DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA - FOUR RIVERS BRANCH - CENTRAL ELEMENTARY

000237836

(314) 239-5704

207 JEFFERSON AVE
UNION
MO  63084

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

400 GRAND AVE
WASHINGTON
MO  63090

MUELLER, MELISSA

melissa.mueller@gwrymca.org

Incorporated

LEATRICE L DIXON

5 YEARS - 13 YEARS

49

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

08/28/2018

3:15 PM

4:48 PM

UNANNOUNCED

COMPLIANCE MONITORING

2338458500


DocumentDocument-Date
DISASTER AND EMERGENCY PREPAREDNESS PLAN 02/26/2018
LINES OF ADMINISTRATIVE AUTHORITY 08/27/2001
JOB RESPONSIBILITIES 08/27/2001
CERTIFICATE OF INCORPORATION 02/06/2003
ARTICLES OF INCORPORATION 02/06/2003
CHILD CARE PRACTICES 08/27/2001
SAMPLE WEEKLY MENU 02/06/2007
DAILY SCHEDULE 02/06/2007
POLICIES 08/27/2001
DIRECTOR'S QUALIFICATIONS 10/25/2016
STAFF SHEET 01/30/2017
EQUIPMENT LIST 01/30/2017
APPLICATION 02/07/2017




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.
Attendance at Time of Inspection
Total Staff 3
Total Children 37
StaffChildClass AgeNote
3 37 SCHOOL AGE Melissa Mueller, Samantha Gardner and Holly Force with children ages 5 to 12 years

 
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 special instructions for infants and non-ambulatory children were not posted in each room.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (B) 3. states: Any special instructions for infants and non-ambulatory children;
Correction Required
Facility must post information as required.

Correction Verification
Corrected on Site

Compliance Date
8/28/2018
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 employers' 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
Corrected on Site

Compliance Date
8/28/2018
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance