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) 436-1177

5541 LOCUST ST
AUGUSTA
MO  63332

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

400 GRAND AVE
WASHINGTON
MO  63090-1204

MUELLER, MELISSA

melissa.mueller@gwrymca.org

Incorporated

LEATRICE L DIXON

5 YEARS - 12 YEARS

20

SCHOOL AGE

AFTER SCHOOL CARE ONLY
 
Inspection Information

03/26/2021

9:50 AM

10:26 AM

ANNOUNCED

COMPLIANCE MONITORING

2396144584


DocumentDocument-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/26/2021
ANNUAL DECLARATION 03/19/2021
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 03/26/2021
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: 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.
Attendance at Time of Inspection
Total Staff 1
StaffChildClass AgeNote
1 0 NO CHILDREN IN ATTENDANCE Melissa Mueller, director with no children. (Facility is inactive)

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Licensing Process
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
Compliance
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 30-63.020 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