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-PHEASANT POINT ELEMENTARY

Facility DVN
001169042

Phone
(314) 471-3493

Physical Address
3450 PHEASANT MEADOW DR
O FALLON
MO 63368-7324

Owner
GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

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

Provider/Director
SLIGO, SHANNON

E-mail Address
Laurie.mctearnen@gwrymca.org

Incorporated
Incorporated

Child Care Specialist
JOYCE E GREEN

Age Range
5 YEARS - 12 YEARS

Capacity
48

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
03/22/2021

Arrival Time
7:55 AM

Departure Time
9:11 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2395671117

Document	Document-Date
SAMPLE WEEKLY MENU	10/27/1998
SAMPLE FORMS	10/27/1998
POLICIES	10/27/1998
LINES OF ADMINISTRATIVE AUTHORITY	10/27/1998
JOB RESPONSIBILITIES	10/27/1998
DISCIPLINE POLICIES	10/27/1998
DIRECTOR'S JOB RESPONSIBILITIES	10/27/1998
DAILY SCHEDULE	10/27/1998
CHILD CARE PRACTICES	10/27/1998
CERTIFICATE OF INCORPORATION	10/27/1998
ARTICLES OF INCORPORATION	10/27/1998
CERTIFICATE OF GOOD STANDING	03/19/2014
EQUIPMENT LIST	02/19/2021
STAFF SHEET	04/17/2018
DIRECTOR'S QUALIFICATIONS	10/02/2017
APPLICATION	03/01/2018
EQUIPMENT LIST	04/17/2018
STAFF SHEET	04/17/2018
APPLICATION	02/28/2020
ANNUAL DECLARATION	02/19/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	02/21/2021

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 3

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 2

Total Children 19

Staff	Child	Class Age	Note
2	19	SCHOOL AGE	Jenna Berger, Director, and Susan Lassen, Group Leader, were present with 19 children, ages 5-12 years.


19 CSR 30-62.032 Organization and Administration Compliance
19 CSR 30-62.042 Licensing Process Violation
19 CSR 30-62.052 Annual Requirements 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 Compliance
19 CSR 30-62.112 Staff/Child Ratios Compliance
19 CSR 30-62.122 Medical Examination Reports Violation
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