DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-O'FALLON BRANCH-WESTHOFF ELEMENTARY

001604713

(636) 579-4992

900 HOMEFIELD BLVD
O FALLON
MO  63366-4482

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

3451 PHEASANT MEADOW DR
O FALLON
MO  63368-7324

PHILLIPS, KELLI ANN

LAURIE.MCTEARNEN@GWRYMCA.ORG

Incorporated

SAMPLE, ERIKA M

5 YEARS - 12 YEARS

48

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

08/29/2018

7:20 AM

8:07 AM

UNANNOUNCED

COMPLIANCE MONITORING

2338573996


DocumentDocument-Date
SAMPLE WEEKLY MENU 06/27/2011
SAMPLE FORMS 06/27/2011
POLICIES 06/27/2011
LINES OF ADMINISTRATIVE AUTHORITY 06/27/2011
JOB RESPONSIBILITIES 06/27/2011
DISCIPLINE POLICIES 06/27/2011
DIRECTOR'S QUALIFICATIONS 01/13/2013
DIRECTOR'S JOB RESPONSIBILITIES 06/27/2011
DAILY SCHEDULE 06/27/2011
CHILD CARE PRACTICES 06/27/2011
ARTICLES OF INCORPORATION 06/27/2011
CERTIFICATE OF INCORPORATION 01/20/2016
CERTIFICATE OF GOOD STANDING 01/20/2016
REGISTERING FICTITIOUS NAMES 01/20/2016
APPLICATION 01/30/2017
EQUIPMENT LIST 01/30/2017
STAFF SHEET 01/30/2017




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 2
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 4
Total Children 39
StaffChildClass AgeNote
4 39 SCHOOL AGE Abby B, Ashley B, Ally H and Dawn M with 39 children.

 
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
Violation
 Provider Comments
Violation
Two child(ren) records did not include name of family physician or hospital.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
One child(ren) records did not include date care begins and ends.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (A) states: The child's full name, address, birth-date and the date care begins and ends;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

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