DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE GHC INSPECTION REPORT
Facility Information

Y-CARE NORTH SCHOOL

000189335

(573) 761-3196

285 S SUMMIT DR
HOLTS SUMMIT
MO  65043-1445

JEFFERSON CITY AREA YOUNG MEN'S CHRISTIAN ASSOCIATION

PO BOX 104176
JEFFERSON CITY
MO  65110-4176

GREEN, DALTON TAYLOR

BWATKINS@JCYMCA.ORG

Incorporated

JOY LYNN NICHOLS

5 YEARS - 12 YEARS

99

SCHOOL AGE GHC

 
Inspection Information

04/11/2025

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2491007527


DocumentDocument-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/12/2025
EQUIPMENT LIST 03/12/2025
ANNUAL DECLARATION 03/12/2025
DIRECTOR'S QUALIFICATIONS 12/13/2012
DISCIPLINE POLICIES 08/05/1985
DIRECTOR'S JOB RESPONSIBILITIES 08/26/1993
JOB RESPONSIBILITIES 08/05/1985
LINES OF ADMINISTRATIVE AUTHORITY 08/05/1985
CHILD CARE PRACTICES 08/05/1985
DAILY SCHEDULE 08/05/1985
POLICIES 08/05/1985
SAMPLE FORMS 08/10/1984
SAMPLE WEEKLY MENU 08/05/1985
CERTIFICATE OF INCORPORATION 07/19/1984
APPLICATION 04/03/2019
CERTIFICATE OF GOOD STANDING 04/12/2021
STAFF SHEET 04/12/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN 12/03/2013
LICENSING ORIENTATION 08/05/1985
ARTICLES OF INCORPORATION 08/05/1985
LOCAL FIRE DEPARTMENT NOTIFICATION 08/05/1985
OWNER/PROVIDER REFERENCES 04/12/2021




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
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Dalton Green 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
4/11/2025
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 25-500.142 Nighttime Care
Compliance
5 CSR 25-500.162 Overlap Care of Children
Compliance
5 CSR 25-500.162 Overlap Care of Children
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 one (Child A) 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
4/11/2025
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