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-HAWTHORN ELEMENTARY

Facility DVN
000176465

Phone
(314) 443-6240

Physical Address
166 BOONE HILLS DR
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
BEGEMANN, KARA LYNN

E-mail Address
leah.lensing@gwrymca.org

Incorporated
Incorporated

Child Care Specialist
CHARMEL WILLIAMS

Age Range
5 YEARS - 12 YEARS

Capacity
48

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
11/17/2021

Arrival Time
7:40 AM

Departure Time
8:12 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2412703025

Document	Document-Date
ANNUAL DECLARATION	09/27/2021
SAMPLE FORMS	05/15/1992
DAILY SCHEDULE	01/13/1983
DIRECTOR'S JOB RESPONSIBILITIES	01/10/1983
CERTIFICATE OF GOOD STANDING	10/30/2013
POLICIES	08/05/1982
DIRECTOR'S QUALIFICATIONS	09/20/2017
DISCIPLINE POLICIES	01/10/1983
CERTIFICATE OF INCORPORATION	01/10/1983
ARTICLES OF INCORPORATION	01/10/1983
CHILD CARE PRACTICES	01/10/1983
JOB RESPONSIBILITIES	01/10/1983
LINES OF ADMINISTRATIVE AUTHORITY	01/10/1983
LOCAL FIRE DEPARTMENT NOTIFICATION	01/10/1983
REGISTERING FICTITIOUS NAMES	01/10/1983
SAMPLE WEEKLY MENU	01/10/1983
APPLICATION	09/05/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	08/08/2016
STAFF SHEET	09/29/2021
EQUIPMENT LIST	09/29/2021

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 4

Total Children 20

Staff	Child	Class Age	Note
4	20	SCHOOL AGE	Gloria Turner, Rebekah Lynn, Marlaina Hailey, and Hope Comps Group Leaders were present with twenty children ages five to twelve years old


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 Compliance
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