DHSS MO
MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES

SECTION FOR CHILD CARE REGULATION

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

OZARKS FAMILY YMCA, INC.

001518594

(417) 935-2177

315 E CENTER
SEYMOUR
MO  65746

OZARKS FAMILY YMCA, INC.

PO BOX 640
SEYMOUR
MO  65746-0640


CHAMBERS, DEREK AUSTIN

dchambers@ofymca.org

Incorporated


GINA HOHENSEE

6 YEARS - 11 YEARS

35

GROUP HOME AND CENTER

 
Inspection Information

08/15/2017

3:01 PM

4:00 PM

UNANNOUNCED

REINSPECTION

2311369351


DocumentDocument-Date
JOB RESPONSIBILITIES 12/22/2011
SAMPLE WEEKLY MENU 05/30/2006
LINES OF ADMINISTRATIVE AUTHORITY 05/30/2006
DAILY SCHEDULE 05/30/2006
DIRECTOR'S QUALIFICATIONS 01/12/2012
DIAGRAM/OUTDOOR 01/06/2012
DIAGRAM/INDOOR 01/06/2012
FIRE/SAFETY INSPECTION 09/25/2015
APPLICATION 11/05/2015
EQUIPMENT LIST 11/05/2015
SANITATION INSPECTION 10/30/2015
STAFF SHEET 12/15/2015




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 13
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 1
Total Children 5
StaffChildClass AgeNote
1 5 SCHOOL AGE

 
19 CSR 30-62.032 Organization and Administration
Not Observed
19 CSR 30-62.042 Initial Licensing Information
Not Observed
19 CSR 30-62.052 License Renewal
Not Observed
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
All floors of a building used for child care was not approved by the State Fire Marshall as evidenced by May 2016 inspection report shows facility was not approved.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 1. states: Any floor of a building used for child care shall be approved by the State Fire Marshal or his/her designee.
Correction Required
All floors shall be approved by the State Fire Marshal.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.087 Fire Safety
Not Observed
19 CSR 30-62.090 Disaster and Emergency Preparedness
Violation
 Provider Comments
Violation
The facility's written emergency plan did not include plans for medical and non-medical emergencies and disaster situations.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (A) 1. states: Medical and non-medical emergencies and disaster situations that could pose a hazard to staff and children, such as a fire, tornado, flood, chemical spill, exposure to carbon monoxide, power failure, bomb threat, person coming to the facility whose health or behavior may be harmful to a child or staff member, or kidnapping or missing child;
Correction Required
Facility emergency plan must include required components.

Correction Verification
Submit Documentation

Compliance Date
8/15/2017
Violation
The facility's written emergency plan did not include plans for evacuation from the facility.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (A) 2. states: Evacuation from the facility in the event of a disaster or an emergency that could cause damage to the facility or pose a hazard to the staff and children;
Correction Required
Facility emergency plan must include required components.

Correction Verification
Submit Documentation

Compliance Date
8/15/2017
Violation
The facility's written emergency plan did not include plans for lock-down procedures.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (A) 3. states: Lock-down procedures in situations that may result in harm to persons inside the facility such as a shooting, hostage incident, intruder, trespassing, or disturbance or to be used at the discretion of the director, designee, or public safety personnel;
Correction Required
Facility emergency plan must include required components.

Correction Verification
Submit Documentation

Compliance Date
8/15/2017
Violation
The facility has not developed, implemented or maintained policies and procedures for responding to a disaster emergency.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (A) states: The facility shall develop, implement, and maintain policies and procedures for responding to a disaster emergency, including a written plan for:
Correction Required
Facility must have plan on file as required.

Correction Verification
Submit Documentation

Compliance Date
8/15/2017
Violation
The facility's written plan does not consider the age or physical/mental abilities of children in care.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (B) 1. states: The age and physical and mental abilities of the children;
Correction Required
Facilities emergency plan should consider all contingencies.

Correction Verification
Submit Documentation

Compliance Date
8/15/2017
Violation
The facility's written plan does not consider the types of services currently offered to children in care.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (B) 2. states: The types of services offered, including whether the facility provides care for nonambulatory children or overnight care;
Correction Required
Facilities emergency plan should consider all contingencies.

Correction Verification
Submit Documentation

Compliance Date
8/15/2017
Violation
The facility's written plan does not consider the types of disasters or emergencies likely to affect the facility.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (B) 3. states: The types of disasters or emergencies likely to affect the area;
Correction Required
Facilities emergency plan should consider all contingencies.

