DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-SOUTH CITY BRANCH-KENNARD CLASSICAL JUNIOR ACADEMY

000644691

(314) 644-3100

5031 POTOMAC ST
ST LOUIS
MO  63139

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

3150 SUBLETTE AVE
ST LOUIS
MO  63139

BUTLER, DEBORAH DENISE

cheryl.roe@gwrymca.org

Incorporated

JOYCE E GREEN

5 YEARS - 12 YEARS

49

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

11/04/2022

8:25 AM

9:06 AM

UNANNOUNCED

COMPLIANCE MONITORING

2434718613


DocumentDocument-Date
DAILY SCHEDULE 02/03/1995
POLICIES 03/03/1995
DISCIPLINE POLICIES 03/03/1995
JOB RESPONSIBILITIES 08/04/2006
LINES OF ADMINISTRATIVE AUTHORITY 02/03/1998
SAMPLE FORMS 02/03/1995
DIRECTOR'S QUALIFICATIONS 09/04/2009
ARTICLES OF INCORPORATION 02/03/1995
CHILD CARE PRACTICES 08/07/2006
CERTIFICATE OF GOOD STANDING 01/20/2016
REGISTERING FICTITIOUS NAMES 01/20/2016
CERTIFICATE OF INCORPORATION 01/20/2016
SAMPLE WEEKLY MENU 02/03/1995
LOCAL FIRE DEPARTMENT NOTIFICATION 02/03/1995
DIRECTOR'S JOB RESPONSIBILITIES 02/03/1995
APPLICATION 03/19/2018
STAFF SHEET 03/25/2021
EQUIPMENT LIST 03/07/2022
ANNUAL DECLARATION 03/07/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/07/2022




Inspection determined facility to be in compliance with licensing rules.
Compliance 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 2
Total Children 17
StaffChildClass AgeNote
2 17 SCHOOL AGE RB, program assistant , and NR, program assistant, were present with seventeen children, aged 6-years to 10-years old.

Compliance List
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
Violation
 Provider Comments
Violation
Requirements of the facility's participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (3) (A) states: The licensee shall ensure that the facility has on file documentation that, at least every three (3) months, all staff and children at the facility have participated in a disaster or emergency drill based on the facility's disaster and emergency plan.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by one immunization record(s) was/were not on file .
Licensing Rule Reference
5 CSR 25-500.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
Records were not available for inspection by the department upon request as evidenced by no employee records were available for inspection.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (10) states: All records shall be available in the facility for inspection by the department upon request.
Correction Required
Records shall be available at the facility for inspection.

Correction Verification
Submit Documentation

Compliance Date

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