DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

Y-CARE @ THE Y

000341946

(573) 761-0716

424 STADIUM BLVD
JEFFERSON CITY
MO  65101-2811

JEFFERSON CITY AREA YOUNG MEN'S CHRISTIAN ASSOCIATION

PO BOX 104176
JEFFERSON CITY
MO  65110

WILLIAMS, DESTINY

JKEVER@JCYMCA.ORG

Incorporated

AMY BANNING

5 YEARS - 12 YEARS

60

GROUP HOME AND CENTER

 
Inspection Information

12/20/2018

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2347184993


DocumentDocument-Date
LINES OF ADMINISTRATIVE AUTHORITY 09/03/1992
JOB RESPONSIBILITIES 08/30/1991
DIRECTOR'S QUALIFICATIONS 07/30/2008
SAMPLE FORMS 10/20/1999
DISCIPLINE POLICIES 11/04/2005
CHILD CARE PRACTICES 11/04/2005
SAMPLE WEEKLY MENU 11/04/2005
DAILY SCHEDULE 11/04/2005
POLICIES 11/04/2005
DIAGRAM/OUTDOOR 09/02/1997
DIAGRAM/INDOOR 08/12/2008
ARTICLES OF INCORPORATION 04/11/2008
APPLICATION 03/06/2017
EQUIPMENT LIST 04/04/2017
STAFF SHEET 04/11/2017
CERTIFICATE OF GOOD STANDING 04/12/2017
SANITATION INSPECTION 02/20/2018
FIRE/SAFETY INSPECTION 04/04/2018




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 30-62.087 Fire Safety
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
Violation
 Provider Comments
Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Jasmine Howard.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (B) states: Medical examination reports shall include a “Risk Assessment for Tuberculosis” form, included herein, completed and signed by a health care professional, as provided by the Missouri Department of Health and Senior Services (MDHSS). If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
TB reports shall be on file as required

Correction Verification
Submit Documentation

Compliance Date
12/18/2018
Violation
Medical examination report was not on file for Jasmine Howard as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
12/18/2018
19 CSR 30-62.132 Admission Policies and Procedures
Compliance
19 CSR 30-62.142 Nighttime Care
Compliance
19 CSR 30-62.152 Hourly Care Facilities
Compliance
19 CSR 30-62.162 Overlap Care of Children
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
Compliance
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance
RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules.
Compliance