MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
YMCA-JEFFERSON COUNTY BRANCH-HILLSBORO PRIMARY

Facility DVN
000557268

Phone
(636) 789-9926

Physical Address
101 LEON HALL PKY
HILLSBORO
MO 63050

Owner
GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

Mailing Address
1303 YMCA DR
FESTUS
MO 63028

Provider/Director
LINK, DANA

E-mail Address
dana.link@gwrymca.org

Incorporated
Incorporated

Child Care Specialist
BRITTANY HECHT

Age Range
5 YEARS - 12 YEARS

Capacity
48

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
05/23/2022

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2424227743

Document	Document-Date
SAMPLE FORMS	05/11/1995
ARTICLES OF INCORPORATION	09/13/2011
LINES OF ADMINISTRATIVE AUTHORITY	08/19/1993
JOB RESPONSIBILITIES	08/19/1993
SAMPLE WEEKLY MENU	07/26/1993
DAILY SCHEDULE	07/26/1993
CHILD CARE PRACTICES	05/11/1995
POLICIES	05/11/1995
REGISTERING FICTITIOUS NAMES	08/28/2015
CERTIFICATE OF GOOD STANDING	02/22/2017
LOCAL FIRE DEPARTMENT NOTIFICATION	08/07/2000
DISASTER AND EMERGENCY PREPAREDNESS PLAN	04/20/2012
CERTIFICATE OF INCORPORATION	10/26/2006
DISCIPLINE POLICIES	07/26/1993
APPLICATION	04/12/2019
DIRECTOR'S QUALIFICATIONS	04/15/2019
STAFF SHEET	04/15/2019
DIRECTOR'S JOB RESPONSIBILITIES	04/15/2019
EQUIPMENT LIST	06/24/2021
ANNUAL DECLARATION	06/24/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	06/24/2021

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 Violation
5 CSR 25-500.092 Furniture, Equipment and Materials Compliance
5 CSR 25-500.102 Personnel Violation
5 CSR 25-500.112 Staff/Child Ratios Compliance
5 CSR 25-500.122 Medical Examination Reports Violation
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 Violation
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 Violation
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