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-TWIN CHIMNEYS ELEMENTARY

Facility DVN
000541702

Phone
(636) 579-4994

Physical Address
7396 TWIN CHIMNEYS BLVD
O FALLON
MO 63368-6112

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
09/26/2019

Arrival Time
4:40 PM

Departure Time
5:30 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2368011599

Document	Document-Date
STAFF SHEET	02/19/2019
EQUIPMENT LIST	02/19/2019
APPLICATION	02/06/2019
LINES OF ADMINISTRATIVE AUTHORITY	08/26/1996
JOB RESPONSIBILITIES	08/26/1996
SAMPLE WEEKLY MENU	08/26/1996
POLICIES	08/26/1996
SAMPLE FORMS	08/26/1996
DISCIPLINE POLICIES	08/26/1996
DIRECTOR'S JOB RESPONSIBILITIES	08/26/1996
DIRECTOR'S QUALIFICATIONS	01/14/2013
CHILD CARE PRACTICES	08/26/1996
DAILY SCHEDULE	08/26/1996
ARTICLES OF INCORPORATION	08/26/1996
CERTIFICATE OF GOOD STANDING	01/20/2016
CERTIFICATE OF INCORPORATION	01/20/2016
REGISTERING FICTITIOUS NAMES	01/20/2016

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 20

Staff	Child	Class Age	Note
3	20	SCHOOL AGE	Hannah Boes, Tyler Finnegan and Victoria Crosby