DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-ST. CHARLES BRANCH-JEFFERSON INTERMEDIATE

002053816

(636) 443-4421

2660 ZUMBEHL RD
ST CHARLES
MO  63301-1134

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

3900 SHADY SPRINGS LN
ST PETERS
MO  63376-6467

THORNHILL, ASHLEY ELIZABETH

LAURIE.MCTEARNEN@GWRYMCA.ORG

Incorporated

AMY MUSSELMAN

9 YEARS - 12 YEARS

32

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

07/12/2024

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2474035124


DocumentDocument-Date
LINES OF ADMINISTRATIVE AUTHORITY 08/09/2007
DISCIPLINE POLICIES 08/09/2007
DIRECTOR'S JOB RESPONSIBILITIES 08/09/2007
DAILY SCHEDULE 08/09/2007
CHILD CARE PRACTICES 08/09/2007
DIRECTOR'S QUALIFICATIONS 08/27/2012
ARTICLES OF INCORPORATION 08/09/2007
JOB RESPONSIBILITIES 03/24/2015
POLICIES 03/24/2015
SAMPLE WEEKLY MENU 08/09/2007
SAMPLE FORMS 03/24/2015
CERTIFICATE OF INCORPORATION 01/20/2016
CERTIFICATE OF GOOD STANDING 03/20/2024
REGISTERING FICTITIOUS NAMES 03/20/2024
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/09/2017
APPLICATION 03/06/2019
ANNUAL DECLARATION 04/08/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/19/2024
EQUIPMENT LIST 03/21/2024
STAFF SHEET 02/28/2023




Inspection determined facility to be in compliance with licensing rules.
Compliance 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.

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: Kirsten Skarstad needs 5 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
7/12/2024
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
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by 1 immunization record(s) was/were not on file .
Licensing Rule Reference
5 CSR 25-500.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
4/22/2024
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