DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-O'FALLON BRANCH-ROCK CREEK ELEMENTARY

000820919

(314) 471-3419

8970 MEXICO RD
O FALLON
MO  63366

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

3451 PHEASANT MEADOW DR
O FALLON
MO  63368-7324

MILLER, CHRISTINA

Laurie.mctearnen@gwrymca.org

Incorporated

CHARMEL WILLIAMS

5 YEARS - 12 YEARS

48

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

10/12/2021

7:30 AM

8:17 AM

UNANNOUNCED

COMPLIANCE MONITORING

2410142946


DocumentDocument-Date
SAMPLE WEEKLY MENU 08/26/1996
SAMPLE FORMS 08/26/1996
POLICIES 08/26/1996
LINES OF ADMINISTRATIVE AUTHORITY 08/26/1996
JOB RESPONSIBILITIES 08/26/1996
DISCIPLINE POLICIES 08/26/1996
DIRECTOR'S JOB RESPONSIBILITIES 08/26/1996
DAILY SCHEDULE 08/26/1996
CHILD CARE PRACTICES 08/26/1996
CERTIFICATE OF GOOD STANDING 04/26/2012
CERTIFICATE OF INCORPORATION 08/26/1996
ARTICLES OF INCORPORATION 08/26/1996
APPLICATION 04/28/2021
EQUIPMENT LIST 04/01/2021
STAFF SHEET 04/01/2021
DIRECTOR'S QUALIFICATIONS 01/27/2017
ANNUAL DECLARATION 04/28/2021




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 1
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 22
StaffChildClass AgeNote
2 22 SCHOOL AGE Paige File and Caitlyn Kimme Group Leaders were present with twenty two children ages five to twelve years old

 
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
Violation
 Provider Comments
Violation
Background screening information was not available for review for Caitlyn Kimme.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (Q) states: Background screening information received by the provider shall be retained in the individual’s file in a confidential manner and available for review.
Correction Required
Background screening information shall be available and kept confidential.

Correction Verification
Submit Documentation

Compliance Date

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