DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-ST CHARLES BRANCH-NULL ELEMENTARY

000176536

(314) 443-6416

435 YALE BLVD
ST CHARLES
MO  63301-5729

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

3900 SHADY SPRINGS LN
ST PETERS
MO  63376

REMPINSKI, AUTUMN MARIE

LAURIE.MCTEARNEN@GWRYMCA.ORG

Incorporated

REGINA WATKINS

5 YEARS - 12 YEARS

32

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

05/17/2018

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2331880859


DocumentDocument-Date
LINES OF ADMINISTRATIVE AUTHORITY 08/24/1983
DAILY SCHEDULE 08/24/1983
CHILD CARE PRACTICES 08/24/1983
POLICIES 08/24/1983
SAMPLE FORMS 08/24/1983
JOB RESPONSIBILITIES 08/24/1983
REGISTERING FICTITIOUS NAMES 05/25/2012
CERTIFICATE OF GOOD STANDING 03/24/2017
EQUIPMENT LIST 03/27/2017
STAFF SHEET 03/27/2017
APPLICATION 03/08/2017
DIRECTOR'S QUALIFICATIONS 12/24/2014




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's disaster plan did not include exit routes to a safe location within the facility.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 2. states: Diagrams that identify exit routes from each area of the facility used for child care to a safe location out of the facility and to a safe location within the facility where children and staff members can stay until the threat of danger passes;
Correction Required
Facilities disaster plan shall include required components.

Correction Verification
Submit Documentation

Compliance Date
4/27/2018
Violation
The facility's disaster plan did not include exit routes to a safe location out of the facility.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 2. states: Diagrams that identify exit routes from each area of the facility used for child care to a safe location out of the facility and to a safe location within the facility where children and staff members can stay until the threat of danger passes;
Correction Required
Facilities disaster plan shall include required components.

Correction Verification
Submit Documentation

Compliance Date
4/27/2018
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
Compliance
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
Violation
 Provider Comments
Violation
1 child(ren) records did not include home telephone number of parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
4/27/2018
Violation
1 child(ren) records did not include home address of parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
4/27/2018
Violation
1 child(ren) records did not include full name of parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
4/27/2018
Violation
1 child(ren) records did not include field trip and transportation authorization.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (F) states: Field trip and transportation authorization.
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
4/27/2018
Violation
Records were not available for inspection by the department upon request as evidenced by there was no record on site for Preethi Eapen.
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
4/27/2018
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance