MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

Back

Facility Information

Facility Name
YMCA-FOUR RIVERS BRANCH-NEW HAVEN ELEMENTARY

Facility DVN
002767439

Phone
(636) 239-5704

Physical Address
201 ELTON AVE
NEW HAVEN
MO 63068-1194

Owner
GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

Mailing Address
400 GRAND AVE
WASHINGTON
MO 63090-1204

Provider/Director
JUST, KRISTY MARIE

E-mail Address
melissa.mueller@gwrymca.org

Incorporated
Incorporated

Child Care Specialist
CYNTHIA D MADDOX

Age Range
5 YEARS - 12 YEARS

Capacity
20

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
04/11/2022

Arrival Time
9:25 AM

Departure Time
9:50 AM

Notice
ANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2421773024

Document	Document-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/08/2022
EQUIPMENT LIST	04/08/2022
ANNUAL DECLARATION	04/08/2022

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 1

Staff	Child	Class Age	Note
1	0	NO CHILDREN IN ATTENDANCE	Melissa Mueller was present for the inspection. There are no children enrolled due to inactive status.