DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

Y-CARE PIONEER TRAIL ELEMENTARY SCHOOL

002786543

(573) 632-3400

301 PIONEER TRAIL DR
JEFFERSON CITY
MO  65109-1508

JEFFERSON CITY AREA YOUNG MEN'S CHRISTIAN ASSOCIATION

PO BOX 104176
JEFFERSON CITY
MO  65110-4176

WHITE, ASHLEY NICHOLE

jkever@jcymca.org

Incorporated

LAUREN R RAYWARNKE

5 YEARS - 12 YEARS

99

SCHOOL AGE

AFTER SCHOOL CARE ONLY
 
Inspection Information

04/28/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2446222307


DocumentDocument-Date
APPLICATION 07/18/2019
DIRECTOR'S QUALIFICATIONS 08/07/2019
CERTIFICATE OF GOOD STANDING 08/07/2019
ARTICLES OF INCORPORATION 08/07/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/07/2019
SAMPLE FORMS 08/07/2019
CERTIFICATE OF INCORPORATION 08/07/2019
LINES OF ADMINISTRATIVE AUTHORITY 08/07/2019
DISCIPLINE POLICIES 08/07/2019
POLICIES 08/07/2019
DAILY SCHEDULE 08/07/2019
SAMPLE WEEKLY MENU 08/07/2019
JOB RESPONSIBILITIES 08/07/2019
DIRECTOR'S JOB RESPONSIBILITIES 08/07/2019
REGISTERING FICTITIOUS NAMES 08/07/2019
CHILD CARE PRACTICES 08/07/2019
STAFF SHEET 08/14/2019
LOCAL FIRE DEPARTMENT NOTIFICATION 08/27/2019
EQUIPMENT LIST 02/28/2023
ANNUAL DECLARATION 02/28/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 02/28/2023




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
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
Violation
 Provider Comments
Violation
The facility did not meet requirements for music and rhythm activities. The facility needed an additional 1 items in this category.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. F. states: Music and rhythm activities;
Correction Required
The facility shall provide appropriate equipment for children as required.

Correction Verification
Submit Documentation

Compliance Date
4/28/2023
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
Violation
 Provider Comments
Violation
2 child(ren) records did not include employers' address of parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
4/20/2023
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