MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
YMCA-MID COUNTY BRANCH-IVELAND ELEMENTARY

Facility DVN
000168830

Phone
(314) 749-7355

Physical Address
1836 DYER AVE
OVERLAND
MO 63114-2404

Owner
GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

Mailing Address
1900 URBAN DR
BRENTWOOD
MO 63144-1824

Provider/Director
NORKAITIS, MICHELLE

E-mail Address
mark.pacatte@gwrymca.org

Incorporated
Incorporated

Child Care Specialist
SHALINDA WALLACE

Age Range
5 YEARS - 12 YEARS

Capacity
32

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
10/25/2022

Arrival Time
10:00 AM

Departure Time
10:27 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2433822166

Document	Document-Date
ARTICLES OF INCORPORATION	01/02/2004
CERTIFICATE OF INCORPORATION	01/02/2004
CERTIFICATE OF GOOD STANDING	11/10/2014
CHILD CARE PRACTICES	01/06/1984
DAILY SCHEDULE	12/05/1983
DIRECTOR'S JOB RESPONSIBILITIES	12/05/1983
DIRECTOR'S QUALIFICATIONS	03/25/2013
DISCIPLINE POLICIES	01/06/1984
JOB RESPONSIBILITIES	01/06/1984
LINES OF ADMINISTRATIVE AUTHORITY	01/02/2004
POLICIES	05/01/1992
SAMPLE WEEKLY MENU	12/05/1983
SAMPLE FORMS	12/05/1983
APPLICATION	10/16/2018
STAFF SHEET	10/16/2018
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	10/20/2022
EQUIPMENT LIST	10/20/2022
ANNUAL DECLARATION	10/20/2022

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 1

Staff	Child	Class Age	Note
1	0	NO CHILDREN IN ATTENDANCE	M.P. (Program Director)- No kids in attendance.


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 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