DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

BOONSLICK HEARTLAND YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.

002205536

(660) 882-8500

757 THIRD ST
BOONVILLE
MO  65233

BOONSLICK HEARTLAND YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.

757 3RD ST
BOONVILLE
MO  65233-1670

BROWNING, OLIVIA M

cyndir@bhymca.org

Incorporated

LU A GAINES

5 YEARS - 15 YEARS

74

GROUP HOME AND CENTER

 
Inspection Information

05/15/2023

2:00 PM

5:36 PM

UNANNOUNCED

COMPLIANCE MONITORING

2446901869


DocumentDocument-Date
DISASTER AND EMERGENCY PREPAREDNESS PLAN 03/14/2018
DIRECTOR'S QUALIFICATIONS 02/14/2018
LOCAL ZONING APPROVAL 02/23/2010
ARTICLES OF INCORPORATION 02/23/2010
JOB RESPONSIBILITIES 02/25/2010
DAILY SCHEDULE 04/24/2018
DIAGRAM/INDOOR 04/27/2018
DIAGRAM/OUTDOOR 04/27/2018
LOCAL FIRE DEPARTMENT NOTIFICATION 10/18/2018
APPLICATION 03/02/2020
STAFF SHEET 08/31/2020
CERTIFICATE OF GOOD STANDING 04/29/2021
FIRE/SAFETY INSPECTION 03/07/2023
SANITATION INSPECTION 03/24/2023
EQUIPMENT LIST 04/10/2023
CHILD CARE PRACTICES 04/12/2022
DISCIPLINE POLICIES 04/12/2022
LINES OF ADMINISTRATIVE AUTHORITY 04/12/2022
POLICIES 04/12/2022
ANNUAL DECLARATION 04/10/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/10/2023
SAMPLE WEEKLY MENU 05/02/2022
SAMPLE FORMS 05/02/2022




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 8
Total Children 51
StaffChildClass AgeNote
3 0 NO CHILDREN IN ATTENDANCE Staff Cyndi Roth, Ashley Tillman and cook Corey Price present on site.
2 14 SCHOOL AGE Staff Ethan Williams and Ashlee Pickens present in the BIG room with children ages 9 - 11 years old.
1 16 SCHOOL AGE Macey Nowlin present in LITTLE room with children ages 5 - 8 years old.
2 21 SCHOOL AGE Viola Wayland and Abby Pickens present in the MIDDLE room with children ages 6 -8 years 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
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Abby Pulliam within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date

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
Compliance
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: Ethan Williams needs .25 training clock hours for 2022.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (C) states: Caregivers who were employed after the first of the year shall obtain one (1) clock of hour training for each one (1) month of employment, regardless of the date employment began.
Correction Required
Required training hours shall be documented for each employee.

Correction Verification
Submit Documentation

Compliance Date

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 25-500.142 Nighttime Care
Not Observed
5 CSR 25-500.162 Overlap Care of Children
Not Observed
5 CSR 25-500.172 Emergency School Closings
Not Observed
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 Abby Pulliam.
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