DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA EMERSON BRANCH BARRINGTON ELEMENTARY

000476131

(314) 953-4050

15600 OLDS HALLS FERRY RD
FLORISSANT
MO  63034

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

3390 PERSHALL RD
ST LOUIS COUNTY
MO  63135

PACATTE, MARK GERARD

mark.pacatte@gwrymca.org

Incorporated

DEBBIE ASHLOCK

5 YEARS - 13 YEARS

32

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

12/06/2017

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2315614778


DocumentDocument-Date
LINES OF ADMINISTRATIVE AUTHORITY 03/26/2012
JOB RESPONSIBILITIES 03/26/2012
DIRECTOR'S QUALIFICATIONS 05/11/2012
CHILD CARE PRACTICES 03/26/2012
SAMPLE WEEKLY MENU 03/26/2012
DAILY SCHEDULE 03/26/2012
DISCIPLINE POLICIES 03/26/2012
REGISTERING FICTITIOUS NAMES 06/07/2012
DIRECTOR'S JOB RESPONSIBILITIES 01/25/1985
CERTIFICATE OF INCORPORATION 01/25/1985
ARTICLES OF INCORPORATION 01/25/1985
LOCAL FIRE DEPARTMENT NOTIFICATION 11/12/2008
SAMPLE FORMS 01/25/1985
POLICIES 03/26/2012
CERTIFICATE OF GOOD STANDING 04/21/2016
APPLICATION 04/21/2016
STAFF SHEET 04/21/2016
EQUIPMENT LIST 04/21/2016




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
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
Violation
 Provider Comments
Violation
The facility did not review with staff their duties and responsibilities in the event of an emergency.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (3) (B) 1. states: Staff duties and responsibilities in the event of an emergency;
Correction Required
Facility must review emergency plan with staff as required.

Correction Verification
Submit Documentation

Compliance Date
10/31/2017
Violation
The facility did not review with staff disaster procedures in the various possible emergency situations.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (3) (B) 2. states: Disaster drill procedures such as fire drill, tornado drill, carbon monoxide exposure, power failure, bomb threat, chemical spill, intruder training, and CPR or other medical procedures;
Correction Required
Facility must review emergency plan with staff as required.

Correction Verification
Submit Documentation

Compliance Date
10/31/2017
Violation
The facility did not review with staff use of and response to fire alarms.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (3) (B) 3. states: The use of and response to fire alarms;
Correction Required
Facility must review emergency plan with staff as required.

Correction Verification
Submit Documentation

Compliance Date
10/31/2017
Violation
The facility did not review with staff use of fire extinguishers.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (3) (B) 4. states: The use of fire extinguishers.
Correction Required
Facility must review emergency plan with staff as required.

Correction Verification
Submit Documentation

Compliance Date
10/31/2017
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
Medical examination report was not on file for Gloria McCullough as evidenced by the medical examination was not signed by the required medical source.
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
10/31/2017
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
10/31/2017
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
Compliance
19 CSR 30-62.202 Nutrition and Food Service
Violation
 Provider Comments
Violation
The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by 1 child was eating chips for snack that were left over from their lunch.
Licensing Rule Reference
19 CSR 30-62.202 Nutrition and Food Service (1) (A) states: The provider shall supply and serve nourishing food according to the Meal and Snack Food Chart provided in this rule.
Correction Required
Nourishing food shall be provided as required.

Correction Verification
Return Inspection

Compliance Date
10/31/2017
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