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

10/17/2022

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2433131405


DocumentDocument-Date
APPLICATION 05/20/2021
CERTIFICATE OF GOOD STANDING 07/26/2021
CERTIFICATE OF INCORPORATION 07/26/2021
CHILD CARE PRACTICES 07/26/2021
DAILY SCHEDULE 07/26/2021
DIRECTOR'S QUALIFICATIONS 05/21/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN 07/26/2021
DISCIPLINE POLICIES 07/26/2021
EQUIPMENT LIST 08/31/2022
POLICIES 07/26/2021
SAMPLE WEEKLY MENU 07/26/2021
ARTICLES OF INCORPORATION 12/15/2017
SAMPLE FORMS 07/26/2021
LINES OF ADMINISTRATIVE AUTHORITY 07/27/2021
JOB RESPONSIBILITIES 07/21/2021
DIRECTOR'S JOB RESPONSIBILITIES 07/27/2021
LICENSING ORIENTATION 07/26/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 10/11/2022
ANNUAL DECLARATION 08/31/2022




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
Violation
 Provider Comments
Violation
The staff sheet was not fully completed as evidenced by the following was not listed: the Designee, the Board President, and employees that come to work on the school premises from the YMCA.
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
10/11/2022
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