DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

OZARKS REGIONAL YMCA

002366612

(417) 847-7115

1501 N MAIN ST
CASSVILLE
MO  65625

OZARKS REGIONAL YMCA

417 S JEFFERSON AVE
SPRINGFIELD
MO  65806-2315

GOMEZ, ALEJANDRA

YMCASAS@orymca.org

Incorporated

PENNY KREITZER

5 YEARS - 13 YEARS

20

SCHOOL AGE

 
Inspection Information

03/03/2020

2:30 PM

3:42 PM

ANNOUNCED

RENEWAL

2377158631


DocumentDocument-Date
DIRECTOR'S QUALIFICATIONS 03/31/2017
LOCAL FIRE DEPARTMENT NOTIFICATION 08/13/2012
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/13/2012
CHILD CARE PRACTICES 08/13/2012
POLICIES 08/13/2012
DISCIPLINE POLICIES 08/13/2012
LINES OF ADMINISTRATIVE AUTHORITY 08/13/2012
JOB RESPONSIBILITIES 08/13/2012
DIRECTOR'S JOB RESPONSIBILITIES 08/13/2012
SAMPLE WEEKLY MENU 08/13/2012
SAMPLE FORMS 08/13/2012
DAILY SCHEDULE 08/13/2012
ARTICLES OF INCORPORATION 08/13/2012
APPLICATION 05/22/2018
STAFF SHEET 06/27/2018
EQUIPMENT LIST 06/28/2018
CERTIFICATE OF GOOD STANDING 02/27/2018




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 7
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 2
Total Children 12
StaffChildClass AgeNote
2 12 SCHOOL AGE 12 school age children present with Evan Stubblefield and Gwyneth Henson

 
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 staff sheet was not submitted.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (1) (J) states: Current staff sheet;
Correction Required
The facility shall submit a current staff sheet as required for renewal.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility's equipment list was not submitted.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (1) (I) states: A current list of available equipment;
Correction Required
The facility shall submit an equipment list as required for renewal.

Correction Verification
Submit Documentation

Compliance Date

Violation
The Family Care Safety Registry check was not conducted for Evan Stubblefield and Gwyneth Henson within 60 days prior to the expiration of the license.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (2) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within sixty (60) days prior to the expiration of the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all staff member(s) within sixty (60) days prior to the expiration of the license.

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
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 no training documents on file. The staff listed need the following documentation: Evan Stubblefield needs 5 clock hours for 2019.
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 calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each employee.

Correction Verification
Submit Documentation

Compliance Date

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: Haley Jereczek needs 1 clock hour for 2018.
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 calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each employee.

Correction Verification
Return Inspection

Compliance Date
3/3/2020
Violation
The center director was not responsible for the daily planning, monitoring and managing of the facilities program as evidence by the facility does not have an approved director.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (2) (A) 1. states: The group day care home provider or the individual designated as the center director shall be responsible for planning, monitoring, and managing the facility's daily program.
Correction Required
Group Day Care Home provider or center director shall be responsible for the daily planning, monitoring and managing of the facilities daily operations.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet requirements for a criminal background check. Results were not on file for the following staff member(s): Evan Stubblefield and Gwyneth Henson.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (M) states: Child care staff members shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements.
Correction Required
Required results of criminal background checks shall be on file.

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 Haley Jereczek, Zoe Brown and Evan Stubblefield 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
Return Inspection

Compliance Date
3/3/2020
Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Haley Jereczek, Zoe Brown and Evan Stubblefield.
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
Return Inspection

Compliance Date
3/3/2020
Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Gwyneth Henson.
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
Violation
 Provider Comments
Violation
The provider did not have available a copy of the Licensing Rules for Group Day Care Homes and Child Day Care Center of Missouri.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (3) states: The provider shall have available a copy of the Licensing Rules for Group Day Care Homes and Child Day Care Centers in Missouri and shall advise the parent(s) at the time of enrollment of his/her child of the availability of the rules for review.
Correction Required
Licensing Rules for Group Day Care Homes and Child Day Care Centers of Missouri shall be available.

Correction Verification
Return Inspection

Compliance Date
3/3/2020
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
2 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
Return Inspection

Compliance Date
3/3/2020
Violation
2 child(ren) records did not include telephone number of family physician or hospital.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Return Inspection

Compliance Date
3/3/2020
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
RSMo 210.115. Reports of abuse, neglect, and under age eighteen deaths — persons required to report — supervisors and administrators not to impede reporting — deaths required to be reported to the division or child fatality review panel, when — report made to another state, when. —
Compliance
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance