DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-JEFFERSON COUNTY BRANCH- ATHENA ELEMENTARY

000344998

(636) 586-5287

3775 ATHENA SCHOOL RD
DE SOTO
MO  63020

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

1303 YMCA DR
FESTUS
MO  63028

FAIRCHILD, MYRNA KATHLEEN

LAURIE.MCTEARNEN@GWRYMCA.ORG

Incorporated

ALYSSA MARIE RILEY

5 YEARS - 12 YEARS

48

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

10/15/2018

3:30 PM

4:05 PM

UNANNOUNCED

COMPLIANCE MONITORING

2341843149


DocumentDocument-Date
ARTICLES OF INCORPORATION 09/13/2011
POLICIES 08/24/2009
DAILY SCHEDULE 08/24/2009
SAMPLE WEEKLY MENU 08/24/2009
CHILD CARE PRACTICES 08/24/2009
SAMPLE FORMS 08/24/2009
JOB RESPONSIBILITIES 08/24/2009
LINES OF ADMINISTRATIVE AUTHORITY 08/24/2009
DIRECTOR'S QUALIFICATIONS 02/20/2013
REGISTERING FICTITIOUS NAMES 03/05/2013
CERTIFICATE OF GOOD STANDING 03/05/2013
STAFF SHEET 03/06/2015
EQUIPMENT LIST 04/18/2017
APPLICATION 03/06/2015




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 3
Total Children 18
StaffChildClass AgeNote
3 18 SCHOOL AGE 5 years-11 years with Ms. Christin, Ms. Elizabeth, and Ms. Myrna

 
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
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by 1 immunization record(s) was/were not on file .
Licensing Rule Reference
19 CSR 30-62.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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