MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
YMCA-O'FALLON BRANCH-PROGRESS SOUTH ELEMENTARY

Facility DVN
000176509

Phone
(636) 379-0092

Physical Address
201 KNAUST RD
ST PETERS
MO 63376

Owner
GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

Mailing Address
3451 PHEASANT MEADOWS DR
O FALLON
MO 63366

Provider/Director
SCHROER, SANDRA KAYE

E-mail Address
LAURIE.MCTEARNEN@GWRYMCA.ORG

Incorporated
Incorporated

Child Care Specialist
DEBBIE ASHLOCK

Age Range
5 YEARS - 12 YEARS

Capacity
80

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
03/10/2016

Arrival Time
3:14 PM

Departure Time
3:50 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2264369619

Document	Document-Date
STAFF SHEET	09/10/2015
EQUIPMENT LIST	09/10/2015
APPLICATION	09/10/2015
SAMPLE WEEKLY MENU	07/16/1985
SAMPLE FORMS	07/16/1985
POLICIES	07/16/1985
LINES OF ADMINISTRATIVE AUTHORITY	07/16/1985
JOB RESPONSIBILITIES	07/16/1985
DISCIPLINE POLICIES	07/16/1985
DIRECTOR'S QUALIFICATIONS	10/09/2009
DIRECTOR'S JOB RESPONSIBILITIES	07/16/1985
DAILY SCHEDULE	07/16/1985
CHILD CARE PRACTICES	07/16/1985
CERTIFICATE OF INCORPORATION	07/16/1985
CERTIFICATE OF GOOD STANDING	10/06/2012
ARTICLES OF INCORPORATION	07/16/1985

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 6

Total Children 55

Staff	Child	Class Age	Note
6	55	SCHOOL AGE	with Austin Dave Zaina Shannon Daniel Andrew


19 CSR 30-62.032 Organization and Administration Compliance
19 CSR 30-62.042 Initial Licensing Information Compliance
19 CSR 30-62.052 License Renewal Compliance
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers Compliance
19 CSR 30-62.090 Disaster and Emergency Preparedness Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials Compliance
19 CSR 30-62.102 Personnel Compliance
19 CSR 30-62.112 Staff/Child Ratios Compliance
19 CSR 30-62.122 Medical Examination Reports Compliance
19 CSR 30-62.132 Admission Policies and Procedures Compliance
19 CSR 30-62.172 Emergency School Closings Compliance
19 CSR 30-62.182 Child Care Program Compliance
19 CSR 30-62.192 Health Care Compliance
19 CSR 30-62.202 Nutrition and Food Service Compliance
19 CSR 30-62.212 Transportation and Field Trips Compliance
19 CSR 30-62.222 Records and Reports Compliance