MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
YMCA OF SOUTHEAST MISSOURI WING ELEMENTARY

Facility DVN
002267292

Phone
(573) 472-9622

Physical Address
1123 GENERAL GEORGE E DAY PKWY
SIKESTON
MO 63801-3215

Owner
YMCA OF SOUTHEAST MISSOURI

Mailing Address
511 TAYLOR ST
SIKESTON
MO 63801-2110

Provider/Director
RODGERS, BRIA

E-mail Address
climbaugh@ymcasemo.ent

Incorporated
Incorporated

Child Care Specialist
SAMINA C ODLE

Age Range
5 YEARS - 12 YEARS

Capacity
20

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
02/10/2022

Arrival Time
3:40 PM

Departure Time
3:57 PM

Notice
UNANNOUNCED

Inspection Type
CLOSE SUPERVISION

Inspection ID
2417732571

Document	Document-Date
APPLICATION	09/12/2019
CHILD CARE PRACTICES	09/16/2019
DAILY SCHEDULE	09/16/2019
DIRECTOR'S JOB RESPONSIBILITIES	09/16/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	09/16/2019
DIRECTOR'S QUALIFICATIONS	09/16/2019
DISCIPLINE POLICIES	09/16/2019
EQUIPMENT LIST	09/16/2019
JOB RESPONSIBILITIES	09/16/2019
LINES OF ADMINISTRATIVE AUTHORITY	09/16/2019
POLICIES	09/16/2019
REGISTERING FICTITIOUS NAMES	09/05/2019
SAMPLE WEEKLY MENU	09/16/2019
STAFF SHEET	09/16/2019

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.

Attendance at Time of Inspection

Total Staff 2

Total Children 20

Staff	Child	Class Age	Note
2	20	SCHOOL AGE	Director Bria Rodgers and caregiver Crystal Berry with eighteen school aged students and two A+ students.


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 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