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

DEBBIE ASHLOCK

5 YEARS - 12 YEARS

48

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

01/08/2019

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2348898617


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: 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.

 
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
9/5/2018
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
9/5/2018
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