DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA EMERSON BRANCH- WALNUT GROVE ELEMENTARY

000233321

(314) 524-1227

1248 N FLORISSANT RD
ST LOUIS
MO  63135

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

3390 PERSHALL RD
ST LOUIS
MO  63135

HATTEN, PHILIP

mark.pacatte@gwrymca.org

Incorporated

KELLY VIVIANO

5 YEARS - 12 YEARS

20

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

10/19/2017

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2316017617


DocumentDocument-Date
DISCIPLINE POLICIES 12/01/1986
SAMPLE WEEKLY MENU 12/01/1986
SAMPLE FORMS 12/01/1986
POLICIES 12/01/1986
JOB RESPONSIBILITIES 12/01/1986
CHILD CARE PRACTICES 12/01/1986
DAILY SCHEDULE 12/01/1986
CERTIFICATE OF GOOD STANDING 09/27/2011
DIRECTOR'S QUALIFICATIONS 10/05/2012
DIRECTOR'S JOB RESPONSIBILITIES 12/01/1986
APPLICATION 10/18/2017
EQUIPMENT LIST 10/18/2017
STAFF SHEET 10/18/2017




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
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
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
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
10/19/2017
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
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