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-DARDENNE ELEMENTARY

Facility DVN
000271978

Phone
(636) 293-6484

Physical Address
2621 HIGHWAY K
O FALLON
MO 63366

Owner
GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

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

Provider/Director
LENSING, LEAH RAE

E-mail Address
Laurie.mctearnen@gwrymca.org

Incorporated
Incorporated

Child Care Specialist
JENNIFER M JACKSON

Age Range
5 YEARS - 12 YEARS

Capacity
32

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
12/04/2020

Arrival Time
7:03 AM

Departure Time
7:45 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2388965058

Document	Document-Date
SAMPLE WEEKLY MENU	05/15/1992
SAMPLE FORMS	05/15/1992
REGISTERING FICTITIOUS NAMES	05/15/1992
POLICIES	05/15/1992
LOCAL FIRE DEPARTMENT NOTIFICATION	05/15/1992
LINES OF ADMINISTRATIVE AUTHORITY	05/15/1992
JOB RESPONSIBILITIES	05/15/1992
DISCIPLINE POLICIES	05/15/1992
DIRECTOR'S JOB RESPONSIBILITIES	05/08/1992
DAILY SCHEDULE	05/15/1992
CHILD CARE PRACTICES	05/15/1992
DIRECTOR'S QUALIFICATIONS	10/26/2010
CERTIFICATE OF INCORPORATION	02/25/1898
ARTICLES OF INCORPORATION	05/15/1992
CERTIFICATE OF GOOD STANDING	10/16/2018
APPLICATION	09/27/2018
EQUIPMENT LIST	10/04/2018
STAFF SHEET	10/04/2018

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 8

Total Children 2

Staff	Child	Class Age	Note
8	2	SCHOOL AGE	Jason Manes and Jean Linhardt are present with eight children. All children are school age between 5 years and 10 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 Annual Requirements 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
19 CSR 30-63.020 General Requirements Compliance
19 CSR 30-63.040 Background Screening Findings Compliance
RSMo 210.115. Reports of abuse, neglect, and under age eighteen deaths — persons required to report — supervisors and administrators not to impede reporting — deaths required to be reported to the division or child fatality review panel, when — report made to another state, when. — Compliance
RSMo 210.211. License required - exceptions - written notice of licensure status, when. Compliance