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-FLINT HILL ELEMENTARY

Facility DVN
002610786

Phone
(636) 379-0092

Physical Address
587 MEXICO RD
WENTZVILLE
MO 63385

Owner
GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

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

Provider/Director
PHILLIPS, KELLI ANN

E-mail Address
LAURIE.MCTEARNEN@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
10/18/2018

Arrival Time
3:50 PM

Departure Time
4:28 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2342261163

Document	Document-Date
REGISTERING FICTITIOUS NAMES	08/01/2016
DIAGRAM/INDOOR	08/01/2016
DIAGRAM/OUTDOOR	08/11/2016
DISCIPLINE POLICIES	08/01/2016
POLICIES	08/01/2016
SAMPLE WEEKLY MENU	08/01/2016
JOB RESPONSIBILITIES	08/01/2016
ARTICLES OF INCORPORATION	08/01/2016
CHILD CARE PRACTICES	08/01/2016
DAILY SCHEDULE	08/01/2016
DIRECTOR'S QUALIFICATIONS	08/01/2016
LINES OF ADMINISTRATIVE AUTHORITY	08/01/2016
SAMPLE FORMS	08/11/2016
DIRECTOR'S JOB RESPONSIBILITIES	08/01/2016
LOCAL FIRE DEPARTMENT NOTIFICATION	08/06/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN	08/06/2016
STAFF SHEET	04/12/2018
EQUIPMENT LIST	04/12/2018
APPLICATION	03/07/2018

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 2

Total Children 26

Staff	Child	Class Age	Note
2	26	SCHOOL AGE	Mr. Kyle and Ms. Lexi


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