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-HAWTHHORN ELEMENTARY

Facility DVN
000176465

Phone
(314) 443-6240

Physical Address
166 BOONE HILLS DR
ST PETERS
MO 63376

Owner
GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

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

Provider/Director
LENSING, LEAH RAE

E-mail Address
leah.lensing@gwrymca.org

Incorporated
Incorporated

Child Care Specialist
MARLA CHRISCO

Age Range
5 YEARS - 12 YEARS

Capacity
48

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
03/19/2018

Arrival Time
3:30 PM

Departure Time
4:28 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2327127187

Document	Document-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: 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 3

Total Children 28

Staff	Child	Class Age	Note
3	28	SCHOOL AGE	Ms. Brandi, Ms. Julianne and Ms. Latashia


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