DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA- EMERSON BRANCH-JANA ELEMENTARY

000180101

(314) 452-6513

405 JANA DR
FLORISSANT
MO  63031

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

3390 PERSHALL RD
ST LOUIS
MO  63135-1407

PACATTE, MARK

mark.pacatte@gwrymca.org

Incorporated

DENISE ELAYNE KOCH

5 YEARS - 13 YEARS

32

SCHOOL AGE

32 SCHOOL-AGE CHILDREN DURING THE SCHOOL YEAR; AFTER SCHOOL CARE ONLY
 
Inspection Information

04/26/2017

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2303980060


DocumentDocument-Date
REGISTERING FICTITIOUS NAMES 01/17/2016
SAMPLE WEEKLY MENU 09/04/1984
SAMPLE FORMS 09/04/1984
POLICIES 09/04/1984
LINES OF ADMINISTRATIVE AUTHORITY 09/04/1984
JOB RESPONSIBILITIES 09/04/1984
DISCIPLINE POLICIES 09/04/1984
DIRECTOR'S JOB RESPONSIBILITIES 09/04/1984
DAILY SCHEDULE 09/04/1984
CHILD CARE PRACTICES 09/04/1984
ARTICLES OF INCORPORATION 09/04/1984
DIRECTOR'S QUALIFICATIONS 10/05/2012
APPLICATION 04/24/2017
CERTIFICATE OF GOOD STANDING 04/24/2015
EQUIPMENT LIST 04/21/2017
STAFF SHEET 04/21/2017




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
Violation
 Provider Comments
Violation
The application for renewal of the facility's license was not completed correctly as evidence by the Board President for Gateway Regions Young Men's Christian Association is now William Gavin and no longer Mark Leeker (the application submitted on 4/7/17 lists the previous BP, which has now changed).
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
4/24/2017
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 field trip and transportation authorization.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (F) states: Field trip and transportation authorization.
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
4/26/2017
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance