DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-O'FALLON BRANCH-MID RIVERS ELEMENTARY

000984350

(314) 443-6184

7479 MEXICO RD
ST PETERS
MO  63376

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

3451 PHEASANT MEADOW DR
O FALLON
MO  63368-7324


kara.begemann@gwymca.org

Incorporated

KATHERINE D SIMS

5 YEARS - 12 YEARS

48

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

03/05/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2394670828


DocumentDocument-Date
DIRECTOR'S QUALIFICATIONS 08/26/2014
CERTIFICATE OF INCORPORATION 06/21/1979
LINES OF ADMINISTRATIVE AUTHORITY 09/13/1994
JOB RESPONSIBILITIES 09/13/1988
SAMPLE FORMS 09/29/1997
CHILD CARE PRACTICES 09/29/1997
ARTICLES OF INCORPORATION 06/21/1979
POLICIES 09/29/1997
DAILY SCHEDULE 09/29/1997
REGISTERING FICTITIOUS NAMES 03/27/2013
CERTIFICATE OF GOOD STANDING 03/11/2015
SAMPLE WEEKLY MENU 09/29/1997
LOCAL FIRE DEPARTMENT NOTIFICATION 09/29/1997
DISCIPLINE POLICIES 09/29/1997
DIRECTOR'S JOB RESPONSIBILITIES 09/29/1997
DISASTER AND EMERGENCY PREPAREDNESS PLAN 03/02/2018
APPLICATION 03/05/2019
STAFF SHEET 03/20/2019
EQUIPMENT LIST 03/20/2019




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 Licensing Process
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
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Makenzie Holtman.
Licensing Rule Reference
19 CSR 30-63.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a family child care home, group child care home, child care center, or license-exempt facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
3/5/2021
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