DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA- MID COUNTY BRANCH- OUR LADY OF LOURDES

000304763

(314) 726-3352

7157 NORTHMOOR DR
UNIVERSITY CITY
MO  63105

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

1900 URBAN DR
ST LOUIS
MO  63144

TODOROVIC, NATASA

brennan.hollingsworth@gwrymca.org

Incorporated

NANCY SMITH

5 YEARS - 13 YEARS

32

SCHOOL AGE

AFTER SCHOOL CARE ONLY
 
Inspection Information

12/23/2016

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2296125830


DocumentDocument-Date
ARTICLES OF INCORPORATION 10/04/2016
REGISTERING FICTITIOUS NAMES 01/18/2016
SAMPLE WEEKLY MENU 09/07/1988
SAMPLE FORMS 09/07/1988
POLICIES 09/07/1988
LINES OF ADMINISTRATIVE AUTHORITY 09/07/1988
JOB RESPONSIBILITIES 09/07/1988
DISCIPLINE POLICIES 09/07/1988
DIRECTOR'S QUALIFICATIONS 08/23/2010
DIRECTOR'S JOB RESPONSIBILITIES 09/07/1988
DAILY SCHEDULE 09/07/1988
CHILD CARE PRACTICES 09/07/1988
CERTIFICATE OF INCORPORATION 09/07/1988
CERTIFICATE OF GOOD STANDING 12/20/2016
APPLICATION 12/02/2016
STAFF SHEET 12/02/2016
EQUIPMENT LIST 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
Violation
 Provider Comments
Violation
The facility’s list of emergency numbers was not posted in each room.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (B) 1. B. states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station;
Correction Required
Facility must post information as required.

Correction Verification
Submit Documentation

Compliance Date
12/20/2016
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
Violation
 Provider Comments
Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form.
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
12/20/2016
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
12/20/2016
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance