DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-SOUTH COUNTY BRANCH-BIERBAUM ELEMENTARY

000186338

(314) 467-5588

2050 UNION RD
ST LOUIS
MO  63125-3053

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

12736 SOUTHFORK RD
ST LOUIS
MO  63128-3262

CAPPS, KENNEDY

kennedy.capps@gwrymca.org

Incorporated

JULIE PLEIMANN

5 YEARS - 12 YEARS

49

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

10/19/2023

7:00 AM

8:05 AM

UNANNOUNCED

COMPLIANCE MONITORING

2456953353


DocumentDocument-Date
SAMPLE WEEKLY MENU 09/13/1985
SAMPLE FORMS 09/13/1985
POLICIES 09/13/1985
LOCAL FIRE DEPARTMENT NOTIFICATION 09/13/2011
CERTIFICATE OF INCORPORATION 09/13/1985
LINES OF ADMINISTRATIVE AUTHORITY 09/13/1985
JOB RESPONSIBILITIES 09/13/1985
DISCIPLINE POLICIES 09/13/1985
DIRECTOR'S JOB RESPONSIBILITIES 09/13/1985
DAILY SCHEDULE 09/13/1985
CHILD CARE PRACTICES 09/13/1985
CERTIFICATE OF GOOD STANDING 09/13/2011
ARTICLES OF INCORPORATION 09/13/1985
STAFF SHEET 10/25/2019
DIRECTOR'S QUALIFICATIONS 08/24/2023
EQUIPMENT LIST 09/05/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 09/05/2023
ANNUAL DECLARATION 09/05/2023




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 1
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 2
Total Children 9
StaffChildClass AgeNote
2 9 SCHOOL AGE Site Manager Tyra Strinni and Group Leader Linda Roth were present with nine children who were all school aged. They were ages 7-years-old through 10-years-old.

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
Violation
 Provider Comments
Violation
The staff sheet was not fully completed as evidenced by after care group leader, Julie Heyman and the director, Kennedy Capps, were not listed on the staff sheet.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet.
Correction Required
The facility shall submit a current staff sheet as required.

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 25-500.090 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
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
Not Observed
5 CSR 25-500.212 Transportation and Field Trips
Not Observed
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