Correction Verification
Submit Documentation

Compliance Date
8/15/2017
Violation
The facility's written plan does not consider the requirements of the Division of Fire Safety and the DHSS's The ABC's of Emergency Preparedness Ready in 3 Program.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (B) 4. states: The requirements of the Division of Fire Safety and the Department of Health and Senior Services' The ABC's of Emergency Preparedness Ready in 3 Program (2006), which is incorporated by reference and is published by the Department of Health and Senior Services, Center for Emergency Response and Terrorism, PO Box 570, Jefferson City, MO 65102-0570, telephone number 573-526-4768, and is available at www.health.mo.gov, and advice from the Red Cross or other health and emergency professionals. This rule does not include any later amendments or additions; and
Correction Required
Facilities emergency plan should consider all contingencies.

Correction Verification
Submit Documentation

Compliance Date
8/15/2017
Violation
The facility's written plan does not consider the need for ongoing communication with other agencies.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (B) 5. states: The need for ongoing communication and data sharing with other types of agencies providing services to children and with state and local disaster emergency management agencies.
Correction Required
Facilities emergency plan should consider all contingencies.

Correction Verification
Submit Documentation

Compliance Date
8/15/2017
Violation
The facility's lock-down procedures did not include announcement of lock-down by the director or designee.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 5. A. states: An announcement of the lockdown by the director or designee. The alert may be made using a pre-selected code word;
Correction Required
The facilities lockdown procedure does not require required components.

Correction Verification
Submit Documentation

Compliance Date
8/15/2017
Violation
The facility's lock-down procedures did not include children kept in their classroom or other designated area.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 5. B. states: In a lock-down situation, staff shall keep children in their rooms or other designated location that are away from the danger;
Correction Required
The facilities lockdown procedure does not require required components.

Correction Verification
Submit Documentation

Compliance Date
8/15/2017
Violation
The facility's lock-down procedures did not include staff accounting for children and ensuring no one leaves until given an 'all-clear'.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 5. C. states: Staff is responsible for accounting for children and ensuring that no one leaves the room or safe area until 'all clear' is announced.
Correction Required
The facilities lockdown procedure does not require required components.

Correction Verification
Submit Documentation

Compliance Date
8/15/2017
Violation
The facility's disaster plan did not identify the staff responsible for implementing the plan and ensuring the safety of children.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) states: At a minimum, a disaster and emergency plan shall identify the staff members responsible for implementing the plan and ensuring the safety of the children and shall include:
Correction Required
Facilities disaster plan shall include required components.

Correction Verification
Submit Documentation

Compliance Date
8/15/2017
Violation
The facility's disaster plan did not include the location of child's attendance record.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 1. states: The location of the child's attendance record and emergency information and emergency supplies;
Correction Required
Facilities disaster plan shall include required components.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility's disaster plan did not include location of emergency supplies.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 1. states: The location of the child's attendance record and emergency information and emergency supplies;
Correction Required
Facilities disaster plan shall include required components.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility's disaster plan did not include location of emergency information.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 1. states: The location of the child's attendance record and emergency information and emergency supplies;
Correction Required
Facilities disaster plan shall include required components.

Correction Verification
Submit Documentation

Compliance Date
8/15/2017
Violation
The facility's disaster plan did not include exit routes to a safe location within the facility.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 2. states: Diagrams that identify exit routes from each area of the facility used for child care to a safe location out of the facility and to a safe location within the facility where children and staff members can stay until the threat of danger passes;
Correction Required
Facilities disaster plan shall include required components.

Correction Verification
Submit Documentation

Compliance Date
8/15/2017
Violation
The facility’s emergency procedure plan did not include details for relocation.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 4. G. states: Relocation of building occupants as detailed in the emergency plan, including individuals with special needs, such as nonambulatory children and children who sleep overnight, if applicable;
Correction Required
Facilities emergency procedure must include required components.

Correction Verification
Submit Documentation

Compliance Date
8/15/2017
Violation
The facility's emergency procedure plan did not include system of parental notification and re-unification.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 4. H. states: System of contact for parents of children and notification of parents of the plan to assist in re-unification;
Correction Required
Facilities emergency procedure must include required components.

Correction Verification
Submit Documentation

Compliance Date
8/15/2017
Violation
The facility’s disaster plan did not include disaster and emergency procedures to be followed.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 4. states: The disaster drill and emergency procedures to be followed, which include but are not limited to the following:
Correction Required
Facilities disaster plan shall include required components.

Correction Verification
Submit Documentation

Compliance Date
8/15/2017
Violation
The facility's emergency procedure plan did not include use of alarms.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 4. A. states: Use of alarms to warn other building occupants and summon staff;
Correction Required
Facilities emergency procedure must include required components.

Correction Verification
Submit Documentation

Compliance Date
8/15/2017
Violation
The facility’s emergency procedure plan did not include emergency call to the fire department.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 4. B. states: Emergency telephone call to the fire department;
Correction Required
Facilities emergency procedure must include required components.

Correction Verification
Submit Documentation

Compliance Date
8/15/2017
Violation
The facility's emergency procedure plan did not include response to alarms.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 4. C. states: Response to alarms;
Correction Required
Facilities emergency procedure must include required components.

Correction Verification
Submit Documentation

Compliance Date
8/15/2017
Violation
The facility's emergency procedure plan did not include isolation of a fire.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 4. D. states: Isolation of a fire, including confinement by closing doors to the fire area;
Correction Required
Facilities emergency procedure must include required components.

Correction Verification
Submit Documentation

Compliance Date
8/15/2017
Violation
The facility's emergency procedure plan did not include evacuation of the immediate area.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 4. E. states: Evacuation of the immediate area;
Correction Required
Facilities emergency procedure must include required components.

Correction Verification
Submit Documentation

Compliance Date
8/15/2017
Violation
The facility's emergency procedure plan did not include two off-site locations.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 4. F. states: Two (2) off-site locations identified as meeting places in case of evacuation;
Correction Required
Facilities emergency procedure must include required components.

Correction Verification
Submit Documentation

Compliance Date
8/15/2017
Violation
The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by outdated plan was the only available plan in the center.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (A) states: At all times, a copy of the facility's disaster and emergency plan is readily available in the office area and in each room used for care of children;
Correction Required
The facilities disaster and emergency plan must be available in required locations.

Correction Verification
Submit Documentation

Compliance Date
8/15/2017
Violation
The facility's special instructions for infants and non-ambulatory children were not posted in each room.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (B) 3. states: Any special instructions for infants and non-ambulatory children;
Correction Required
Facility must post information as required.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.092 Furniture, Equipment and Materials
Not Observed
19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
A caregiver under 18 years of age was counted in meeting the required staff/child ratios. The individual was 17 years old years old.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (C) states: Individuals eighteen (18) years of age or older shall be counted in meeting the required staff/child ratios.
Correction Required
Caregivers shall be 18 years of age or older.

Correction Verification
Submit Documentation

Compliance Date
8/15/2017
Violation
The provider did not meet requirements for requests/results of background reviews. Reviews were missing/out of date for the following volunteers counted in staff/child ratio, caregivers or other personnel: Tammy Hendrix and Alexis Booth did not have background .
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (K) states: Volunteers counted in staff/child ratios, caregivers, and other personnel shall be screened for child abuse/neglect. The screening shall be requested by the provider within ten (10) days of any individual beginning employment or volunteering in the facility. Any investigated allegation of child abuse or neglect involving these persons in which the investigator finds reasonable cause to believe that the individual is the alleged perpetrator of child abuse or neglect shall be evaluated by the department. After review, the department may prohibit the person from being present in the facility during child care hours. A copy of the screening request and the response shall be filed in the employee's record.
Correction Required
Required requests/results of current background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

Violation
The provider did not meet requirements for requests/results of background reviews. Reviews were missing/out of date for the following owner(s), board president or chairperson, center director or group day care home provider, employees or volunteers counted in staff/child ration: Alexis Booth and Tammy Hendrix .
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (L) . states: The child care provider shall request and have on file the results of a criminal record review from the Missouri State Highway Patrol as defined by 19 CSR 30-62.042 Initial Licensing Information and 19 CSR 30-62.052 License Renewal. The child care provider shall request a criminal record review within ten (10) days following a change of the facility owner(s), board president or chairperson, the center director or group day care home provider, employees of the provider, or volunteers counted in staff/child ratios. The department may request a criminal record review from the Missouri State Highway Patrol for any adult present in the facility when child care children are present. The criminal record reviews shall include records of criminal convictions, pending criminal charges, and suspended imposition of sentence during the term of probation. Requests for criminal record reviews shall be made on a form provided by the highway patrol.
Correction Required
Required requests/results of current background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

Violation
The Day care center director was not certified by the Section for Child Care Regulation as evidence by Veronica has been the director since prior to 30 days, but is not certified and approved as the Director.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (2) (B) 3. B. states: Day care center directors employed after the effective date of these rules shall meet the following education or experience requirements, or both, as determined by the licensed capacity of the center in which they are to serve:
Correction Required
The director of the facility shall be certified by the Section for Child Care Regulation.

Correction Verification
Submit Documentation

Compliance Date

Violation
The requirements for documentation of 12 clock hours of annual training were not met as evidenced by there were insufficient training documents on file. The staff listed need the following documentation: Veronica Cummins 12 hrs. for 2016; Sondra needs 12 hrs. for 2016..
Licensing Rule Reference
19 CSR 30-62.102 Personnel (3) (A) states: The center director, group day care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each year of employment in training which is approved by the department in - health, safety, nutrition, guidance and discipline, appropriate activities and learning experiences for children, positive communication and interaction with parents, planning and setting up an appropriate environment for children, professional and administrative practices, or other child related areas.
Correction Required
Required training hours shall be documented for each employee.

Correction Verification
Submit Documentation

Compliance Date

Violation
The provider did not meet requirements for requests/results of background reviews. Reviews were missing/out of date for the following owner(s), board president or chairperson, center director or group day care home provider, employees or volunteers counted in staff/child ration: Emily Cantrel.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (L) . states: The child care provider shall request and have on file the results of a criminal record review from the Missouri State Highway Patrol as defined by 19 CSR 30-62.042 Initial Licensing Information and 19 CSR 30-62.052 License Renewal. The child care provider shall request a criminal record review within ten (10) days following a change of the facility owner(s), board president or chairperson, the center director or group day care home provider, employees of the provider, or volunteers counted in staff/child ratios. The department may request a criminal record review from the Missouri State Highway Patrol for any adult present in the facility when child care children are present. The criminal record reviews shall include records of criminal convictions, pending criminal charges, and suspended imposition of sentence during the term of probation. Requests for criminal record reviews shall be made on a form provided by the highway patrol.
Correction Required
Required requests/results of current background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

Violation
The provider did not meet requirements for requests/results of background reviews. Reviews were missing/out of date for the following volunteers counted in staff/child ratio, caregivers or other personnel: Emily does not have a background check.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (K) states: Volunteers counted in staff/child ratios, caregivers, and other personnel shall be screened for child abuse/neglect. The screening shall be requested by the provider within ten (10) days of any individual beginning employment or volunteering in the facility. Any investigated allegation of child abuse or neglect involving these persons in which the investigator finds reasonable cause to believe that the individual is the alleged perpetrator of child abuse or neglect shall be evaluated by the department. After review, the department may prohibit the person from being present in the facility during child care hours. A copy of the screening request and the response shall be filed in the employee's record.
Correction Required
Required requests/results of current background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.112 Staff/Child Ratios
Violation
 Provider Comments
Violation
Caregiver-child ratio requirements were not met as evidenced by 8 children ages 6-years old to 12 years old were cared for by 17-years old caregiver(s).
Licensing Rule Reference
19 CSR 30-62.112 Staff/Child Ratios (1) (D) states: Ages Five (5) and Up. Groups composed solely of five (5)-year olds and older shall have no less than one (1) adult to every sixteen (16) children;
Correction Required
Correct caregiver-child ratios shall be maintained.

Correction Verification
Return Inspection

Compliance Date
8/15/2017
Violation
Caregiver-child ratio requirements were not met as evidenced by 4 children ages 6-year olds to 12 year olds were cared for by 0 caregiver(s).
Licensing Rule Reference
19 CSR 30-62.112 Staff/Child Ratios (1) (D) states: Ages Five (5) and Up. Groups composed solely of five (5)-year olds and older shall have no less than one (1) adult to every sixteen (16) children;
Correction Required
Correct caregiver-child ratios shall be maintained.

Correction Verification
Return Inspection

Compliance Date

19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report was not on file for Alexis Booth and Emily Cantrell as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Alexis Booth and Emily C.
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

19 CSR 30-62.132 Admission Policies and Procedures
Not Observed
19 CSR 30-62.142 Nighttime Care
Not Observed
19 CSR 30-62.152 Hourly Care Facilities
Not Observed
19 CSR 30-62.162 Overlap Care of Children
Not Observed
19 CSR 30-62.172 Emergency School Closings
Not Observed
19 CSR 30-62.182 Child Care Program
Not Observed
19 CSR 30-62.192 Health Care
Not Observed
19 CSR 30-62.202 Nutrition and Food Service
Not Observed
19 CSR 30-62.212 Transportation and Field Trips
Not Observed
19 CSR 30-62.222 Records and Reports
Violation
 Provider Comments
Violation
2 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
8/15/2017
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Not Observed