DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

THE ADAIR COUNTY FAMILY YMCA, INC.

002892777

(660) 665-1922

2010 E NORMAL AVE
KIRKSVILLE
MO  63501-3321

THE ADAIR COUNTY FAMILY YMCA, INC.

1708 S JAMISON ST
KIRKSVILLE
MO  63501

MEEHAN, DIANE MARQUERITE

krouner@adairymca.org

Incorporated

BETHANY C DUCKWORTH

8 YEARS - 12 YEARS

100

SCHOOL AGE

 
Inspection Information

12/15/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2414421180


DocumentDocument-Date
SAMPLE WEEKLY MENU 07/26/2021
POLICIES 07/26/2021
EQUIPMENT LIST 07/26/2021
DISCIPLINE POLICIES 07/26/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN 07/26/2021
DIRECTOR'S QUALIFICATIONS 05/21/2021
DAILY SCHEDULE 07/26/2021
CHILD CARE PRACTICES 07/26/2021
CERTIFICATE OF INCORPORATION 07/26/2021
CERTIFICATE OF GOOD STANDING 07/26/2021
ARTICLES OF INCORPORATION 12/15/2017
APPLICATION 05/20/2021
SAMPLE FORMS 07/26/2021
JOB RESPONSIBILITIES 07/21/2021
LINES OF ADMINISTRATIVE AUTHORITY 07/27/2021
LICENSING ORIENTATION 07/26/2021
DIRECTOR'S JOB RESPONSIBILITIES 07/27/2021




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
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
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
Violation
 Provider Comments
Violation
One 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
12/15/2021
Violation
One 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
12/15/2021
Violation
Four child(ren) records did not include address of another individual who might be reached in an emergency.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
12/15/2021
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