DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-O'FALLON BRANCH-J.L. MUDD ELEMENTARY

000172414

(314) 471-1242

610 PRINCE RUPPERT DR
O FALLON
MO  63366-1802

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

3451 PHEASANT MEADOW DR
O FALLON
MO  63368-7324

YOUNG, BRADY

kara.begemann@gwrymca.org

Incorporated

KATHERINE D SIMS

5 YEARS - 12 YEARS

48

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

10/29/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2411394512


DocumentDocument-Date
ANNUAL DECLARATION 12/30/2020
SAMPLE FORMS 05/15/1992
CERTIFICATE OF GOOD STANDING 11/04/2014
ARTICLES OF INCORPORATION 11/04/2014
CERTIFICATE OF INCORPORATION 11/04/2014
REGISTERING FICTITIOUS NAMES 11/04/2014
CHILD CARE PRACTICES 11/17/2014
DAILY SCHEDULE 11/17/2014
DISCIPLINE POLICIES 11/17/2014
JOB RESPONSIBILITIES 11/17/2014
LINES OF ADMINISTRATIVE AUTHORITY 11/17/2014
DIRECTOR'S JOB RESPONSIBILITIES 11/17/2014
SAMPLE WEEKLY MENU 11/17/2014
POLICIES 11/17/2014
OWNER/PROVIDER REFERENCES 11/17/2014
LOCAL FIRE DEPARTMENT NOTIFICATION 11/17/2014
APPLICATION 11/20/2018
EQUIPMENT LIST 12/29/2020
STAFF SHEET 12/29/2020
DIRECTOR'S QUALIFICATIONS 02/05/2016




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.

 
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials
Compliance
5 CSR 25-500.102 Personnel
Compliance
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report was not on file for Meghan Levin as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
10/26/2021
5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.172 Emergency School Closings
Compliance
5 CSR 25-500.182 Child Care Program
Compliance
5 CSR 25-500.192 Health Care
Compliance
5 CSR 25-500.202 Nutrition and Food Service
Compliance
5 CSR 25-500.212 Transportation and Field Trips
Compliance
5 CSR 25-500.222 Records and Reports
Compliance
5 CSR 25-600.020 General Requirements
Compliance
5 CSR 25-600.040 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