DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE GHC INSPECTION REPORT
Facility Information

YMCA-JEFFERSON COUNTY BRANCH-HILLSBORO PRIMARY

000557268

(314) 565-3112

101 LEON HALL PKY
HILLSBORO
MO  63050

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

1303 YMCA DR
FESTUS
MO  63028

HOLDINGHAUSEN, CYNTHIA LOUISE

cindy.holdinghausen@gwrymca.org

Incorporated

BRITTANY HECHT

5 YEARS - 12 YEARS

48

SCHOOL AGE GHC

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

05/30/2025

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2494675444


DocumentDocument-Date
SAMPLE FORMS 05/11/1995
ARTICLES OF INCORPORATION 09/13/2011
LINES OF ADMINISTRATIVE AUTHORITY 08/19/1993
JOB RESPONSIBILITIES 08/19/1993
SAMPLE WEEKLY MENU 07/26/1993
DAILY SCHEDULE 07/26/1993
CHILD CARE PRACTICES 05/11/1995
POLICIES 05/11/1995
REGISTERING FICTITIOUS NAMES 08/28/2015
CERTIFICATE OF GOOD STANDING 02/22/2017
LOCAL FIRE DEPARTMENT NOTIFICATION 08/07/2000
DISASTER AND EMERGENCY PREPAREDNESS PLAN 04/20/2012
CERTIFICATE OF INCORPORATION 10/26/2006
DISCIPLINE POLICIES 07/26/1993
APPLICATION 04/12/2019
DIRECTOR'S QUALIFICATIONS 04/15/2019
STAFF SHEET 04/15/2019
DIRECTOR'S JOB RESPONSIBILITIES 04/15/2019
EQUIPMENT LIST 10/03/2024
ANNUAL DECLARATION 10/03/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 10/03/2024




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 Alexis Biehle, Juile Gansmann, Aubrey Gordon, Cindy Holdinghausen, Kristina Kemp & Rebecca Bishop 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
2/11/2025
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
Violation
 Provider Comments
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2024, the staff listed need the following information: Molly Politte - 3 Clock 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
5/30/2025
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
A medical examination report did not include either a completed Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) within 12 months of the individual's begin date at the facility for the following staff: Alexis Biehle.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberulin skin test (TST) as required.

Correction Verification
Submit Documentation

Compliance Date
2/19/2025
Violation
Medical examination report form did not contain all required information as evidenced by the Medical Provider failed to note that the patient was in good physical & emotional health & free of contagious disease for the following staff: Julie Gansmann.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (D) states: The medical examination report form shall be supplied by the department or the facility may use its own form if it contains all the information on the department’s form. The Medical Examination Report for Caregivers and Staff form, revised 2021, is 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. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
3/13/2025
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
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