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

11/08/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2412064613


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: NA
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.

 
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Violation
 Provider Comments
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
11/8/2021
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
11/8/2021
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
Compliance
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