DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA -EMERSON BRANCH- MCCURDY ELEMENTARY

000180129

(314) 616-1973

975 LINDSAY LN
FLORISSANT
MO  63031

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

3390 PERSHALL RD
ST LOUIS
MO  63135-1407

PACATTE, MARK GERARD

mark.pacatte@gwrymca.org

Incorporated

ALYSSA MARIE RILEY

5 YEARS - 13 YEARS

20

SCHOOL AGE

 
Inspection Information

05/04/2016

3:05 PM

3:58 PM

ANNOUNCED

RENEWAL

2280019406


DocumentDocument-Date
DIRECTOR'S QUALIFICATIONS 11/16/2012
SAMPLE WEEKLY MENU 09/07/2006
SAMPLE FORMS 09/07/2006
POLICIES 09/07/2006
LINES OF ADMINISTRATIVE AUTHORITY 09/07/2006
JOB RESPONSIBILITIES 09/07/2006
ARTICLES OF INCORPORATION 09/07/2006
DISCIPLINE POLICIES 09/07/2006
DIRECTOR'S JOB RESPONSIBILITIES 09/07/2006
DAILY SCHEDULE 09/07/2006
CHILD CARE PRACTICES 09/07/2006
CERTIFICATE OF INCORPORATION 09/07/2006
EQUIPMENT LIST 04/22/2014
CERTIFICATE OF GOOD STANDING 04/22/2014
STAFF SHEET 04/22/2014
APPLICATION 04/08/2014




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 3
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 10
StaffChildClass AgeNote
3 10 SCHOOL AGE 6-10 years old with Ms. Barb, Ms. Pat, and Mr. Mark

 
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
Violation
 Provider Comments
Violation
The application for renewal of the facility's license was not completed correctly as evidence by fictitious name on application was incorrect.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (1) states: An application for license renewal shall be filed at least sixty (60) days prior to expiration of the license. In addition, the following information is required:
Correction Required
The facility shall submit an application as required for renewal.

Correction Verification
Submit Documentation

Compliance Date

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
Compliance
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
Violation
 Provider Comments
Violation
1 child(ren) records did not include employers' address of parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
2 child(ren) records did not include address of another individual who might be reached in an emergency.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance