DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-FOUR RIVERS BRANCH-BEAUFORT ELEMENTARY

002369360

(314) 443-4357

3200 HWY 50
BEAUFORT
MO  63013

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

400 GRAND AVE
WASHINGTON
MO  63090-1204

SOUDERS, NANCY

melissa.mueller@gwrymca.org

Incorporated

LEATRICE L DIXON

5 YEARS - 12 YEARS

20

SCHOOL AGE

AFTER SCHOOL CARE ONLY
 
Inspection Information

03/30/2021

2:25 PM

3:17 PM

UNANNOUNCED

COMPLIANCE MONITORING

2396507080


DocumentDocument-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 02/18/2021
ANNUAL DECLARATION 02/18/2021
CERTIFICATE OF INCORPORATION 08/20/2014
SAMPLE FORMS 08/19/2014
SAMPLE WEEKLY MENU 08/19/2014
POLICIES 08/19/2014
LOCAL FIRE DEPARTMENT NOTIFICATION 08/13/2014
JOB RESPONSIBILITIES 08/19/2014
DISCIPLINE POLICIES 08/19/2014
LINES OF ADMINISTRATIVE AUTHORITY 08/19/2014
ARTICLES OF INCORPORATION 08/19/2014
DAILY SCHEDULE 08/19/2014
CHILD CARE PRACTICES 08/19/2014
REGISTERING FICTITIOUS NAMES 02/18/2021
DIRECTOR'S JOB RESPONSIBILITIES 10/27/2014
DIRECTOR'S QUALIFICATIONS 08/25/2015
STAFF SHEET 04/11/2018
CERTIFICATE OF GOOD STANDING 02/18/2021
EQUIPMENT LIST 03/30/2021
APPLICATION 04/11/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 05/10/2018




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 1
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
Total Children 5
StaffChildClass AgeNote
1 5 SCHOOL AGE Nancy Souders and children ages 6 to 10 years

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Licensing Process
Compliance
19 CSR 30-62.052 Annual Requirements
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Nancy Souders and Melissa Mueller within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
19 CSR 30-62.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

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
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
Violation
 Provider Comments
Violation
2 child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
3/30/2021
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