DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-FOUR RIVERS BRANCH-WASHINGTON WEST ELEMENTARY

001178345

(636) 239-5704

1570 W FIFTH ST
WASHINGTON
MO  63090

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

400 GRAND AVE
WASHINGTON
MO  63090-1204

MUELLER, MELISSA

melissa.mueller@gwrymca.org

Incorporated

ALLA GERASIMOVA

5 YEARS - 12 YEARS

48

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

05/09/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2447141772


DocumentDocument-Date
LINES OF ADMINISTRATIVE AUTHORITY 02/11/2008
JOB RESPONSIBILITIES 08/13/1998
LOCAL FIRE DEPARTMENT NOTIFICATION 02/28/2008
CHILD CARE PRACTICES 08/13/1998
SAMPLE WEEKLY MENU 01/23/2006
DAILY SCHEDULE 01/23/2006
POLICIES 06/22/2000
CERTIFICATE OF INCORPORATION 08/13/1998
ARTICLES OF INCORPORATION 08/13/1998
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/15/2018
STAFF SHEET 02/07/2020
APPLICATION 01/30/2020
DISCIPLINE POLICIES 06/22/2000
DIRECTOR'S JOB RESPONSIBILITIES 08/13/1998
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/09/2021
CERTIFICATE OF GOOD STANDING 03/09/2021
REGISTERING FICTITIOUS NAMES 03/09/2021
DIRECTOR'S QUALIFICATIONS 08/18/2021
ANNUAL DECLARATION 04/07/2023
EQUIPMENT LIST 04/07/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/07/2023




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
Compliance
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
Documentation of caregiver completion of the facility orientation was not on file for the following staff: Francis Goette.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (L) states: The child care provider shall ensure that documentation of caregiver completion of the facility orientation is maintained and on file for review by the department.
Correction Required
Documentation of caregiver completion of the facility orientation shall be maintained and on file for review by the department.

Correction Verification
Submit Documentation

Compliance Date
5/9/2023
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2022, the staff listed need the following information: Francis Goette needs 9.5 hours.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each caregiver.

Correction Verification
Submit Documentation

Compliance Date
5/9/2023
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