DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA EMERSON BRANCH BARRINGTON ELEMENTARY

000476131

(314) 953-4050

15600 OLDS HALLS FERRY RD
FLORISSANT
MO  63034

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

3390 PERSHALL RD
ST LOUIS COUNTY
MO  63135

PACATTE, MARK GERARD

mark.pacatte@gwrymca.org

Incorporated

DENISE ELAYNE KOCH

5 YEARS - 13 YEARS

32

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

10/03/2016

3:43 PM

4:40 PM

UNANNOUNCED

COMPLIANCE MONITORING

2290328062


DocumentDocument-Date
LINES OF ADMINISTRATIVE AUTHORITY 03/26/2012
JOB RESPONSIBILITIES 03/26/2012
DIRECTOR'S QUALIFICATIONS 05/11/2012
CHILD CARE PRACTICES 03/26/2012
SAMPLE WEEKLY MENU 03/26/2012
DAILY SCHEDULE 03/26/2012
DISCIPLINE POLICIES 03/26/2012
REGISTERING FICTITIOUS NAMES 06/07/2012
DIRECTOR'S JOB RESPONSIBILITIES 01/25/1985
CERTIFICATE OF INCORPORATION 01/25/1985
ARTICLES OF INCORPORATION 01/25/1985
LOCAL FIRE DEPARTMENT NOTIFICATION 11/12/2008
SAMPLE FORMS 01/25/1985
POLICIES 03/26/2012
CERTIFICATE OF GOOD STANDING 04/21/2016
APPLICATION 04/21/2016
STAFF SHEET 04/21/2016
EQUIPMENT LIST 04/21/2016




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 2
Total Children 12
StaffChildClass AgeNote
2 12 SCHOOL AGE Gloria McCullough and Bernice Howell present with 12 school-age children.

 
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
Not Observed
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
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was 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 (6) 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

19 CSR 30-62.172 Emergency School Closings
Not Observed
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
4 child(ren) records did not include date care begins and ends.
Licensing Rule Reference
19 CSR 30-62.222 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
10/3/2016
Violation
2 child(ren) records did not include telephone number of family physician or hospital.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
1 child(ren) records did not include name of family physician or hospital.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
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