DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

YMCA-MID COUNTY BRANCH-JULIA GOLDSTEIN ECE

002000346

(314) 920-4394

737 KINGSLAND AVE
ST LOUIS
MO  63130-3107

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

1900 URBAN DR
ST LOUIS
MO  63144-1824


LAURIE.MCTEARNEN@GWRYMCA.ORG

Incorporated

NANCY SMITH

36 MONTHS - 6 YEARS

34

GROUP HOME AND CENTER

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

11/30/2021

2:15 PM

3:35 PM

ANNOUNCED

COMPLIANCE MONITORING

2416030904


DocumentDocument-Date
ANNUAL DECLARATION 11/30/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 11/30/2021
FIRE/SAFETY INSPECTION 04/07/2021
DIAGRAM/INDOOR 01/25/2007
DIAGRAM/OUTDOOR 01/25/2007
DIRECTOR'S QUALIFICATIONS 08/07/2015
LOCAL BUILDING APPROVAL 01/25/2007
LOCAL ZONING APPROVAL 01/25/2007
DISCIPLINE POLICIES 02/14/2007
DAILY SCHEDULE 01/30/2007
POLICIES 02/14/2007
SAMPLE FORMS 01/25/2007
DIRECTOR'S JOB RESPONSIBILITIES 01/25/2007
SAMPLE WEEKLY MENU 01/25/2007
JOB RESPONSIBILITIES 01/25/2007
CHILD CARE PRACTICES 02/05/2007
ARTICLES OF INCORPORATION 01/30/2007
LINES OF ADMINISTRATIVE AUTHORITY 01/30/2014
CERTIFICATE OF INCORPORATION 12/23/2014
REGISTERING FICTITIOUS NAMES 12/23/2014
CERTIFICATE OF GOOD STANDING 12/12/2016
STAFF SHEET 12/16/2016
APPLICATION 11/29/2018
EQUIPMENT LIST 11/30/2021
SANITATION INSPECTION 10/08/2019




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 1
StaffChildClass AgeNote
1 0 NO CHILDREN IN ATTENDANCE Jennifer Bergman, director Shelly Norkitis executive director present with no children present.

 
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 Annual Declaration was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, promulgated as of 2020 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 indicating the licensee’s intent to continue operating a licensed group child care home or child care center and agreement to comply with all statutes and department licensing rules.
Correction Required
The facility shall submit the Annual Declaration as required.

Correction Verification
Corrected on Site

Compliance Date
11/30/2021
Violation
The equipment list was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment.
Correction Required
The facility shall submit an equipment list as required.

Correction Verification
Corrected on Site

Compliance Date
11/30/2021
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
Violation
 Provider Comments
Violation
The walls located window on the rear wall and on the left wall near window was/were not in good condition as evidenced by peeling trimming and chipping paint in 2 spots.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.087 Fire Safety
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 25-500.142 Nighttime Care
Compliance
5 CSR 25-500.152 Hourly Care Facilities
Compliance
5 CSR 25-500.162 Overlap Care of Children
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