DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-EMERSON BRANCH- COLD WATER ELEMENTARY

000180030

(314) 409-8702

1105 WIETHAUPT
FLORISSANT
MO  63031

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

3390 PERSHALL RD
ST LOUIS
MO  63135-1407

BLAKLEY, KRISTY

mark.pacatte@gwrymca.org

Incorporated

KATHERINE D SIMS

5 YEARS - 13 YEARS

32

SCHOOL AGE

 
Inspection Information

04/17/2019

1:35 PM

3:05 PM

ANNOUNCED

RENEWAL

2355262477


DocumentDocument-Date
DIRECTOR'S QUALIFICATIONS 08/23/2012
SAMPLE WEEKLY MENU 08/31/1983
SAMPLE FORMS 08/31/1983
POLICIES 08/31/1983
LINES OF ADMINISTRATIVE AUTHORITY 08/31/1983
JOB RESPONSIBILITIES 08/31/1983
DISCIPLINE POLICIES 08/31/1983
DIRECTOR'S JOB RESPONSIBILITIES 08/31/1983
DAILY SCHEDULE 08/31/1983
ARTICLES OF INCORPORATION 08/31/1983
CERTIFICATE OF GOOD STANDING 04/17/2019
APPLICATION 04/05/2019
STAFF SHEET 04/17/2019
EQUIPMENT LIST 04/17/2019
REGISTERING FICTITIOUS NAMES 04/17/2019




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 3
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 12
StaffChildClass AgeNote
4 12 SCHOOL AGE Mark Pacatte, Kristy Blakey, Wanda Houston, and Angela Brewer present with 12 children, all school age

 
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
Violation
 Provider Comments
Violation
The provider did not meet requirements for a criminal background check. Results were missing for: Wanda Houston, Angela Brewer, Asha Medley-Turner (all waiting for results from SCCR).
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (4) states: Child care staff members shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements, prior to renewal of the license.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

Violation
The provider did not meet requirements for a criminal background check. Results were missing for: Mark Pacatte, Brad Koeneman, and Kristy Blakley (all waiting for results from SCCR).
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (3) states: The facility owner(s), board president or chairperson, and the center director or group day care home provider, shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements, prior to renewal of the license.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

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 has not developed, implemented or maintained policies and procedures for responding to a disaster emergency.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (A) states: The facility shall develop, implement, and maintain policies and procedures for responding to a disaster emergency, including a written plan for:
Correction Required
Facility must have plan on file as required.

Correction Verification
Submit Documentation

Compliance Date

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 address of another individual who might be reached in an emergency.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
4/17/2019
19 CSR 30-63.040 Background Screening Findings
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