DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-MID COUNTY BRANCH-IVELAND ELEMENTARY

000168830

(314) 493-6345

1836 DYER AVE
ST LOUIS
MO  63114

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

1900 URBAN DR
ST LOUIS
MO  63144

VORDERSTRASSE, MARY T

LAURIE.MCTEARNEN@GWRYMCA.ORG

Incorporated

SHALINDA WALLACE

5 YEARS - 12 YEARS

32

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

11/30/2017

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2318896179


DocumentDocument-Date
APPLICATION 11/10/2014
EQUIPMENT LIST 11/10/2014
STAFF SHEET 11/10/2014
ARTICLES OF INCORPORATION 01/02/2004
CERTIFICATE OF INCORPORATION 01/02/2004
CERTIFICATE OF GOOD STANDING 11/10/2014
CHILD CARE PRACTICES 01/06/1984
DAILY SCHEDULE 12/05/1983
DIRECTOR'S JOB RESPONSIBILITIES 12/05/1983
DIRECTOR'S QUALIFICATIONS 03/25/2013
DISCIPLINE POLICIES 01/06/1984
JOB RESPONSIBILITIES 01/06/1984
LINES OF ADMINISTRATIVE AUTHORITY 01/02/2004
POLICIES 05/01/1992
SAMPLE WEEKLY MENU 12/05/1983
SAMPLE FORMS 12/05/1983




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 was not on file for James Gardner 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
11/28/2017
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