DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

Y-CARE @ THE Y

000341946

(573) 761-3196

424 STADIUM BLVD
JEFFERSON CITY
MO  65101-2811

JEFFERSON CITY AREA YOUNG MEN'S CHRISTIAN ASSOCIATION

PO BOX 104176
JEFFERSON CITY
MO  65110

KEVER, JESSICA RENEE

JKEVER@JCYMCA.ORG

Incorporated

LAUREN R RAYWARNKE

5 YEARS - 12 YEARS

60

GROUP HOME AND CENTER

 
Inspection Information

04/11/2023

2:45 PM

4:03 PM

UNANNOUNCED

COMPLIANCE MONITORING

2444794834


DocumentDocument-Date
LINES OF ADMINISTRATIVE AUTHORITY 09/03/1992
JOB RESPONSIBILITIES 08/30/1991
DIRECTOR'S QUALIFICATIONS 07/30/2008
SAMPLE FORMS 10/20/1999
DISCIPLINE POLICIES 11/04/2005
CHILD CARE PRACTICES 11/04/2005
SAMPLE WEEKLY MENU 11/04/2005
DAILY SCHEDULE 11/04/2005
POLICIES 11/04/2005
DIAGRAM/OUTDOOR 09/02/1997
DIAGRAM/INDOOR 08/12/2008
ARTICLES OF INCORPORATION 04/11/2008
CERTIFICATE OF GOOD STANDING 04/12/2017
APPLICATION 04/08/2019
STAFF SHEET 04/08/2019
EQUIPMENT LIST 03/23/2023
ANNUAL DECLARATION 03/23/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/23/2023
FIRE/SAFETY INSPECTION 02/01/2023
SANITATION INSPECTION 11/28/2022




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 2
Total Children 26
StaffChildClass AgeNote
2 26 SCHOOL AGE Anjelica Bowman and Robin Benefield with 26 children ages 5 through 11 year's old.

 
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 25-500.087 Fire Safety
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
The requirements for sleeping materials were not met as evidenced by there was an inadequate amount of approved sleeping equipment - the number short was 60-there were no cots found on premises.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 1. A. states: An individual cot or bed shall be provided for each child who naps or sleeps. An individually assigned sheet and blanket shall be provided for each child twelve (12) months and older who naps or sleeps. Upper levels of bunk beds shall not be used.
Correction Required
The facility shall provide sleeping equipment and bedding as required.

Correction Verification
Submit Documentation

Compliance Date

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
Medical examination report(s) was/were not on file for Robin Benefield 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

Violation
A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Robin Benefield.
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 tuberculin skin test (TST) as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.142 Nighttime Care
Compliance
5 CSR 25-500.162 Overlap Care of Children
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