MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
GRAND RIVER AREA FAMILY YMCA, INC.

Facility DVN
002066580

Phone
(660) 258-2388

Physical Address
128 N PERSHING DR
BROOKFIELD
MO 64628-2731

Owner
GRAND RIVER AREA FAMILY YMCA, INC.

Mailing Address
PO BOX 403
BROOKFIELD
MO 64628-0403

Provider/Director
WEYDERT, JONNA EILLEEN

E-mail Address
vburns@ncmymca.org

Incorporated
Incorporated

Child Care Specialist
ELLEN DONOHO

Age Range
5 YEARS - 12 YEARS

Capacity
32

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
03/25/2024

Arrival Time
2:40 PM

Departure Time
3:28 PM

Notice
UNANNOUNCED

Inspection Type
POST LICENSING

Inspection ID
2466988152

Document	Document-Date
CERTIFICATE OF INCORPORATION	11/15/2023
LINES OF ADMINISTRATIVE AUTHORITY	11/15/2023
POLICIES	11/15/2023
DISASTER AND EMERGENCY PREPAREDNESS PLAN	11/15/2023
JOB RESPONSIBILITIES	11/15/2023
DIRECTOR'S QUALIFICATIONS	11/15/2023
DIRECTOR'S JOB RESPONSIBILITIES	11/15/2023
CHILD CARE PRACTICES	11/22/2023
ARTICLES OF INCORPORATION	01/17/2024
APPLICATION	08/31/2023
DAILY SCHEDULE	10/05/2023
DISCIPLINE POLICIES	10/05/2023
EQUIPMENT LIST	10/05/2023
SAMPLE WEEKLY MENU	10/05/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	10/05/2023

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 26

Staff	Child	Class Age	Note
3	26	SCHOOL AGE	5 years-10 years Jonna Weydert, Shelby Wattenbarger and Torri Trentham, staff


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 Compliance
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