MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
YMCA-JEFFERSON COUNTY BRANCH-HILLSBORO PRIMARY

Facility DVN
000557268

Phone
(636) 789-9926

Physical Address
101 LEON HALL PKY
HILLSBORO
MO 63050

Owner
GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

Mailing Address
1303 YMCA DR
FESTUS
MO 63028

Provider/Director
FAIRCHILD, MYRNA KATHLEEN

E-mail Address
LAURIE.MCTEARNEN@GWRYMCA.ORG

Incorporated
Incorporated

Child Care Specialist
AMBER JENNINGS

Age Range
5 YEARS - 12 YEARS

Capacity
32

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
04/04/2018

Arrival Time
3:50 PM

Departure Time
4:50 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2328378465

Document	Document-Date
LOCAL FIRE DEPARTMENT NOTIFICATION	08/07/2000
SAMPLE FORMS	05/11/1995
REGISTERING FICTITIOUS NAMES	08/28/2015
ARTICLES OF INCORPORATION	09/13/2011
LINES OF ADMINISTRATIVE AUTHORITY	08/19/1993
JOB RESPONSIBILITIES	08/19/1993
SAMPLE WEEKLY MENU	07/26/1993
DAILY SCHEDULE	07/26/1993
CHILD CARE PRACTICES	05/11/1995
POLICIES	05/11/1995
APPLICATION	02/22/2017
EQUIPMENT LIST	02/22/2017
CERTIFICATE OF GOOD STANDING	02/22/2017
STAFF SHEET	02/22/2017
DIRECTOR'S QUALIFICATIONS	09/10/2015

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 10

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 2

Total Children 18

Staff	Child	Class Age	Note
2	18	SCHOOL AGE	Rebecca and Kimberly with 18 children, 6-10 years old