MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
YMCA-JEFFERSON COUNTY BRANCH-PEVELY ELEMENTARY

Facility DVN
001012684

Phone
(636) 479-5200

Physical Address
30 MAIN ST
PEVELY
MO 63070

Owner
GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

Mailing Address
1303 YMCA DR
FESTUS
MO 63028

Provider/Director
STORY, CHERYL LYNN

E-mail Address
myrna.fairchild@gwrymca.org

Incorporated
Incorporated

Child Care Specialist
JANET M WALKER

Age Range
5 YEARS - 12 YEARS

Capacity
48

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
12/03/2019

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2370616619

Document	Document-Date
ARTICLES OF INCORPORATION	10/05/2006
LINES OF ADMINISTRATIVE AUTHORITY	08/19/1997
SAMPLE WEEKLY MENU	08/19/1997
SAMPLE FORMS	08/19/1997
JOB RESPONSIBILITIES	08/19/1997
CHILD CARE PRACTICES	08/19/1997
DAILY SCHEDULE	08/19/1997
POLICIES	08/19/1997
LOCAL FIRE DEPARTMENT NOTIFICATION	09/11/2013
REGISTERING FICTITIOUS NAMES	09/04/2013
CERTIFICATE OF GOOD STANDING	10/19/2015
APPLICATION	10/11/2019
EQUIPMENT LIST	10/24/2019
STAFF SHEET	10/24/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	04/11/2012
DIRECTOR'S JOB RESPONSIBILITIES	08/01/1997
DISCIPLINE POLICIES	08/19/1997

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 Violation
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 Violation
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
19 CSR 30-63.040 Background Screening Findings 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
RSMo 210.211. License required - exceptions - written notice of licensure status, when. Compliance