MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
YMCA-EDWARD JONES BRANCH-INCARNATE WORD

Facility DVN
000176581

Phone
(314) 576-5366

Physical Address
13416 OLIVE BLVD
CHESTERFIELD
MO 63017-3111

Owner
GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

Mailing Address
16464 BURKHARDT PL
CHESTERFIELD
MO 63017-4660

Provider/Director
MCTEARNEN, LAURIE

E-mail Address
traci.mccune@gwrymca.org

Incorporated
Incorporated

Child Care Specialist
THERESA ZEHNLE

Age Range
5 YEARS - 14 YEARS

Capacity
48

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
09/26/2022

Arrival Time
3:30 PM

Departure Time
4:25 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2431676999

Document	Document-Date
SAMPLE WEEKLY MENU	08/26/1985
SAMPLE FORMS	08/26/1985
POLICIES	08/26/1985
LOCAL FIRE DEPARTMENT NOTIFICATION	04/26/2006
LINES OF ADMINISTRATIVE AUTHORITY	08/26/1985
JOB RESPONSIBILITIES	08/26/1985
DISCIPLINE POLICIES	08/26/1985
DIRECTOR'S QUALIFICATIONS	03/25/2009
DIRECTOR'S JOB RESPONSIBILITIES	08/26/1985
DAILY SCHEDULE	08/26/1985
ARTICLES OF INCORPORATION	08/26/1985
CERTIFICATE OF INCORPORATION	08/26/1985
CHILD CARE PRACTICES	08/26/1985
CERTIFICATE OF GOOD STANDING	04/19/2016
APPLICATION	04/25/2018
STAFF SHEET	03/01/2021
REGISTERING FICTITIOUS NAMES	10/27/2020
EQUIPMENT LIST	02/07/2022
ANNUAL DECLARATION	02/07/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	02/07/2022

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 2

Total Children 14

Staff	Child	Class Age	Note
2	14	SCHOOL AGE	Becky Kronauge, Director, and Camille Clark, Program Manager, were present with fourteen children ages 5-years-old to 9-years-old


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 Not Observed
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 Compliance
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