DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA - OFALLON BRANCH- HAWTHORN ELEMENTARY

000176465

(314) 443-6240

166 BOONE HILLS DR
ST PETERS
MO  63376

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

3451 PHEASANT MEADOW DR
O FALLON
MO  63368-7324

HORTON, BRANDI LYNN

LAURIE.MCTEARNEN@GWRYMCA.ORG

Incorporated

MARLA CHRISCO

5 YEARS - 12 YEARS

48

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

09/27/2017

4:00 PM

5:14 PM

ANNOUNCED

RENEWAL

2314381333


DocumentDocument-Date
SAMPLE WEEKLY MENU 01/10/1983
REGISTERING FICTITIOUS NAMES 01/10/1983
LOCAL FIRE DEPARTMENT NOTIFICATION 01/10/1983
LINES OF ADMINISTRATIVE AUTHORITY 01/10/1983
JOB RESPONSIBILITIES 01/10/1983
CHILD CARE PRACTICES 01/10/1983
ARTICLES OF INCORPORATION 01/10/1983
CERTIFICATE OF INCORPORATION 01/10/1983
DISCIPLINE POLICIES 01/10/1983
STAFF SHEET 09/27/2017
EQUIPMENT LIST 09/27/2017
APPLICATION 09/20/2017
DIRECTOR'S QUALIFICATIONS 09/20/2017
SAMPLE FORMS 05/15/1992
DAILY SCHEDULE 01/13/1983
DIRECTOR'S JOB RESPONSIBILITIES 01/10/1983
CERTIFICATE OF GOOD STANDING 10/30/2013
POLICIES 08/05/1982




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 1
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 3
Total Children 21
StaffChildClass AgeNote
3 21 SCHOOL AGE Ms. Leah, Ms. Gloria and Ms. Latasia

 
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
Violation
 Provider Comments
Violation
Medical examination report was not on file for Gloria Turner as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance