DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-SOUTH COUNTY BRANCH-FORDER ELEMENTARY

000186310

(314) 467-5688

623 W RIPA AVE
ST LOUIS
MO  63125

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

12736 SOUTHFORK RD
ST LOUIS
MO  63128

WILLIAMS, DEBRA LYNN

LAURIE.MCTEARNEN@GWRYMCA.ORG

Incorporated

ANGELA CLARK

5 YEARS - 12 YEARS

40

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

06/29/2018

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2334683811


DocumentDocument-Date
APPLICATION 04/04/2018
EQUIPMENT LIST 05/10/2018
STAFF SHEET 04/04/2018
SAMPLE WEEKLY MENU 09/04/1985
SAMPLE FORMS 09/04/1985
POLICIES 09/04/1985
LINES OF ADMINISTRATIVE AUTHORITY 09/04/1985
JOB RESPONSIBILITIES 09/04/1985
DISCIPLINE POLICIES 09/04/1985
DIRECTOR'S JOB RESPONSIBILITIES 09/04/1985
DAILY SCHEDULE 09/04/1985
CERTIFICATE OF INCORPORATION 02/25/1998
ARTICLES OF INCORPORATION 02/25/1998
CHILD CARE PRACTICES 09/04/1985
DIRECTOR'S QUALIFICATIONS 01/09/2007
CERTIFICATE OF GOOD STANDING 04/15/2014




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
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
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 name 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
5/18/2018
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
5/18/2018
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
5/18/2018
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance