DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-MID COUNTY BRANCH-MAPLEWOOD RICHMOND HEIGHTS EARLY CHILDHOOD EDUCATION CENTER

003015132

(314) 644-4405

2810 BURGESS LN
MAPLEWOOD
MO  63143-2802

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

1900 URBAN DR
ST LOUIS
MO  63144-1824

RADFORD, HELEN ANN

eugenia.jones@gwrymca.org

Incorporated

LAUREN A LEON

5 YEARS - 9 YEARS

48

SCHOOL AGE

AFTER SCHOOL CARE ONLY
 
Inspection Information

08/30/2024

3:30 PM

4:35 PM

UNANNOUNCED

COMPLIANCE MONITORING

2477165193


DocumentDocument-Date
APPLICATION 05/19/2023
CERTIFICATE OF GOOD STANDING 08/11/2023
CHILD CARE PRACTICES 08/11/2023
DIRECTOR'S JOB RESPONSIBILITIES 08/11/2023
DIRECTOR'S QUALIFICATIONS 08/11/2023
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/11/2023
EQUIPMENT LIST 08/11/2023
SAMPLE WEEKLY MENU 08/11/2023
POLICIES 08/11/2023
LOCAL FIRE DEPARTMENT NOTIFICATION 08/11/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 08/11/2023
DISCIPLINE POLICIES 08/11/2023
DAILY SCHEDULE 08/14/2023
SAMPLE FORMS 08/14/2023
ARTICLES OF INCORPORATION 08/23/2023
LINES OF ADMINISTRATIVE AUTHORITY 08/23/2023
JOB RESPONSIBILITIES 08/17/2023
REGISTERING FICTITIOUS NAMES 08/18/2023




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 7
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 41
StaffChildClass AgeNote
1 10 SCHOOL AGE Caregiver, Helaina Boutwell, present with ten children ages 5-years-old to 9-years-old.
1 10 SCHOOL AGE Caregiver, Mylah Childs, present with ten children ages 5-years-old to 9-years-old.
1 10 SCHOOL AGE Caregiver, Irene Gao, present with ten children ages 5-years-old to 9-years-old.
1 11 SCHOOL AGE Director, Helen Radford, present with eleven children ages 5-years-old to 9-years-old.

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
Violation
 Provider Comments
Violation
The equipment list was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment.
Correction Required
The facility shall submit an equipment list as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The staff sheet was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet.
Correction Required
The facility shall submit a current staff sheet as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The Annual Declaration was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, revised 2021 and incorporated by reference in this rule. As published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms, indicating the licensee’s intent to continue operating a licensed group child care home or child care center and agreement to comply with all statutes and department licensing rules.
Correction Required
The facility shall submit the Annual Declaration as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The Family Care Safety Registry check was not conducted for Helen Radford, Mylah Childs, Irene Gao, and Helaina Boutwell within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
A school-age child's health report was not on file at the time of enrollment as evidenced by three children's files did not have school age health reports on file - admission dates were 8/19/2024.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (2) (D) states: The parent(s) of a school-age child shall provide a report at the time of enrollment indicating the child's health history, any current health problems, and any restrictions necessary for the child's care.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.172 Emergency School Closings
Not Observed
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
Four child(ren) records did not include date care begins and ends.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (A) states: The child's full name, address, birth-date and the date care begins and ends;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
8/30/2024
Violation
One child(ren) records did not include address of another individual who might be reached in an emergency.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Records were not available for inspection by the department upon request as evidenced by the following staff members did not have a staff file for review: Irene Gao, Helaina Boutwell, and Mylah Childs.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (10) states: All records shall be available in the facility for inspection by the department upon request.
Correction Required
Records shall be available at the facility for inspection.

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