DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
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Facility Information

YMCA OF SOUTHEAST MISSOURI WING ELEMENTARY

002267292

(573) 472-9622

1123 GENERAL GEORGE E DAY PKWY
SIKESTON
MO  63801-3215

YMCA OF SOUTHEAST MISSOURI

511 TAYLOR ST
SIKESTON
MO  63801-2110

RODGERS, BRIA

climbaugh@ymcasemo.ent

Incorporated

SAMINA C ODLE

5 YEARS - 12 YEARS

20

SCHOOL AGE

 
Inspection Information

09/28/2022

4:25 PM

4:50 PM

UNANNOUNCED

COMPLIANCE MONITORING

2431942873


DocumentDocument-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 09/28/2022
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 09/28/2022




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 1
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 15
StaffChildClass AgeNote
2 15 SCHOOL AGE Director Bria Rodgers and Jessica Barricklow with fifteen school aged children.

 
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, revised 2021 and incorporated by reference in this rule. As published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms, 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
Submit Documentation

Compliance Date
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