DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

Y-CARE PIONEER TRAIL ELEMENTARY SCHOOL

002786543

(573) 632-3400

301 PIONEER TRAIL DR
JEFFERSON CITY
MO  65109-1508

JEFFERSON CITY AREA YOUNG MEN'S CHRISTIAN ASSOCIATION

PO BOX 104176
JEFFERSON CITY
MO  65110-4176

WHITE, ASHLEY NICHOLE

bwatkins@jcymca.org

Incorporated

ALLA GERASIMOVA

5 YEARS - 12 YEARS

99

SCHOOL AGE

AFTER SCHOOL CARE ONLY
 
Inspection Information

04/09/2024

3:20 PM

4:47 PM

UNANNOUNCED

COMPLIANCE MONITORING

2457475915


DocumentDocument-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.
Compliance Licensing Rules
Open Violations: 4
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 4
Total Children 58
StaffChildClass AgeNote
4 58 SCHOOL AGE Caregivers/teachers Dawn Bew, Christine Smith, Ashley White and Ivory Shickles present outside with thirty two school age children. Later twenty six more children joined them after the Choir practice and Boost ( tutoring program) ,bringing the total number to 58 school age children.

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
Violation
 Provider Comments
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: Connor Henderson needs 11 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 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
Violation
 Provider Comments
Violation
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.
Licensing Rule Reference
5 CSR 25-500.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
Correction Required
An individualized plan from a professional source shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
one child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
one child(ren) records did not include work schedule of parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

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