DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA- EMERSON BRANCH -JURY ELEMENTARY

000180610

(314) 452-5146

11950 OLD HALLS FERRY
BLACK JACK
MO  63033

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

3390 PERSHALL RD
ST LOUIS COUNTY
MO  63135

BURT, PAULA

mark.pacatte@gwrymca.org

Incorporated

DENISE ELAYNE KOCH

5 YEARS - 13 YEARS

32

SCHOOL AGE

32 SCHOOL-AGE CHILDREN DURING THE SCHOOL YEAR
 
Inspection Information

12/21/2016

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2295902323


DocumentDocument-Date
LINES OF ADMINISTRATIVE AUTHORITY 11/19/2012
SAMPLE FORMS 11/19/2012
JOB RESPONSIBILITIES 11/19/2012
SAMPLE WEEKLY MENU 11/19/2012
POLICIES 11/19/2012
DISCIPLINE POLICIES 11/19/2012
DAILY SCHEDULE 11/19/2012
CERTIFICATE OF INCORPORATION 11/19/2012
CHILD CARE PRACTICES 11/19/2012
ARTICLES OF INCORPORATION 11/19/2012
REGISTERING FICTITIOUS NAMES 06/07/2012
DIRECTOR'S QUALIFICATIONS 05/15/2001
STAFF SHEET 12/12/2016
EQUIPMENT LIST 12/12/2016
APPLICATION 12/02/2016




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
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' name 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
12/20/2016
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance