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-PHEASANT POINT ELEMENTARY

Facility DVN
001169042

Phone
(314) 471-3493

Physical Address
3450 PHEASANT MEADOW DR
O FALLON
MO 63368-7324

Owner
GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

Mailing Address
3451 PHEASANT MEADOW DR
O FALLON
MO 63368-7324

Provider/Director
STASKEWICZ, JEANETTE MARIE

E-mail Address
jeanette.staskewicz@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
05/04/2022

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2422970979

Document	Document-Date
ANNUAL DECLARATION	02/19/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	02/19/2021
SAMPLE WEEKLY MENU	10/27/1998
SAMPLE FORMS	10/27/1998
POLICIES	10/27/1998
LINES OF ADMINISTRATIVE AUTHORITY	10/27/1998
JOB RESPONSIBILITIES	10/27/1998
DISCIPLINE POLICIES	10/27/1998
DIRECTOR'S JOB RESPONSIBILITIES	10/27/1998
DAILY SCHEDULE	10/27/1998
CHILD CARE PRACTICES	10/27/1998
CERTIFICATE OF INCORPORATION	10/27/1998
ARTICLES OF INCORPORATION	10/27/1998
CERTIFICATE OF GOOD STANDING	03/19/2014
APPLICATION	02/28/2020
EQUIPMENT LIST	02/19/2021
STAFF SHEET	04/17/2018
DIRECTOR'S QUALIFICATIONS	10/02/2017
APPLICATION	03/01/2018
STAFF SHEET	04/17/2018

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.