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-TWIN CHIMNEYS ELEMENTARY

Facility DVN
000541702

Phone
(636) 579-4994

Physical Address
7396 TWIN CHIMNEYS BLVD
O FALLON
MO 63368-6112

Owner
GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

Mailing Address
3451 PHEASANT MEADOW DR
O FALLON
MO 63368-7324

Provider/Director
PHILLIPS, KELLI ANN

E-mail Address
LAURIE.MCTEARNEN@GWRYMCA.ORG

Incorporated
Incorporated

Child Care Specialist
DEBBIE ASHLOCK

Age Range
5 YEARS - 12 YEARS

Capacity
48

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
09/19/2017

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2313792124

Document	Document-Date
LINES OF ADMINISTRATIVE AUTHORITY	08/26/1996
JOB RESPONSIBILITIES	08/26/1996
SAMPLE WEEKLY MENU	08/26/1996
POLICIES	08/26/1996
STAFF SHEET	01/30/2017
SAMPLE FORMS	08/26/1996
EQUIPMENT LIST	01/30/2017
DISCIPLINE POLICIES	08/26/1996
DIRECTOR'S JOB RESPONSIBILITIES	08/26/1996
DIRECTOR'S QUALIFICATIONS	01/14/2013
CHILD CARE PRACTICES	08/26/1996
DAILY SCHEDULE	08/26/1996
ARTICLES OF INCORPORATION	08/26/1996
APPLICATION	01/30/2017
CERTIFICATE OF GOOD STANDING	01/20/2016
CERTIFICATE OF INCORPORATION	01/20/2016
REGISTERING FICTITIOUS NAMES	01/20/2016

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.