DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

GRAND RIVER AREA FAMILY YMCA INC

002547391

(660) 542-0011

207 E 9TH ST
CARROLLTON
MO  64633-2342

GRAND RIVER AREA FAMILY YMCA, INC.

PO BOX 184
CARROLLTON
MO  64633-0184

CRAIG, TERESA

KLOCK@CARROLLCOUNTYAREAYMCA.ORG

Incorporated

JILL EILEEN ZEIGENBEIN

5 YEARS - 12 YEARS

30

SCHOOL AGE

 
Inspection Information

02/13/2018

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2315534014


DocumentDocument-Date
LOCAL FIRE DEPARTMENT NOTIFICATION 08/04/2016
DIRECTOR'S QUALIFICATIONS 09/09/2014
DIRECTOR'S JOB RESPONSIBILITIES 09/09/2014
DAILY SCHEDULE 09/15/2014
CHILD CARE PRACTICES 06/29/2015
DISCIPLINE POLICIES 06/29/2015
ARTICLES OF INCORPORATION 09/09/2015
CERTIFICATE OF GOOD STANDING 08/04/2016
SAMPLE WEEKLY MENU 08/04/2016
JOB RESPONSIBILITIES 09/09/2015
LINES OF ADMINISTRATIVE AUTHORITY 08/04/2016
STAFF SHEET 07/22/2016
EQUIPMENT LIST 07/22/2016
POLICIES 06/29/2016
APPLICATION 05/25/2016




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 name, address and telephone number of the owner, board president or chairperson, or his/her designee was not prominently posted near the license.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (3) (R) states: The name(s), address(es) and telephone number(s) of the facility owner(s), or the board president or chairperson, or his/her designee shall be posted prominently near the license.
Correction Required
The name, address, and phone number of the owner/board president/chairperson/designee shall be posted.

Correction Verification
Submit Documentation

Compliance Date
10/16/2017
Violation
Posting requirements were not met as evidenced by the SCCR office information was not posted.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (3) (P) states: The address and telephone number of the Child Care Licensing Unit shall be posted near the license.
Correction Required
The facility's local SCCR office address and phone number shall be posted.

Correction Verification
Submit Documentation

Compliance Date
10/16/2017
Violation
Posting requirements were not met as evidenced by the license was not posted near the entrance.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (3) (O) states: The official license shall be granted for up to two (2) years and may be renewed upon reapplication and reinvestigation. Until the official license is received, the temporary license shall be posted near the entrance of the facility where it may be seen easily by parents or others who visit. Thereafter, the official license shall be posted near the entrance of the facility.
Correction Required
The facility's license shall be posted.

Correction Verification
Submit Documentation

Compliance Date
10/16/2017
19 CSR 30-62.052 License Renewal
Compliance
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The premises were not safe and suitable as evidenced by fire and disaster drills were not conducted monthly.
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
1/19/2018
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
Violation
 Provider Comments
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: Teresa Craig, CJ, Tyler Anderson and Board President.
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
12/28/2017
Violation
The requirements for first aid and CPR training were not met as evidenced by there was no documentation on file showing completion of first aid 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
10/16/2017
Violation
The director is not routinely on duty as required, as evidenced by he is no longer employed.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (2) (A) 2. states: Center directors and group day care home providers routinely shall be on duty during the hours of highest attendance a minimum of forty (40) hours per week. If the facility operates less than forty (40) hours per week, the center director or group day care home provider shall be on duty at least fifty percent (50%) of the operating hours.
Correction Required
The director/group day care home provider shall be routinely on duty as required.

Correction Verification
Submit Documentation

Compliance Date
9/26/2017
19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form.
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
10/17/2017
Violation
Medical examination report was not on file for Teresa Craig, Tyler Anderson and CJ 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
10/17/2017
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 three 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
1/22/2018
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
Records were not available for inspection by the department upon request as evidenced by no staff records were available for review.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (16) states: All records shall be available in the facility for inspection by the department upon request.
Correction Required
Records shall be available at the facility for inspection.

Correction Verification
Submit Documentation

Compliance Date
1/29/2018
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance