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

BRITTNEY RALPH

5 YEARS - 16 YEARS

256

SCHOOL AGE GHC

 
Inspection Information

09/03/2025

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2499747945


DocumentDocument-Date
LOCAL ZONING APPROVAL 07/16/2025
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: 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
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
7/16/2025
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
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
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