DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER KANSAS CITY

002925026

(816) 986-2371

12709 SMART RD
LEES SUMMIT
MO  64086-8900

YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER KANSAS CITY

3100 BROADWAY BLVD
KANSAS CITY
MO  64111-2658

SLATER, SHERI ANN

ydslicensing@kansascityymca.org

Incorporated

PENNY SNODGRASS

5 YEARS - 14 YEARS

60

SCHOOL AGE

 
Inspection Information

06/13/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2448967626


DocumentDocument-Date
LICENSING ORIENTATION 07/31/2020
ARTICLES OF INCORPORATION 04/12/2022
SAMPLE FORMS 05/06/2022
CHILD CARE PRACTICES 05/06/2022
LINES OF ADMINISTRATIVE AUTHORITY 10/18/2021
JOB RESPONSIBILITIES 10/18/2021
DIRECTOR'S JOB RESPONSIBILITIES 10/18/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN 04/24/2022
POLICIES 05/06/2022
DISCIPLINE POLICIES 05/06/2022
SAMPLE WEEKLY MENU 04/24/2022
DAILY SCHEDULE 04/24/2022
CERTIFICATE OF GOOD STANDING 04/12/2022
CERTIFICATE OF INCORPORATION 04/12/2022
EQUIPMENT LIST 04/27/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/27/2023
DIRECTOR'S QUALIFICATIONS 04/28/2023
APPLICATION 05/26/2022
ANNUAL DECLARATION 04/27/2023




Inspection determined facility to be in compliance with licensing rules.
Compliance 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.

Compliance List
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
Violation
 Provider Comments
Violation
Medical examination report form did not contain all required information as evidenced by the medical for Clifford Mills didn't state mentally and physically able to care for children.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (D) states: The medical examination report form shall be supplied by the department or the facility may use its own form if it contains all the information on the department’s form. The Medical Examination Report for Caregivers and Staff form, revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
5/24/2023
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