MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
YMCA-SOUTH COUNTY BRANCH-TRAUTWEIN ELEMENTARY

Facility DVN
000186169

Phone
(314) 467-6425

Physical Address
5011 AMBS RD
ST LOUIS
MO 63128-2919

Owner
GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

Mailing Address
12736 SOUTHFORK RD
ST LOUIS
MO 63128-3262

Provider/Director
DAVIS, JENNIFER

E-mail Address
LAURIE.MCTEARNEN@GWRYMCA.ORG

Incorporated
Incorporated

Child Care Specialist
AMBER JENNINGS

Age Range
5 YEARS - 12 YEARS

Capacity
48

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
11/27/2018

Arrival Time
4:15 PM

Departure Time
5:13 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2345011959

Document	Document-Date
SAMPLE FORMS	09/04/1985
POLICIES	09/04/1985
LOCAL FIRE DEPARTMENT NOTIFICATION	09/04/1985
LINES OF ADMINISTRATIVE AUTHORITY	09/04/1985
JOB RESPONSIBILITIES	09/04/1985
DISCIPLINE POLICIES	09/04/1985
DIRECTOR'S JOB RESPONSIBILITIES	09/04/1985
DAILY SCHEDULE	09/04/1985
CHILD CARE PRACTICES	09/04/1985
CERTIFICATE OF GOOD STANDING	05/24/2012
CERTIFICATE OF INCORPORATION	09/04/1985
ARTICLES OF INCORPORATION	09/04/1985
DIRECTOR'S QUALIFICATIONS	07/18/2012
APPLICATION	04/17/2018
STAFF SHEET	04/17/2018
EQUIPMENT LIST	05/01/2018

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 3

Total Children 17

Staff	Child	Class Age	Note
3	17	SCHOOL AGE	Diana Floretta (site director), Kathy, and Jordan with 17 children, 5-12 years old


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
RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules. Compliance