DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-MONSANTO BRANCH-JULIA GOLDSTEIN ECE

002000346

(314) 721-2965

737 KINGSLAND AVE
ST LOUIS
MO  63130-3107

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

5555 PAGE BLVD
ST LOUIS
MO  63112

CHILDRESS, SHARON DENISE

LAURIE.MCTEARNEN@GWRYMCA.ORG

Incorporated

ALYSSA MARIE RILEY

36 MONTHS - 6 YEARS

34

SCHOOL AGE

 
Inspection Information

05/15/2017

2:10 PM

3:20 PM

UNANNOUNCED

COMPLIANCE MONITORING

2305173377


DocumentDocument-Date
EQUIPMENT LIST 12/16/2016
APPLICATION 12/16/2016
CERTIFICATE OF GOOD STANDING 12/12/2016
STAFF SHEET 12/16/2016
DISCIPLINE POLICIES 02/14/2007
DAILY SCHEDULE 01/30/2007
POLICIES 02/14/2007
SAMPLE FORMS 01/25/2007
DIRECTOR'S JOB RESPONSIBILITIES 01/25/2007
SAMPLE WEEKLY MENU 01/25/2007
JOB RESPONSIBILITIES 01/25/2007
CHILD CARE PRACTICES 02/05/2007
ARTICLES OF INCORPORATION 01/30/2007
LINES OF ADMINISTRATIVE AUTHORITY 01/30/2014
CERTIFICATE OF INCORPORATION 12/23/2014
REGISTERING FICTITIOUS NAMES 12/23/2014




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 4
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 3
Total Children 6
StaffChildClass AgeNote
3 6 MIXED 4-5 years old with Ms. Sydney, Mr. Trent, and Ms. Christina

 
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
Violation
 Provider Comments
Violation
The premises were not safe and suitable as evidenced by the diaper pail in the bathroom was not airtight and there were diapers placed in the open bin.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Submit Documentation

Compliance Date

Violation
The premises were not safe and suitable as evidenced by the walls and ceiling in the classroom were not in good condition as evidence that one ceiling tile had water stains and the walls were chipped around the base of the window and the edge wall. .
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
A school-age health report form(s) used was not supplied by the department or did not contain all the required information as evidenced by 1 child with the admission date of 12/5/16 did not have a medical examination report on file.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (2) (E) states: The medical examination report form and the health history report for school-age children shall be supplied by the department or the facility may use its own form if it contains all the information on the department's form.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by required immunizations verifying the type of vaccine and the month, day and year of administration was not on file for 2 children had insufficient immunization records on file child(ren).
Licensing Rule Reference
19 CSR 30-62.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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