DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

YMCA-SOUTH CITY BRANCH-MALLINCKRODT A.B.I. ELEMENTARY

002232426

(314) 678-0199

6020 PERNOD AVE
ST LOUIS
MO  63139-1909

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

3150 SUBLETTE AVE
ST LOUIS
MO  63139-1467


CHERYL.ROE@GWRYMCA.ORG

Incorporated

JUNE ALLEN

4 YEARS - 12 YEARS

60

GROUP HOME AND CENTER

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

04/21/2021

3:00 PM

5:37 PM

UNANNOUNCED

COMPLIANCE MONITORING

2398090709


DocumentDocument-Date
SAMPLE WEEKLY MENU 08/09/2010
SAMPLE FORMS 08/09/2010
POLICIES 08/09/2010
LOCAL FIRE DEPARTMENT NOTIFICATION 08/09/2010
LINES OF ADMINISTRATIVE AUTHORITY 08/09/2010
JOB RESPONSIBILITIES 08/09/2010
DISCIPLINE POLICIES 08/09/2010
DIAGRAM/OUTDOOR 08/09/2010
DIAGRAM/INDOOR 08/09/2010
DAILY SCHEDULE 08/09/2010
CHILD CARE PRACTICES 08/09/2010
ARTICLES OF INCORPORATION 08/09/2010
REGISTERING FICTITIOUS NAMES 03/12/2014
LOCAL BUILDING APPROVAL 03/12/2014
DIRECTOR'S QUALIFICATIONS 09/29/2014
EQUIPMENT LIST 03/25/2021
STAFF SHEET 03/25/2021
APPLICATION 03/19/2018
CERTIFICATE OF GOOD STANDING 05/31/2018
SANITATION INSPECTION 02/12/2019
FIRE/SAFETY INSPECTION 01/19/2021
ANNUAL DECLARATION 03/25/2021




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 3
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 4
Total Children 9
StaffChildClass AgeNote
4 9 SCHOOL AGE Jaclyn Honerkamp, Assistant Director, and Owen Dineen, Mary Lehmann Wood, and Alondra Santos, caregivers, were all present and caring for nine children, all school age, at the time of the inspection.

 
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 annual sanitation inspection was not approved.
Licensing Rule Reference
19 CSR 30-62.052 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements.
Correction Required
The facility shall submit evidence of compliance with annual sanitation requirements.

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 30-62.087 Fire Safety
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. For the calendar year of 2020, the staff listed need the following information: Owen Dineen needs one more clock hour of training.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (3) (A) states: The center director, group child 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 caregiver.

Correction Verification
Submit Documentation

Compliance Date

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 30-62.142 Nighttime Care
Compliance
19 CSR 30-62.152 Hourly Care Facilities
Compliance
19 CSR 30-62.162 Overlap Care of Children
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
one child(ren) records did not include child's address.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (A) states: The child's full name, address, birth-date and the date care begins and ends;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

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