DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

BROOKFIELD RIII SCHOOL YMCA

002066580

(660) 258-2388

128 S PERSHING
BROOKFIELD
MO  64628




 

EHRICH, DANIELLE


Incorporated

TRACY MARSHALL

5 YEARS - 12 YEARS

30

SCHOOL AGE

30 SCHOOL-AGE CHILDREN DURING THE SCHOOL YEAR
 
Inspection Information

09/24/2013

2:35 PM

4:00 PM

UNANNOUNCED

COMPLIANCE MONITORING

2210185955


DocumentDocument-Date
APPLICATION 02/02/2012
EQUIPMENT LIST 02/02/2012
STAFF SHEET 02/02/2012
CHILD CARE PRACTICES 03/16/2010
DISCIPLINE POLICIES 03/16/2010
POLICIES 03/16/2010
SAMPLE WEEKLY MENU 03/12/2008
DAILY SCHEDULE 03/12/2008
DIRECTOR'S JOB RESPONSIBILITIES 03/12/2008
DIRECTOR'S QUALIFICATIONS 03/27/2012
JOB RESPONSIBILITIES 03/12/2008
LINES OF ADMINISTRATIVE AUTHORITY 03/12/2008
SAMPLE FORMS 02/02/2012




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 6
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 2
Total Children 15
StaffChildClass AgeNote
2 15 SCHOOL AGE New director Holly Watson

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Initial Licensing Information
Compliance
19 CSR 30-62.052 License Renewal
Compliance
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
The provider did not meet requirements for requests/results of background reviews for personnel as evidenced by there was no request/result of a current background check on file. Reviews were missing/out of date for the following personnel/volunteers Holly Watson.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (K) states: Volunteers counted in staff/child ratios, caregivers, and other personnel shall be screened for child abuse/neglect. The screening shall be requested by the provider within ten (10) days of any individual beginning employment or volunteering in the facility. Any investigated allegation of child abuse or neglect involving these persons in which the investigator finds reasonable cause to believe that the individual is the alleged perpetrator of child abuse or neglect shall be evaluated by the department. After review, the department may prohibit the person from being present in the facility during child care hours. A copy of the screening request and the response shall be filed in the employee's record.
Correction Required
Required requests/results of current background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

Violation
The director was not certified by the Section for Child Care Regulation.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (2) (B) 1. F. states: Official verification of the education and experience of the group day care home provider or center director shall be on file with the Child Care Licensing Unit prior to beginning employment.
Correction Required
The director of the facility shall be certified by the Section for Child Care Regulation.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report was not on file for Holly Watson as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Medical examination reports including TB testing were not on file for Holly Watson as evidenced by a completed Risk Assessment for Tuberculosis form was not on file for adults.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (B) states: Medical examination reports shall include a “Risk Assessment for Tuberculosis” form, included herein, completed and signed by a health care professional, as provided by the Missouri Department of Health and Senior Services (MDHSS). If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
TB reports shall be on file as required

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.132 Admission Policies and Procedures
Compliance
19 CSR 30-62.172 Emergency School Closings
Compliance
19 CSR 30-62.182 Child Care Program
Violation
 Provider Comments
Violation
Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.
Licensing Rule Reference
19 CSR 30-62.182 Child Care Program (1) (B) 1. states: Fire, tornado, and other disaster drills shall meet the requirements of 19 CSR 30-62.087 Fire Safety.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill was not held at least one time every three months.
Licensing Rule Reference
19 CSR 30-62.182 Child Care Program (1) (B) 1. states: Fire, tornado, and other disaster drills shall meet the requirements of 19 CSR 30-62.087 Fire Safety.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.192 Health Care
Compliance
19 CSR 30-62.202 Nutrition and Food Service
Compliance
19 CSR 30-62.212 Transportation and Field Trips
Compliance
19 CSR 30-62.222 Records and Reports
Compliance