MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
Y-CARE CEDAR HILL SCHOOL

Facility DVN
000346067

Phone
(573) 659-3162

Physical Address
1510 VIETH DR
JEFFERSON CITY
MO 65109-1986

Owner
JEFFERSON CITY AREA YOUNG MEN'S CHRISTIAN ASSOCIATION

Mailing Address
PO BOX 104176
JEFFERSON CITY
MO 65110-4176

Provider/Director
FERGUSON, JOSHUA MICHAEL

E-mail Address
JKEVER@JCYMCA.ORG

Incorporated
Incorporated

Child Care Specialist
KELLY L SCHEUERMAN

Age Range
5 YEARS - 12 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations
AFTER SCHOOL CARE ONLY

Inspection Information

Date
11/02/2021

Arrival Time
3:50 PM

Departure Time
4:12 PM

Notice
UNANNOUNCED

Inspection Type
REINSPECTION

Inspection ID
2411710624

Document	Document-Date
REGISTERING FICTITIOUS NAMES	11/18/2010
DIRECTOR'S QUALIFICATIONS	10/03/2012
LINES OF ADMINISTRATIVE AUTHORITY	08/31/2005
JOB RESPONSIBILITIES	09/02/2008
CHILD CARE PRACTICES	08/31/1989
SAMPLE WEEKLY MENU	08/31/1989
DAILY SCHEDULE	08/31/1989
POLICIES	08/31/1989
ARTICLES OF INCORPORATION	04/11/2008
CERTIFICATE OF GOOD STANDING	04/12/2017
APPLICATION	04/12/2019
STAFF SHEET	04/12/2019
EQUIPMENT LIST	03/22/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	03/22/2021
ANNUAL DECLARATION	03/22/2021

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 34

Staff	Child	Class Age	Note
3	34	SCHOOL AGE	Sydney Crocket, Pearl Embrey and Jelise Crafton with 34 school age children aged 5-11.


5 CSR 25-500.032 Organization and Administration Not Observed
5 CSR 25-500.042 Licensing Process Not Observed
5 CSR 25-500.052 Annual Requirements Not Observed
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Not Observed
5 CSR 25-500.090 Disaster and Emergency Preparedness Not Observed
5 CSR 25-500.092 Furniture, Equipment and Materials Not Observed
5 CSR 25-500.102 Personnel Violation
5 CSR 25-500.112 Staff/Child Ratios Compliance
5 CSR 25-500.122 Medical Examination Reports Violation
5 CSR 25-500.132 Admission Policies and Procedures Not Observed
5 CSR 25-500.172 Emergency School Closings Not Observed
5 CSR 25-500.182 Child Care Program Not Observed
5 CSR 25-500.192 Health Care Not Observed
5 CSR 25-500.202 Nutrition and Food Service Not Observed
5 CSR 25-500.212 Transportation and Field Trips Not Observed
5 CSR 25-500.222 Records and Reports Not Observed
5 CSR 25-600.020 General Requirements Not Observed
5 CSR 25-600.040 Background Screening Findings Not Observed
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. — Not Observed
RSMo 210.211. License required - exceptions - written notice of licensure status, when. Not Observed