DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA- EMERSON BRANCH- BROWN ELEMENTARY

000180058

(314) 378-9978

3325 CHICORY CREEK LN
FLORISSANT
MO  63031

THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER ST. LOUIS

3390 PERSHALL RD
ST LOUIS
MO  63135-1407

PACATTE, MARK GERARD

LMCTEARNEN@YMCASTLOUIS.ORG

Incorporated

SHIRLEY ELLIS

5 YEARS - 13 YEARS

20

SCHOOL AGE

 
Inspection Information

04/30/2015

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2252750978


DocumentDocument-Date
STAFF SHEET 04/23/2015
EQUIPMENT LIST 04/23/2015
CERTIFICATE OF GOOD STANDING 04/23/2015
APPLICATION 04/13/2015
DIRECTOR'S QUALIFICATIONS 02/27/2013
JOB RESPONSIBILITIES 09/04/1984
SAMPLE WEEKLY MENU 09/04/1984
SAMPLE FORMS 09/04/1984
DISCIPLINE POLICIES 09/04/1984
POLICIES 09/04/1984
LINES OF ADMINISTRATIVE AUTHORITY 09/04/1984
DIRECTOR'S JOB RESPONSIBILITIES 09/04/1984
DAILY SCHEDULE 09/04/1984
CHILD CARE PRACTICES 09/04/1984




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.

 
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
Compliance
19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Compliance
19 CSR 30-62.132 Admission Policies and Procedures
Violation
 Provider Comments
Violation
Requirements for an individualized plan for specialized care from a professionally qualified source for a child with special physical, developmental or behavioral needs were not met as evidenced by there was no plan on file for a child with special needs.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (5) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
Correction Required
An individualized plan from a professional source shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
4/30/2015
19 CSR 30-62.172 Emergency School Closings
Compliance
19 CSR 30-62.182 Child Care Program
Compliance
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