DHSS MO
MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES

SECTION FOR CHILD CARE REGULATION

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

OZARKS FAMILY YMCA, INC.

001518594

(417) 935-2177

315 E CENTER
SEYMOUR
MO  65746

OZARKS FAMILY YMCA, INC.

PO BOX 640
SEYMOUR
MO  65746-0640

OUTERSKY, MEGAN


moutersky@ofymca.org

Incorporated


ELAINE S COX

5 YEARS - 12 YEARS

35

GROUP HOME AND CENTER

 
Inspection Information

05/01/2018

3:24 PM

4:02 PM

UNANNOUNCED

COMPLIANCE MONITORING

2319527139


DocumentDocument-Date
LOCAL FIRE DEPARTMENT NOTIFICATION 01/02/2018
JOB RESPONSIBILITIES 12/22/2011
SAMPLE WEEKLY MENU 05/30/2006
LINES OF ADMINISTRATIVE AUTHORITY 05/30/2006
DAILY SCHEDULE 05/30/2006
DIRECTOR'S QUALIFICATIONS 01/12/2012
DIAGRAM/OUTDOOR 01/06/2012
DIAGRAM/INDOOR 01/06/2012
STAFF SHEET 12/06/2017
EQUIPMENT LIST 12/06/2017
SANITATION INSPECTION 10/26/2017
FIRE/SAFETY INSPECTION 11/06/2017
APPLICATION 11/29/2017
DISCIPLINE POLICIES 05/30/2006
CHILD CARE PRACTICES 04/26/2006
CERTIFICATE OF GOOD STANDING 10/21/2014
ARTICLES OF INCORPORATION 07/20/1992
LOCAL ZONING APPROVAL 01/10/2018
LOCAL BUILDING APPROVAL 01/10/2018




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 3
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.
Attendance at Time of Inspection
Total Staff 1
Total Children 10
StaffChildClass AgeNote
1 10 SCHOOL AGE

 
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 30-62.087 Fire Safety
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 for Alexis Booth, Emily Cantrell and Megan Outersky.
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

19 CSR 30-62.132 Admission Policies and Procedures
Compliance
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
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
Violation
 Provider Comments
Violation
1 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

Violation
1 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

RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance