DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

JEFFERSON CITY AREA YMCA CHILD DEVELOPMENT CENTER

001522007

(573) 635-6665

603 ELLIS BLVD
JEFFERSON CITY
MO  65101

JEFFERSON CITY AREA YOUNG MEN'S CHRISTIAN ASSOCIATION

PO BOX 104176
JEFFERSON CITY
MO  65110-4176

CARRON, SUNNY DANIELLE

SCARRON@JCYMCA.ORG

Incorporated

AMY BANNING

6 WEEKS - 6 YEARS

132

GROUP HOME AND CENTER

20 CHILDREN UNDER 12 MONTHS; 36 CHILDREN UNDER 24 MONTHS
 
Inspection Information

07/11/2019

9:20 AM

11:36 AM

UNANNOUNCED

COMPLIANCE MONITORING

2359427491


DocumentDocument-Date
DISCIPLINE POLICIES 10/26/2000
LINES OF ADMINISTRATIVE AUTHORITY 09/11/2000
JOB RESPONSIBILITIES 09/11/2000
DIRECTOR'S QUALIFICATIONS 08/17/2007
SAMPLE FORMS 05/07/2012
CHILD CARE PRACTICES 11/17/2003
SAMPLE WEEKLY MENU 09/11/2000
DAILY SCHEDULE 09/11/2000
POLICIES 11/07/2003
DIAGRAM/OUTDOOR 09/11/2000
DIAGRAM/INDOOR 08/19/2006
CERTIFICATE OF GOOD STANDING 05/07/2012
ARTICLES OF INCORPORATION 05/02/2008
APPLICATION 04/26/2018
STAFF SHEET 05/14/2018
EQUIPMENT LIST 05/23/2018
FIRE/SAFETY INSPECTION 05/01/2019
SANITATION INSPECTION 05/20/2019




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 4
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 16
Total Children 96
StaffChildClass AgeNote
1 4 INFANTS AND TODDLERS Nicole
1 4 INFANTS AND TODDLERS Ashley
2 8 INFANTS AND TODDLERS Deborah & Elizabeth
2 0 NO CHILDREN IN ATTENDANCE Sunny & Angie, Office
1 0 NO CHILDREN IN ATTENDANCE Daffney, Kitchen
1 10 PRESCHOOL Lillie
1 10 PRESCHOOL Janet
1 10 PRESCHOOL Tori
1 10 PRESCHOOL Ellen
1 8 PRESCHOOL Hannah
1 9 PRESCHOOL Brenda
1 10 PRESCHOOL Jessica
1 7 TWO YEAR OLDS Anese
1 6 TWO YEAR OLDS Tiara

 
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
Violation
 Provider Comments
Violation
The provider did not meet requirements for a criminal background check. The provider did not request the results of a criminal background check for Hannah Nikodym prior to their employment or presence in a group child care home/child care center.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (K) states: The provider shall request the results of a criminal background check for child care staff members as required by 19 CSR 30-63.020 General Requirements.
Correction Required
Required requests of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

Violation
Requirements for safe sleep training were not met as evidenced by Angela Bax, Sunny Carron, Lillie Feltz, Amy Ruiz, Brenda Schneller, Janet Walker, Tiara Washington did not complete safe sleep training in that the safe sleep training has expired.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (4) . states: Every three (3) years the center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. Technical report – SIDS and other sleep-related infant deaths: expansion of recommendations for a safe infant sleeping environment, by Moon RY, which is incorporated by reference in this rule as published in PEDIATRICS Volume 128, No. 5, November 1, 2011, and available from the University of Vermont College of Medicine, Given Building S261, 89 Beaumont Avenue, Burlington, Vermont 05405-0068, telephone number 802-656-2505, fax number 802-656-4844, or at www.pediatrics.aapublications.org/content/128/5/1030.full. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Center director, group child care home provider, and other caregivers, and those volunteers counted in staff/child ratios shall complete department approved safe sleep training 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
Violation
 Provider Comments
Violation
Medical examination report was not on file for Kayleen Schmitz, Hannah Nikodym and Anese Lottie 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

Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Hannah Nikodym, Kayleen Schmitz and Anese Lottie.
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

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
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