DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-O'FALLON BRANCH-ROCK CREEK ELEMENTARY

000820919

(314) 471-3419

8970 MEXICO RD
O FALLON
MO  63366

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

3451 PHEASANT MEADOW DR
O FALLON
MO  63368-7324

SLIGO, SHANNON

Laurie.mctearnen@gwrymca.org

Incorporated

STEPHANIE SPAULDING

5 YEARS - 12 YEARS

48

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

04/29/2021

3:47 PM

4:46 PM

UNANNOUNCED

COMPLIANCE MONITORING

2398886179


DocumentDocument-Date
SAMPLE WEEKLY MENU 08/26/1996
SAMPLE FORMS 08/26/1996
POLICIES 08/26/1996
LINES OF ADMINISTRATIVE AUTHORITY 08/26/1996
JOB RESPONSIBILITIES 08/26/1996
DISCIPLINE POLICIES 08/26/1996
DIRECTOR'S JOB RESPONSIBILITIES 08/26/1996
DAILY SCHEDULE 08/26/1996
CHILD CARE PRACTICES 08/26/1996
CERTIFICATE OF GOOD STANDING 04/26/2012
CERTIFICATE OF INCORPORATION 08/26/1996
ARTICLES OF INCORPORATION 08/26/1996
APPLICATION 04/28/2021
EQUIPMENT LIST 04/01/2021
STAFF SHEET 04/01/2021
DIRECTOR'S QUALIFICATIONS 01/27/2017




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 3
Total Children 23
StaffChildClass AgeNote
3 23 SCHOOL AGE Director, Shannon Sligo, Janet Shumaker, and Brandon Best are present with 23 children 5-11 years old.

 
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 Shannon Sligo, Janet Shumaker 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
Corrected on Site

Compliance Date
4/29/2021
Violation
The Annual Declaration was not completed correctly as evidenced by the board chairperson's social security number was not listed on the annual declaration.
Licensing Rule Reference
19 CSR 30-62.052 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, promulgated as of 2020 and incorporated by reference in this rule. As published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102-0570 and available by the department at https://health.mo.gov/safety/childcare/forms.php indicating the licensee’s intent to continue operating a licensed group child care home or child care center and agreement to comply with all statutes and department licensing rules.
Correction Required
The facility shall submit the Annual Declaration as required.

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
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