DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-FOUR RIVERS BRANCH-BEAUFORT ELEMENTARY

002369360

(314) 443-4357

3200 HWY 50
BEAUFORT
MO  63013

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

400 GRAND AVE
WASHINGTON
MO  63090-1204

SOUDERS, NANCY

melissa.mueller@gwrymca.org

Incorporated

CARON AHLEMEYER

5 YEARS - 12 YEARS

20

SCHOOL AGE

AFTER SCHOOL CARE ONLY
 
Inspection Information

10/04/2018

2:35 PM

3:31 PM

UNANNOUNCED

COMPLIANCE MONITORING

2341278557


DocumentDocument-Date
CERTIFICATE OF INCORPORATION 08/20/2014
SAMPLE FORMS 08/19/2014
STAFF SHEET 04/11/2018
SAMPLE WEEKLY MENU 08/19/2014
POLICIES 08/19/2014
LOCAL FIRE DEPARTMENT NOTIFICATION 08/13/2014
JOB RESPONSIBILITIES 08/19/2014
DISCIPLINE POLICIES 08/19/2014
LINES OF ADMINISTRATIVE AUTHORITY 08/19/2014
CERTIFICATE OF GOOD STANDING 04/11/2018
ARTICLES OF INCORPORATION 08/19/2014
DAILY SCHEDULE 08/19/2014
CHILD CARE PRACTICES 08/19/2014
REGISTERING FICTITIOUS NAMES 08/06/2014
EQUIPMENT LIST 04/11/2018
APPLICATION 04/11/2018
DIRECTOR'S JOB RESPONSIBILITIES 10/27/2014
DIRECTOR'S QUALIFICATIONS 08/25/2015
DISASTER AND EMERGENCY PREPAREDNESS PLAN 05/10/2018




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 1
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 9
StaffChildClass AgeNote
1 9 SCHOOL AGE 5-years-old to 8-years-old with Nancy Souders

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Initial Licensing Information
Violation
 Provider Comments
Violation
Posting requirements were not met as evidenced by the posted license was outdated.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (3) (O) states: The official license shall be granted for up to two (2) years and may be renewed upon reapplication and reinvestigation. Until the official license is received, the temporary license shall be posted near the entrance of the facility where it may be seen easily by parents or others who visit. Thereafter, the official license shall be posted near the entrance of the facility.
Correction Required
The facility's license shall be posted.

Correction Verification
Submit Documentation

Compliance Date

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
Daily attendance records were not maintained on file as required as evidenced by there was no caregiver/volunteer attendance record.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (7) states: Daily staff and volunteer attendance records shall be maintained and kept on file a minimum of one (1) year.
Correction Required
Caregiver/volunteer attendance records shall be maintained/retained as required.

Correction Verification
Corrected on Site

Compliance Date
10/4/2018
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance