MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
YMCA-EMERSON BRANCH-KEEVEN ELEMENTARY

Facility DVN
000180638

Phone
(314) 953-4475

Physical Address
11230 OLD HALLS FERRY RD
ST LOUIS
MO 63136

Owner
GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

Mailing Address
3390 PERSHALL RD
ST LOUIS COUNTY
MO 63135

Provider/Director

E-mail Address
mark.pacatte@gwrymca.org

Incorporated
Incorporated

Child Care Specialist
DEBBIE ASHLOCK

Age Range
5 YEARS - 13 YEARS

Capacity
20

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
11/21/2017

Arrival Time
4:44 PM

Departure Time
5:27 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2318515312

Document	Document-Date
DIRECTOR'S JOB RESPONSIBILITIES	05/05/2017
DISCIPLINE POLICIES	05/05/2017
JOB RESPONSIBILITIES	05/05/2017
LOCAL FIRE DEPARTMENT NOTIFICATION	05/05/2017
REGISTERING FICTITIOUS NAMES	11/15/2012
SAMPLE FORMS	01/25/1985
LINES OF ADMINISTRATIVE AUTHORITY	10/24/2012
DIRECTOR'S QUALIFICATIONS	10/01/2012
CERTIFICATE OF INCORPORATION	01/25/1985
ARTICLES OF INCORPORATION	01/25/1985
SAMPLE WEEKLY MENU	01/25/1985
CHILD CARE PRACTICES	01/25/1985
DAILY SCHEDULE	10/24/2012
POLICIES	01/25/1985
CERTIFICATE OF GOOD STANDING	11/14/2016
STAFF SHEET	11/14/2016
EQUIPMENT LIST	11/14/2016
APPLICATION	11/09/2016

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 4

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 7

Staff	Child	Class Age	Note
3	7	SCHOOL AGE	with Carolyn Howard, Person in charge, Shirley MsGee, Zariah Herron and Mary Ware


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 Violation
19 CSR 30-62.112 Staff/Child Ratios Compliance
19 CSR 30-62.122 Medical Examination Reports Violation
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