DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-O'FALLON BRANCH-MID RIVERS ELEMENTARY

000984350

(314) 443-6184

7479 MEXICO RD
ST PETERS
MO  63376-1304

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

3451 PHEASANT MEADOW DR
O FALLON
MO  63368-7324

BEGEMANN, KARA LYNN

kara.begemann@gwymca.org

Incorporated

KATHERINE D SIMS

5 YEARS - 12 YEARS

48

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

02/18/2022

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2418220479


DocumentDocument-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: 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
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
Violation
 Provider Comments
Violation
4 child(ren) records did not include address of another individual who might be reached in an emergency.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
2/18/2022
Violation
4 child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
2/18/2022
Violation
3 child(ren) records did not include child's address.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (A) states: The child's full name, address, birth-date and the date care begins and ends;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
2/18/2022
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