DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-FOUR RIVERS BRANCH-WASHINGTON WEST ELEMENTARY

001178345

(314) 283-0804

1570 W FIFTH ST
WASHINGTON
MO  63090

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

400 GRAND AVE
WASHINGTON
MO  63090-1204

MUELLER, MELISSA

melissa.mueller@gwrymca.org

Incorporated

LEATRICE L DIXON

5 YEARS - 12 YEARS

60

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

02/05/2019

3:43 PM

5:10 PM

UNANNOUNCED

COMPLIANCE MONITORING

2350070194


DocumentDocument-Date
LINES OF ADMINISTRATIVE AUTHORITY 02/11/2008
JOB RESPONSIBILITIES 08/13/1998
LOCAL FIRE DEPARTMENT NOTIFICATION 02/28/2008
CHILD CARE PRACTICES 08/13/1998
SAMPLE WEEKLY MENU 01/23/2006
DAILY SCHEDULE 01/23/2006
POLICIES 06/22/2000
CERTIFICATE OF INCORPORATION 08/13/1998
ARTICLES OF INCORPORATION 08/13/1998
DIRECTOR'S QUALIFICATIONS 10/25/2016
EQUIPMENT LIST 02/15/2018
STAFF SHEET 02/15/2018
APPLICATION 02/02/2018
CERTIFICATE OF GOOD STANDING 02/15/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/15/2018




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 5
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 4
Total Children 29
StaffChildClass AgeNote
4 29 SCHOOL AGE Jerry Streed, Gail Vandergriff, Daphne Ressell and Morgan Milhauser with children ages 5 to 11 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
Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
The requirements for documentation of 12 clock hours of annual training were not met as evidenced by there were insufficient training documents on file. The staff listed need the following documentation: Melissa Mueller has 4 of 12 hours , Caroline Knight has 2 of 5 hours , Dallas Pennock has 4 of 12 hours , Gail Vandergriff has 0 of 5 hours , Morgan Milheiser has 4 of 12 hours. This is based on the tool box report on site; no clock hour certificates are onsite.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (3) (A) states: The center director, group day care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each year of employment in training which is approved by the department in: health, safety, nutrition, guidance and discipline, appropriate activities and learning experiences for children, positive communication and interaction with parents, planning and setting up an appropriate environment for children, professional and administrative practices, or other child related areas.
Correction Required
Required training hours shall be documented for each employee.

Correction Verification
Submit Documentation

Compliance Date

Violation
The director is not routinely on duty as required, as evidenced by Melissa Mueller (director under approved variance) is required to visit the site every 2 weeks, record her attendance and complete a quality assurance form at each visit. The last documented visit was 11.06.18 .
Licensing Rule Reference
19 CSR 30-62.102 Personnel (2) (A) 2. states: Center directors and group day care home providers routinely shall be on duty during the hours of highest attendance a minimum of forty (40) hours per week. If the facility operates less than forty (40) hours per week, the center director or group day care home provider shall be on duty at least fifty percent (50%) of the operating hours.
Correction Required
The director/group day care home provider shall be routinely on duty as required.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
Correction Required
An individualized plan from a professional source shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not/could not be implemented as evidenced by Child 2 has documented medical need/special care plan for asthma. Medication is locked in the closed school office leaving the program no access to required medications and no medication form signed by parent..
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
Correction Required
An individualized plan from a professional source shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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.
Violation
 Provider Comments
Violation
The provider did not meet requirements for requesting a criminal background check. The provider did not request the results of a criminal background check for Melissa Mueller, Jerry Streed, Caroline Knight, Dallas Pennock, Gail Vandergriff, Amanda Underwood, Morgan Milheiser, Jacob Skyles, Bethany Hoskins and Abbey Furey prior to January 31, 2019.
Licensing Rule Reference
RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules. 2. (3) states: A family child care home, group child care home, child care center, or license-exempt child care facility that has child care staff members at the time this section becomes effective* shall request the results of a criminal background check for all child care staff members by January 31, 2019, unless the requirements of subsection 5 of this section are met by the child care provider and proof is submitted to the department of health and senior services by January 31, 2019.
Correction Required
Required requests of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date