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-MID RIVERS ELEMENTARY

Facility DVN
000984350

Phone
(314) 443-6184

Physical Address
7479 MEXICO RD
ST PETERS
MO 63376

Owner
GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

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

Provider/Director

E-mail Address
kara.begemann@gwymca.org

Incorporated
Incorporated

Child Care Specialist
KATHERINE D SIMS

Age Range
5 YEARS - 12 YEARS

Capacity
48

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
05/19/2021

Arrival Time
7:35 AM

Departure Time
8:29 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2400303140

Document	Document-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	04/08/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/08/2021
ANNUAL DECLARATION	04/08/2021

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 5

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 3

Total Children 28

Staff	Child	Class Age	Note
3	28	SCHOOL AGE	Lori Meyers and Lauren Leetch present with 15 school aged children April Pentecost arrived at about 8:15am