DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-FOUR RIVERS BRANCH-AUGUSTA ELEMENTARY

001481927

(636) 266-9724

5541 LOCUST ST
AUGUSTA
MO  63332

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

400 GRAND AVE
WASHINGTON
MO  63090-1204

PENNOCK, DALLAS JORDAN

laurie.mctearnen@gwrymca.org

Incorporated

DEBBIE ASHLOCK

5 YEARS - 12 YEARS

20

SCHOOL AGE

AFTER SCHOOL CARE ONLY
 
Inspection Information

04/25/2019

3:39 PM

4:38 PM

UNANNOUNCED

COMPLIANCE MONITORING

2355899636


DocumentDocument-Date
DIAGRAM/INDOOR 11/04/2015
DIAGRAM/OUTDOOR 11/04/2015
ARTICLES OF INCORPORATION 07/09/2016
CERTIFICATE OF GOOD STANDING 07/09/2016
JOB RESPONSIBILITIES 07/06/2016
DAILY SCHEDULE 07/06/2016
SAMPLE WEEKLY MENU 07/06/2016
POLICIES 07/06/2016
CHILD CARE PRACTICES 07/06/2016
DISCIPLINE POLICIES 07/06/2016
SAMPLE FORMS 07/06/2016
REGISTERING FICTITIOUS NAMES 08/01/2016
LINES OF ADMINISTRATIVE AUTHORITY 08/26/2016
APPLICATION 02/05/2018
EQUIPMENT LIST 04/11/2018
STAFF SHEET 04/11/2018
DIRECTOR'S QUALIFICATIONS 12/11/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN 07/16/2016
DIRECTOR'S JOB RESPONSIBILITIES 07/06/2016
LOCAL FIRE DEPARTMENT NOTIFICATION 07/06/2016




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 1
Total Children 5
StaffChildClass AgeNote
1 5 SCHOOL AGE with Jody Reed

 
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 director is not routinely on duty as required, as evidenced by In addition to the above Melissa Mueller has not signed in since the October report.
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

Violation
The director is not routinely on duty as required, as evidenced by facility has a variance for the director to complete quick checks 2 times a month. Melissa Mueller is the site director and she only completed 1 visit and signed in 1 time during the month of October.
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
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
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.
Violation
 Provider Comments
Violation
The provider did not meet requirements for requests/results of a criminal background check. A child care staff member(s), Jody stated she has completed getting the fingerprints done but was not given a receipt or Melissa kept it. Jody Reed, Melissa Mueller and Amy Creech need to have a verification letter that criminal are done, was/were employed/present prior to the provider requesting the results of a criminal background check.
Licensing Rule Reference
RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules. 2. (1) states: Prior to the employment or presence of a child care staff member in a family child care home, group child care home, child care center, or license-exempt child care facility, the child care provider shall request the results of a criminal background check for such child care staff member from the department of health and senior services.
Correction Required
Required requests/results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date