DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER KANSAS CITY

002603641

(816) 666-5896

401 KENTUCKY AVENUE
PLATTE CITY
MO  64079

YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER KANSAS CITY

3100 BROADWAY BLVD STE 1020
KANSAS CITY
MO  64111-2413

BLYTHE, LAURA CHRISTINE

ydslicensing@kansascityymca.org


MACIE L HERRIG

5 YEARS - 14 YEARS

99

SCHOOL AGE

 
Inspection Information

10/21/2022

7:46 AM

8:13 AM

UNANNOUNCED

COMPLIANCE MONITORING

2433566309


DocumentDocument-Date
ARTICLES OF INCORPORATION 05/25/2016
CHILD CARE PRACTICES 05/25/2016
DAILY SCHEDULE 05/25/2016
DIAGRAM/INDOOR 08/17/2016
DIAGRAM/OUTDOOR 08/17/2016
DISCIPLINE POLICIES 05/25/2016
LINES OF ADMINISTRATIVE AUTHORITY 05/25/2016
POLICIES 05/25/2016
SAMPLE FORMS 05/25/2016
SAMPLE WEEKLY MENU 05/25/2016
JOB RESPONSIBILITIES 06/15/2012
LOCAL BUILDING APPROVAL 06/15/2012
LOCAL ZONING APPROVAL 06/15/2012
DISASTER AND EMERGENCY PREPAREDNESS PLAN 06/11/2018
DIRECTOR'S JOB RESPONSIBILITIES 05/25/2016
STAFF SHEET 05/01/2018
DIRECTOR'S QUALIFICATIONS 01/08/2018
APPLICATION 05/27/2020
ANNUAL DECLARATION 03/11/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/11/2021
CERTIFICATE OF GOOD STANDING 04/21/2021
EQUIPMENT LIST 03/11/2021




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 3
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 3
Total Children 27
StaffChildClass AgeNote
1 13 SCHOOL AGE caregiver S.K. present with thirteen children in the cafeteria, all school age
2 14 SCHOOL AGE director L.B. and caregiver S.G. present with fourteen children in the gym, all school age

 
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
Violation
 Provider Comments
Violation
A medical examination report did not include either a completed Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) within 12 months of the individual's begin date at the facility for the following staff: K.L.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberulin skin test (TST) as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Medical examination report was not on file for K.L. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
Criminal background check results were not on file for S.G.
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

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