MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
Y-CARE WEST SCHOOL

Facility DVN
000318061

Phone
(573) 659-3195

Physical Address
100 DIX RD
JEFFERSON CITY
MO 65109-0962

Owner
JEFFERSON CITY AREA YOUNG MEN'S CHRISTIAN ASSOCIATION

Mailing Address
PO BOX 104176
JEFFERSON CITY
MO 65110-4176

Provider/Director
WILLIAMS, DESTINY

E-mail Address
JKEVER@JCYMCA.ORG

Incorporated
Incorporated

Child Care Specialist
LAUREN R RAYWARNKE

Age Range
5 YEARS - 12 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations
AFTER SCHOOL CARE ONLY

Inspection Information

Date
05/09/2023

Arrival Time
3:00 PM

Departure Time
3:29 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2446815882

Document	Document-Date
REGISTERING FICTITIOUS NAMES	09/22/2010
LINES OF ADMINISTRATIVE AUTHORITY	04/29/2009
JOB RESPONSIBILITIES	11/20/2008
DIRECTOR'S QUALIFICATIONS	02/24/2010
LOCAL FIRE DEPARTMENT NOTIFICATION	09/19/2008
SAMPLE FORMS	11/18/2008
DISCIPLINE POLICIES	11/20/2008
CHILD CARE PRACTICES	11/20/2008
POLICIES	11/20/2008
CERTIFICATE OF GOOD STANDING	10/19/2010
APPLICATION	10/12/2018
STAFF SHEET	11/06/2018
EQUIPMENT LIST	11/02/2022
ANNUAL DECLARATION	10/19/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	10/19/2022

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.

Attendance at Time of Inspection

Total Staff 3

Total Children 37

Staff	Child	Class Age	Note
3	37	SCHOOL AGE	Joseph Gorman, Destiny Stilley and Abby Kempker with 37 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 25-500.090 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