DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-ST. CHARLES BRANCH-LINCOLN ELEMENTARY

002600206

(636) 928-1928

625 S 6TH ST
ST CHARLES
MO  63301-2917

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

3900 SHADY SPRINGS LN
ST PETERS
MO  63376-6467

THORNHILL, ASHLEY ELIZABETH

ashley.thornhill@gwrymca.org

Incorporated

CHARMEL WILLIAMS

5 YEARS - 13 YEARS

32

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

10/25/2022

8:00 AM

8:31 AM

UNANNOUNCED

COMPLIANCE MONITORING

2433784151


DocumentDocument-Date
ARTICLES OF INCORPORATION 08/04/2016
CERTIFICATE OF INCORPORATION 08/04/2016
CHILD CARE PRACTICES 08/04/2016
DAILY SCHEDULE 08/04/2016
DIRECTOR'S JOB RESPONSIBILITIES 08/04/2016
DISCIPLINE POLICIES 08/04/2016
JOB RESPONSIBILITIES 08/04/2016
POLICIES 08/04/2016
SAMPLE WEEKLY MENU 08/04/2016
SAMPLE FORMS 08/04/2016
LOCAL FIRE DEPARTMENT NOTIFICATION 08/04/2016
DIRECTOR'S QUALIFICATIONS 08/04/2016
LINES OF ADMINISTRATIVE AUTHORITY 08/04/2016
REGISTERING FICTITIOUS NAMES 08/04/2016
APPLICATION 04/13/2018
CERTIFICATE OF GOOD STANDING 04/20/2018
STAFF SHEET 08/24/2022
EQUIPMENT LIST 08/24/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/04/2016
ANNUAL DECLARATION 08/24/2022




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 1
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
Total Children 13
StaffChildClass AgeNote
1 13 SCHOOL AGE DO Group Leader was present with thirteen school aged 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
Violation
 Provider Comments
Violation
Requirements of the facility's participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (3) (A) states: The licensee shall ensure that the facility has on file documentation that, at least every three (3) months, all staff and children at the facility have participated in a disaster or emergency drill based on the facility's disaster and emergency plan.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date

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
Compliance
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