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-ST. PETERS ELEMENTARY

Facility DVN
000186089

Phone
(314) 443-6287

Physical Address
400 MCMENAMY RD
ST PETERS
MO 63376

Owner
GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

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

Provider/Director
HUDSON, JUDY

E-mail Address
kara.begemann@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
10/19/2022

Arrival Time
7:50 AM

Departure Time
8:45 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2433404675

Document	Document-Date
ANNUAL DECLARATION	04/08/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/08/2021
SAMPLE WEEKLY MENU	05/21/1987
SAMPLE FORMS	05/21/1987
POLICIES	07/08/1985
LINES OF ADMINISTRATIVE AUTHORITY	05/21/1987
JOB RESPONSIBILITIES	05/21/1987
DISCIPLINE POLICIES	07/08/1985
DIRECTOR'S QUALIFICATIONS	09/22/2000
DIRECTOR'S JOB RESPONSIBILITIES	05/21/1987
DAILY SCHEDULE	07/08/1985
ARTICLES OF INCORPORATION	05/21/1987
CHILD CARE PRACTICES	07/08/1985
LOCAL FIRE DEPARTMENT NOTIFICATION	07/08/1985
CERTIFICATE OF GOOD STANDING	03/31/2016
REGISTERING FICTITIOUS NAMES	03/31/2016
CERTIFICATE OF INCORPORATION	01/09/2018
APPLICATION	02/10/2020
EQUIPMENT LIST	04/06/2022
STAFF SHEET	01/09/2020

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 7

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 23

Staff	Child	Class Age	Note
2	23	SCHOOL AGE	Caregivers, KM and PP present with twenty-three children, ages 5-years-old to 12-years-old