MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
YMCA-FOUR RIVERS BRANCH-LABADIE ELEMENTARY

Facility DVN
000549437

Phone
(314) 436-1177

Physical Address
2749 T HWY
LABADIE
MO 63055

Owner
GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

Mailing Address
400 GRAND AVE
WASHINGTON
MO 63090

Provider/Director
MUELLER, MELISSA

E-mail Address
melissa.mueller@gwrymca.org

Incorporated
Incorporated

Child Care Specialist
LEATRICE L DIXON

Age Range
5 YEARS - 12 YEARS

Capacity
20

Facility Type
SCHOOL AGE

Limitations
AFTER SCHOOL CARE ONLY

Inspection Information

Date
05/06/2021

Arrival Time
10:00 AM

Departure Time
10:25 AM

Notice
ANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2399495905

Document	Document-Date
DISCIPLINE POLICIES	08/27/2001
DIRECTOR'S JOB RESPONSIBILITIES	08/27/2001
JOB RESPONSIBILITIES	08/27/2001
LINES OF ADMINISTRATIVE AUTHORITY	04/04/2007
CERTIFICATE OF GOOD STANDING	02/22/2021
CERTIFICATE OF INCORPORATION	02/06/2003
ARTICLES OF INCORPORATION	02/06/2003
CHILD CARE PRACTICES	08/27/2001
SAMPLE WEEKLY MENU	04/04/2007
DAILY SCHEDULE	04/04/2007
POLICIES	08/27/2001
STAFF SHEET	03/29/2019
EQUIPMENT LIST	05/06/2021
APPLICATION	03/29/2019
DIRECTOR'S QUALIFICATIONS	09/26/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	08/16/2018
REGISTERING FICTITIOUS NAMES	02/22/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	02/22/2021
ANNUAL DECLARATION	02/22/2021

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 1

Staff	Child	Class Age	Note
1	0	NO CHILDREN IN ATTENDANCE	Melissa Mueller with no children (facility is inactive)


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 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