DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-SOUTH COUNTY BRANCH-FORDER ELEMENTARY

000186310

(314) 467-5688

623 W RIPA AVE
ST LOUIS
MO  63125

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

12736 SOUTHFORK RD
ST LOUIS
MO  63128

MACK, DEBRA LYNN

LAURIE.MCTEARNEN@GWRYMCA.ORG

Incorporated

ALYSSA MARIE RILEY

5 YEARS - 12 YEARS

40

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

05/01/2020

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2379406397


DocumentDocument-Date
SAMPLE WEEKLY MENU 09/04/1985
SAMPLE FORMS 09/04/1985
POLICIES 09/04/1985
LINES OF ADMINISTRATIVE AUTHORITY 09/04/1985
JOB RESPONSIBILITIES 09/04/1985
DISCIPLINE POLICIES 09/04/1985
DIRECTOR'S JOB RESPONSIBILITIES 09/04/1985
DAILY SCHEDULE 09/04/1985
CERTIFICATE OF INCORPORATION 02/25/1998
ARTICLES OF INCORPORATION 02/25/1998
CHILD CARE PRACTICES 09/04/1985
DIRECTOR'S QUALIFICATIONS 01/09/2007
CERTIFICATE OF GOOD STANDING 04/15/2014
APPLICATION 04/04/2018
EQUIPMENT LIST 05/10/2018
STAFF SHEET 04/04/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 05/20/2019




Inspection determined facility to be in compliance with licensing rules.
Open Violations: NA
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.

 
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 provider did not meet requirements for a crinimial background check. The provider did not request the results of a criminal background check for Edina Matkovic, Angela Potts, and Breona Hawkins 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) (L) 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 crinimal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
4/28/2020
Violation
The facility did not meet requirements for a criminal background check. Results were not on file for the following staff member(s): Edina Matkovic, Angela Potts, and Breona Hawkins.
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
4/28/2020
Violation
The requirements for first aid and CPR training were not met as evidenced by at least one caregiver for every 20 children in capacity was not certified in first aid/CPR in that the facility capacity is 40, and one caregiver is CPR/First Aid certified.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (S) states: The licensee shall have documentation on file at the facility of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training for a sufficient number of child care staff to ensure that there is one (1) caregiver at the facility for every twenty (20) children in the licensed capacity. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification, include an in-person skills assessment, and be and approved by the department.
Correction Required
Required certification in first aid/CPR shall be on file. At least one caregiver with the certification shall be on site as required.

Correction Verification
Submit Documentation

Compliance Date
4/15/2020
Violation
The center director was not responsible for the daily planning, monitoring and managing of the facilities program as evidence by the facility has a variance which states that the director must conduct a quality check visit to the facility every two weeks, however the facility had no documentation of any director quality checks at the time of inspection (May 20th, 2019, and November 18th, 2019)(Approved director Debra Mack hasn't signed into the facility site since August 19th, 2019).
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
5/1/2020
Violation
The director is not routinely on duty as required, as evidenced by the facility has a variance which states that the director must conduct a quality check visit to the facility every two weeks, however the facility had no documentation of any director quality checks at the time of inspection ( (May 20th, 2019, and November 18th, 2019)(Approved director Debra Mack hasn't signed into the facility site since August 19th, 2019).
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
5/1/2020
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.
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