DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

SOUTHERN BOONE AREA YMCA

002603945

(573) 657-9600

300 E BROADWAY
ASHLAND
MO  65010-9305

JEFFERSON CITY AREA YOUNG MEN'S CHRISTIAN ASSOCIATION

PO BOX 56
ASHLAND
MO  65010-0056

SESSLER, CINDY JO

nabrinas@jcymca.org

Incorporated

JIM PARSLEY

5 YEARS - 12 YEARS

38

GROUP HOME AND CENTER

 
Inspection Information

04/09/2021

3:00 PM

4:31 PM

UNANNOUNCED

COMPLIANCE MONITORING

2398377425


DocumentDocument-Date
STAFF SHEET 03/01/2019
SANITATION INSPECTION 01/22/2021
LOCAL BUILDING APPROVAL 02/22/2019
DIAGRAM/OUTDOOR 10/23/2018
DIAGRAM/INDOOR 10/23/2018
EQUIPMENT LIST 03/01/2021
FIRE/SAFETY INSPECTION 01/12/2021
JOB RESPONSIBILITIES 06/15/2018
LOCAL FIRE DEPARTMENT NOTIFICATION 02/01/2019
CERTIFICATE OF GOOD STANDING 01/12/2021
LOCAL ZONING APPROVAL 02/22/2019
APPLICATION 03/26/2019
DAILY SCHEDULE 06/15/2018
SAMPLE WEEKLY MENU 06/15/2018
CHILD CARE PRACTICES 06/09/2018
DISCIPLINE POLICIES 06/09/2018
ARTICLES OF INCORPORATION 10/22/2018
LINES OF ADMINISTRATIVE AUTHORITY 06/15/2018
POLICIES 06/15/2018
REGISTERING FICTITIOUS NAMES 10/22/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 02/27/2019
DIRECTOR'S QUALIFICATIONS 09/28/2020
SAMPLE FORMS 10/02/2018
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/01/2021
LICENSING ORIENTATION 06/09/2018
ANNUAL DECLARATION 03/01/2021




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 2
Total Children 23
StaffChildClass AgeNote
2 23 SCHOOL AGE There were 23 school age children 5-12 years of age being supervised by: (1) Nabrina Shanks (2) Riley Blattner

 
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 30-62.087 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
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 30-62.142 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
Not Observed
19 CSR 30-62.222 Records and Reports
Compliance
19 CSR 30-63.020 General Requirements
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Riley Blattner, Payton Coleman, Addison Wassmann.
Licensing Rule Reference
19 CSR 30-63.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a family child care home, group child care home, child care center, or license-exempt facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

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