MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
Y-CARE PIONEER TRAIL ELEMENTARY SCHOOL

Facility DVN
002786543

Phone
(573) 632-3400

Physical Address
301 PIONEER TRAIL DR
JEFFERSON CITY
MO 65109-1508

Owner
JEFFERSON CITY AREA YOUNG MEN'S CHRISTIAN ASSOCIATION

Mailing Address
PO BOX 104176
JEFFERSON CITY
MO 65110-4176

Provider/Director
WHITE, ASHLEY NICHOLE

E-mail Address
bwatkins@jcymca.org

Incorporated
Incorporated

Child Care Specialist
ALLA GERASIMOVA

Age Range
5 YEARS - 12 YEARS

Capacity
99

Facility Type
SCHOOL AGE

Limitations
AFTER SCHOOL CARE ONLY

Inspection Information

Date
10/24/2023

Arrival Time
3:07 PM

Departure Time
3:20 PM

Notice
UNANNOUNCED

Inspection Type
REINSPECTION

Inspection ID
2457475899

Document	Document-Date
APPLICATION	07/18/2019
DIRECTOR'S QUALIFICATIONS	08/07/2019
CERTIFICATE OF GOOD STANDING	08/07/2019
ARTICLES OF INCORPORATION	08/07/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	08/07/2019
SAMPLE FORMS	08/07/2019
CERTIFICATE OF INCORPORATION	08/07/2019
LINES OF ADMINISTRATIVE AUTHORITY	08/07/2019
DISCIPLINE POLICIES	08/07/2019
POLICIES	08/07/2019
DAILY SCHEDULE	08/07/2019
SAMPLE WEEKLY MENU	08/07/2019
JOB RESPONSIBILITIES	08/07/2019
DIRECTOR'S JOB RESPONSIBILITIES	08/07/2019
REGISTERING FICTITIOUS NAMES	08/07/2019
CHILD CARE PRACTICES	08/07/2019
STAFF SHEET	08/14/2019
LOCAL FIRE DEPARTMENT NOTIFICATION	08/27/2019
EQUIPMENT LIST	02/28/2023
ANNUAL DECLARATION	02/28/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	02/28/2023

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.

Attendance at Time of Inspection

Total Staff 5

Total Children 30

Staff	Child	Class Age	Note
5	30	SCHOOL AGE	Caregivers Same Hale, Ivory Shikles , Dawn Bews, Connor Henderson and director Ashley White are present with thirty school age children.

Compliance List
5 CSR 25-500.032 Organization and Administration Not Observed
5 CSR 25-500.042 Licensing Process Not Observed
5 CSR 25-500.052 Annual Requirements Not Observed
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Not Observed
5 CSR 25-500.090 Disaster and Emergency Preparedness Not Observed
5 CSR 25-500.092 Furniture, Equipment and Materials Not Observed
5 CSR 25-500.102 Personnel Not Observed
5 CSR 25-500.112 Staff/Child Ratios Violation
5 CSR 25-500.122 Medical Examination Reports Not Observed
5 CSR 25-500.132 Admission Policies and Procedures Not Observed
5 CSR 25-500.172 Emergency School Closings Not Observed
5 CSR 25-500.182 Child Care Program Not Observed
5 CSR 25-500.192 Health Care Not Observed
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 Not Observed
5 CSR 25-600.020 General Requirements Not Observed
5 CSR 25-600.040 Background Screening Findings Not Observed
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. — Not Observed
RSMo 210.211. License required - exceptions - written notice of licensure status, when. Not Observed