DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-O'FALLON BRANCH-HAWTHORN ELEMENTARY

000176465

(314) 443-6240

166 BOONE HILLS DR
ST PETERS
MO  63376

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

3451 PHEASANT MEADOW DR
O FALLON
MO  63368-7324

BEGEMANN, KARA LYNN

leah.lensing@gwrymca.org

Incorporated

JENNIFER M JACKSON

5 YEARS - 12 YEARS

48

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

02/10/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2393172023


DocumentDocument-Date
SAMPLE FORMS 05/15/1992
DAILY SCHEDULE 01/13/1983
DIRECTOR'S JOB RESPONSIBILITIES 01/10/1983
CERTIFICATE OF GOOD STANDING 10/30/2013
POLICIES 08/05/1982
DIRECTOR'S QUALIFICATIONS 09/20/2017
DISCIPLINE POLICIES 01/10/1983
CERTIFICATE OF INCORPORATION 01/10/1983
ARTICLES OF INCORPORATION 01/10/1983
CHILD CARE PRACTICES 01/10/1983
JOB RESPONSIBILITIES 01/10/1983
LINES OF ADMINISTRATIVE AUTHORITY 01/10/1983
LOCAL FIRE DEPARTMENT NOTIFICATION 01/10/1983
REGISTERING FICTITIOUS NAMES 01/10/1983
SAMPLE WEEKLY MENU 01/10/1983
APPLICATION 09/05/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/08/2016
EQUIPMENT LIST 11/24/2020
STAFF SHEET 09/25/2019




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 Annual Requirements
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 requirements for obtaining 12 clock hours each calendar year were not met. The staff listed need the following information: Kara Begemann needs 9 clock hours, Jordan Czajkowski needs 9 clock hours, Maya Simek needs 5 clock hours, Diana West needs 10 clock hours, Gloria Turner and Kayla Trendle need 12 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
2/10/2021
Violation
The facility did not meet requirements for a criminal background check. Results were not on file for the following staff member(s): Kayla Trendle and Kara Begemann.
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
2/10/2021
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 Kayla Trendle and Kara Begemann 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
1/21/2021
Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Kayla Trendle and Kara Begemann.
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
1/22/2021
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 30-63.020 General Requirements
Compliance
19 CSR 30-63.040 Background Screening Findings
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