MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER KANSAS CITY

Facility DVN
002933035

Phone
(816) 986-4191

Physical Address
1001 SW LONGVIEW PARK DR
LEES SUMMIT
MO 64081-2188

Owner
YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER KANSAS CITY

Mailing Address
3100 BROADWAY BLVD
KANSAS CITY
MO 64111-2658

Provider/Director
ZUBECK, SARAH KATHERINE

E-mail Address
ydslicensing@kansascityymca.org

Incorporated
Incorporated

Child Care Specialist
JANA BARTON

Age Range
5 YEARS - 14 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
11/17/2023

Arrival Time
8:28 AM

Departure Time
8:46 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2459096350

Document	Document-Date
APPLICATION	05/26/2022
DIRECTOR'S QUALIFICATIONS	07/20/2022
ARTICLES OF INCORPORATION	10/18/2021
CERTIFICATE OF INCORPORATION	10/18/2021
SAMPLE WEEKLY MENU	04/24/2022
DAILY SCHEDULE	04/24/2022
DIRECTOR'S JOB RESPONSIBILITIES	04/24/2022
JOB RESPONSIBILITIES	04/24/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN	04/24/2022
SAMPLE FORMS	04/24/2022
CHILD CARE PRACTICES	05/06/2022
DISCIPLINE POLICIES	05/06/2022
LICENSING ORIENTATION	07/30/2020
POLICIES	05/06/2022
REGISTERING FICTITIOUS NAMES	04/12/2022
LINES OF ADMINISTRATIVE AUTHORITY	07/20/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/19/2023
EQUIPMENT LIST	04/19/2023
CERTIFICATE OF GOOD STANDING	05/10/2023
ANNUAL DECLARATION	04/18/2023

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 3

Total Children 17

Staff	Child	Class Age	Note
3	17	SCHOOL AGE	with Jacob Conard, Jessica Waterman, and Alyssa Orender


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 Not Observed
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 Not Observed
5 CSR 25-500.212 Transportation and Field Trips Compliance
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. — Compliance
RSMo 210.211. License required - exceptions - written notice of licensure status, when. Compliance