DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-SOUTH CITY BRANCH-BAYLESS ELEMENTARY

002016875

(314) 256-8608

4531 WEBER RD
ST LOUIS
MO  63123-5700

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

3150 SUBLETTE AVE
ST LOUIS
MO  63139-1467

ROE, CHERYL

cheryl.roe@gwrymca.org

Incorporated

CHRISTINA BRUCE

5 YEARS - 12 YEARS

40

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

10/20/2021

3:00 PM

3:46 PM

UNANNOUNCED

COMPLIANCE MONITORING

2411171631


DocumentDocument-Date
ANNUAL DECLARATION 10/20/2021
SAMPLE FORMS 08/16/2007
DIRECTOR'S QUALIFICATIONS 11/04/2008
POLICIES 08/16/2007
LOCAL FIRE DEPARTMENT NOTIFICATION 08/16/2007
LINES OF ADMINISTRATIVE AUTHORITY 08/16/2007
DIAGRAM/OUTDOOR 08/24/2007
DAILY SCHEDULE 08/24/2007
SAMPLE WEEKLY MENU 08/16/2007
LOCAL ZONING APPROVAL 09/26/2007
LOCAL BUILDING APPROVAL 09/26/2007
JOB RESPONSIBILITIES 08/16/2007
DIAGRAM/INDOOR 09/17/2007
CHILD CARE PRACTICES 08/16/2007
ARTICLES OF INCORPORATION 09/13/2011
FIRE/SAFETY INSPECTION 12/29/2014
SANITATION INSPECTION 11/03/2014
CERTIFICATE OF GOOD STANDING 10/13/2016
REGISTERING FICTITIOUS NAMES 10/13/2016
DIRECTOR'S JOB RESPONSIBILITIES 08/16/2007
DISASTER AND EMERGENCY PREPAREDNESS PLAN 06/07/2012
DISCIPLINE POLICIES 08/16/2007
APPLICATION 10/04/2018
EQUIPMENT LIST 10/20/2021
STAFF SHEET 10/09/2018




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 2
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 17
StaffChildClass AgeNote
3 17 SCHOOL AGE Alexis Holmes, Alondra Santos, and Cheryl Roe are the caregivers with children ages 5 through 12 years old.

 
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Violation
 Provider Comments
Violation
Posting requirements were not met as evidenced by the posted license was outdated.
Licensing Rule Reference
5 CSR 25-500.042 Licensing Process (12) states: Once granted, the license shall be posted near the entrance of the facility where it may be seen easily by parents or others who visit.
Correction Required
The official license shall be posted.

Correction Verification
Submit Documentation

Compliance Date
10/20/2021
5 CSR 25-500.052 Annual Requirements
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Alexis Holmes, Alondra Santos, and Cheryl Roe within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 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

Violation
The staff sheet was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet.
Correction Required
The facility shall submit a current staff sheet as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials
Compliance
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2019, the staff listed need the following information: Alexis Holmes needs 1 clock hour.
Licensing Rule Reference
5 CSR 25-500.102 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
10/20/2021
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: Alexis Holmes needs .5 clock hours, Cheryl Roe needs 10 clock hours.
Licensing Rule Reference
5 CSR 25-500.102 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
10/20/2021
Violation
A caregiver did not submit the Clock Hour Training Reassignment form to apply current year's clock hours for the prior year. The following staff need clock hours reassigned to the previous year: Owen Dineen needs to reassign 1 clock hour to 2020 (no longer employed at this site).
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (K) states: Clock hours earned to complete the previous year’s requirements shall not be applied to the current year’s clock hour requirements. Caregivers shall submit the Clock Hour Training Credit Reassignment form to the OPEN Initiative to assign clock hours to the appropriate year. See Clock Hours Training Credit Reassignment form promulgated as of 2018 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. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Caregivers shall submit the Clock Hour Training Credit Reassignment form to reassign current year's clock hours to the prior year.

Correction Verification
Submit Documentation

Compliance Date
10/20/2021
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Compliance
5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.172 Emergency School Closings
Compliance
5 CSR 25-500.182 Child Care Program
Compliance
5 CSR 25-500.192 Health Care
Compliance
5 CSR 25-500.202 Nutrition and Food Service
Compliance
5 CSR 25-500.212 Transportation and Field Trips
Compliance
5 CSR 25-500.222 Records and Reports
Compliance
5 CSR 25-600.020 General Requirements
Compliance
5 CSR 25-600.040 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