DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER KANSAS CITY

002358078

(816) 431-4911

1701 BRANCH ST
PLATTE CITY
MO  64079

YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER KANSAS CITY

3100 BROADWAY BLVD STE 1020
KANSAS CITY
MO  64111-2413

THORSON, MACHAELA A

ydslicensing@kansascityymca.org

Incorporated

JANA BARTON

5 YEARS - 14 YEARS

60

SCHOOL AGE

 
Inspection Information

11/18/2021

3:30 PM

4:27 PM

UNANNOUNCED

COMPLIANCE MONITORING

2412522165


DocumentDocument-Date
STAFF SHEET 05/27/2020
APPLICATION 05/27/2020
DIRECTOR'S JOB RESPONSIBILITIES 08/02/2012
DISCIPLINE POLICIES 08/02/2012
LINES OF ADMINISTRATIVE AUTHORITY 08/02/2012
JOB RESPONSIBILITIES 08/02/2012
ARTICLES OF INCORPORATION 06/15/2012
SAMPLE FORMS 08/02/2012
CHILD CARE PRACTICES 08/02/2012
SAMPLE WEEKLY MENU 08/02/2012
DAILY SCHEDULE 08/09/2012
POLICIES 08/02/2012
CERTIFICATE OF GOOD STANDING 05/23/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 05/23/2018
CERTIFICATE OF INCORPORATION 05/13/2014
DIRECTOR'S QUALIFICATIONS 03/19/2014
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 05/24/2021
EQUIPMENT LIST 05/24/2021




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 6
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 25
StaffChildClass AgeNote
3 25 SCHOOL AGE Rebekah Owens, CJ Brockhoff, Ashley Dennis

 
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Compliance
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
Violation
 Provider Comments
Violation
A school-age child's health report was not on file at the time of enrollment as evidenced by on file but not signed by parent for one child.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (2) (D) states: The parent(s) of a school-age child shall provide a report at the time of enrollment indicating the child's health history, any current health problems, and any restrictions necessary for the child's care.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
three child(ren) records did not include employers' address of parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
two child(ren) records did not include telephone number of family physician or hospital.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
two child(ren) records did not include name of family physician or hospital.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
three child(ren) records did not include work schedule of parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
three child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

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