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-ST. PETERS ELEMENTARY

Facility DVN
000186089

Phone
(314) 443-6287

Physical Address
400 MCMENAMY 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
HUDSON, JUDY

E-mail Address
kara.begemann@gwrymca.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
02/01/2022

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2417207968

Document	Document-Date
ANNUAL DECLARATION	04/08/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/08/2021
SAMPLE WEEKLY MENU	05/21/1987
SAMPLE FORMS	05/21/1987
POLICIES	07/08/1985
LINES OF ADMINISTRATIVE AUTHORITY	05/21/1987
JOB RESPONSIBILITIES	05/21/1987
DISCIPLINE POLICIES	07/08/1985
DIRECTOR'S QUALIFICATIONS	09/22/2000
DIRECTOR'S JOB RESPONSIBILITIES	05/21/1987
DAILY SCHEDULE	07/08/1985
ARTICLES OF INCORPORATION	05/21/1987
CHILD CARE PRACTICES	07/08/1985
LOCAL FIRE DEPARTMENT NOTIFICATION	07/08/1985
CERTIFICATE OF GOOD STANDING	03/31/2016
REGISTERING FICTITIOUS NAMES	03/31/2016
CERTIFICATE OF INCORPORATION	01/09/2018
APPLICATION	02/10/2020
EQUIPMENT LIST	04/08/2021
STAFF SHEET	01/09/2020

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.