANCE Fe'Dale Waters, Club Director present with zero children.
1 4 SCHOOL AGE Ahmad Townsend, Youth Development Professional present with four children, ages 6-years-old to 9-years-old.
1 7 SCHOOL AGE Ja ' Niayah Banks - Ewing, Youth Development Professional present with seven children, ages 10-years-old to 13-years-old.

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
Evidence of local building and zoning approval was not received.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (B) states: Evidence of compliance with local building and zoning requirements, if applicable.
Correction Required
The facility shall submit evidence of local building/zoning approval as required.

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 25-500.090 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 25-500.162 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
10 child(ren) records did not include date care begins and ends.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (A) states: The child's full name, address, birth-date and the date care begins and ends;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
5/22/2025
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