DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-EMERSON BRANCH- COLD WATER ELEMENTARY

000180030

(314) 409-8702

1105 WIETHAUPT
FLORISSANT
MO  63031

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

3390 PERSHALL RD
ST LOUIS
MO  63135-1407

BLAKELY, KRISTY

mark.pacatte@gwrymca.org

Incorporated

REGINA WATKINS

5 YEARS - 13 YEARS

32

SCHOOL AGE

 
Inspection Information

05/04/2017

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2304622222


DocumentDocument-Date
DIRECTOR'S QUALIFICATIONS 08/23/2012
SAMPLE WEEKLY MENU 08/31/1983
SAMPLE FORMS 08/31/1983
POLICIES 08/31/1983
LINES OF ADMINISTRATIVE AUTHORITY 08/31/1983
JOB RESPONSIBILITIES 08/31/1983
DISCIPLINE POLICIES 08/31/1983
DIRECTOR'S JOB RESPONSIBILITIES 08/31/1983
DAILY SCHEDULE 08/31/1983
ARTICLES OF INCORPORATION 08/31/1983
APPLICATION 04/10/2017
CERTIFICATE OF GOOD STANDING 04/22/2015
STAFF SHEET 04/24/2017
EQUIPMENT LIST 04/24/2017




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
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 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
5/3/2017
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance