DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

MEXICO AREA FAMILY YMCA, INC.

001379995

(573) 581-1540

1127 ADAMS ST
MEXICO
MO  65265-2288

MEXICO AREA FAMILY YMCA, INC.



 

BOYCE, TAYLOR

LORI.BRANDOW@MEXICOYMCA.ORG

Incorporated

CYNTHIA D MADDOX

5 YEARS - 10 YEARS

45

GROUP HOME AND CENTER

 
Inspection Information

08/24/2017

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2312386177


DocumentDocument-Date
APPLICATION 07/13/2017
SANITATION INSPECTION 08/08/2017
POLICIES 08/07/2017
CERTIFICATE OF GOOD STANDING 07/25/2017
CHILD CARE PRACTICES 08/07/2017
DIAGRAM/INDOOR 07/25/2017
DIAGRAM/OUTDOOR 08/07/2017
DISCIPLINE POLICIES 08/07/2017
ARTICLES OF INCORPORATION 07/25/2017
SAMPLE FORMS 08/07/2017




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
Violation
 Provider Comments
Violation
The daily schedule was not submitted.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (3) (D) 4. states: A schedule of daily activities for each age group in care (infant/toddler, preschool and school-age);
Correction Required
The facility shall submit a daily schedule, for each age group, as required for licensing.

Correction Verification
Submit Documentation

Compliance Date
8/23/2017
Violation
A sample weekly menu was not submitted
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (3) (D) 5. states: A sample weekly menu;
Correction Required
The facility shall submit a sample weekly menu as required for licensing.

Correction Verification
Submit Documentation

Compliance Date
8/23/2017
Violation
The equipment list was not submitted.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (3) (D) 6. states: An itemized list of available materials and equipment to be used by children;
Correction Required
The facility shall submit an equipment list as required for licensing.

Correction Verification
Submit Documentation

Compliance Date
8/23/2017
Violation
The staff sheet was not submitted.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (3) (D) 8. states: A staff sheet;
Correction Required
The facility shall submit a staff sheet as required for licensing.

Correction Verification
Submit Documentation

Compliance Date
8/23/2017
Violation
Evidence of local zoning approval was not received.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (3) (D) 13. states: Evidence of compliance, if applicable, with local building and zoning requirements;
Correction Required
Prior to the granting of a license, the facility shall submit evidence of compliance with local building/zoning requirements.

Correction Verification
Submit Documentation

Compliance Date
8/23/2017
Violation
Written policies and procedures were not submitted.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (3) (D) 15. states: Written policies and procedures which clearly establish job responsibilities and lines of administrative authority. This shall include a statement of the kind and extent of authority and the duties delegated to the director employed to carry out the program;
Correction Required
The facility shall submit written policies and procedures, including job responsibilities, as required for licensing.

Correction Verification
Submit Documentation

Compliance Date
8/23/2017
Violation
The provider had no evidence that fire safety requirements had been met.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (3) (E) states: Prior to the granting of a license, the provider shall meet the requirements of 19 CSR 30-62.087 Fire Safety.
Correction Required
Prior to the granting of a license, the facility shall meet fire safety requirements.

Correction Verification
Submit Documentation

Compliance Date
8/23/2017
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, or center director or group day care home provider: Patrick Ryan, board chairman.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (3) (J) states: The facility owner(s), board president or chairperson and the center director or group day care home provider shall be screened for child abuse/neglect prior to initial issuance of the license.
Correction Required
Required requests/results of current background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
8/23/2017
Violation
The provider did not meet requirements for requests/results of background reviews for personnel as evidenced by there was no request/result of a current background check on file. Reviews were missing/out of date for the following personnel/volunteers All teachers at the facility.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (3) (K) states: The child abuse/neglect screening request form shall be submitted to the department for all personnel employed during child care hours, with a copy on file at the facility.
Correction Required
Required requests/results of current background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
8/23/2017
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 30-62.087 Fire Safety
Compliance
19 CSR 30-62.090 Disaster and Emergency Preparedness
Violation
 Provider Comments
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
8/23/2017
19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
The requirements for first aid and CPR training were not met as evidenced by there was no documentation on file showing completion of CPR certification.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (O) states: The licensee shall have documentation on file at the facility of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training for a sufficient number of child care staff to ensure that there is one (1) caregiver at the facility for every twenty (20) children in the licensed capacity. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification and approved by the department. First aid/CPR training may count toward the annual clock hour training requirement.
Correction Required
Required certification in first aid/CPR shall be on file. At least one caregiver with the certification shall be on site as required.

Correction Verification
Submit Documentation

Compliance Date
8/23/2017
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
Violation
 Provider Comments
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 24 child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 8. F. states: They have been notified that they may request notice at initial enrollment in or attendance at the facility or upon request of whether there are children for whom an immunization exemption has been filed currently enrolled in or attending the facility
Correction Required
Child enrollment information shall be completed and on file as requested.

Correction Verification
Submit Documentation

Compliance Date
8/23/2017
19 CSR 30-62.142 Nighttime Care
Compliance
19 CSR 30-62.152 Hourly Care Facilities
Compliance
19 CSR 30-62.162 Overlap Care of Children
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 for 4 children immunization record(s) was/were not on file .
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
8/23/2017
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
12 child(ren) records did not include work telephone number 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
8/23/2017
Violation
6 child(ren) records did not include address of another individual who might be reached in an emergency.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
8/23/2017
Violation
14 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
8/23/2017
Violation
10 child(ren) records did not include work schedule 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
8/23/2017
Violation
2 child(ren) records did not include telephone number of another individual who might be reached in an emergency.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
8/23/2017
Violation
2 child(ren) records did not include name 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
8/23/2017
Violation
4 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
8/23/2017
Violation
5 child(ren) records did not include name of individual authorized to take the child from the facility.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (E) states: Name of the individual(s) authorized to take the child from the facility;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
8/23/2017
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance