DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-O'FALLON BRANCH-FLINT HILL ELEMENTARY

002610786

(314) 471-3501

587 MEXICO RD
WENTZVILLE
MO  63385

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

3451 PHEASANT MEADOW DR
O FALLON
MO  63368-7324

MURDOUGH, ANGELA

angie.murdough@gwrymca.org

Incorporated

AMY MUSSELMAN

5 YEARS - 12 YEARS

48

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

03/16/2023

7:20 AM

7:59 AM

UNANNOUNCED

COMPLIANCE MONITORING

2443230360


DocumentDocument-Date
REGISTERING FICTITIOUS NAMES 03/14/2023
DIAGRAM/INDOOR 08/01/2016
DIAGRAM/OUTDOOR 08/11/2016
DISCIPLINE POLICIES 08/01/2016
POLICIES 08/01/2016
SAMPLE WEEKLY MENU 08/01/2016
JOB RESPONSIBILITIES 08/01/2016
ARTICLES OF INCORPORATION 08/01/2016
CHILD CARE PRACTICES 08/01/2016
DAILY SCHEDULE 08/01/2016
LINES OF ADMINISTRATIVE AUTHORITY 08/01/2016
SAMPLE FORMS 08/11/2016
DIRECTOR'S JOB RESPONSIBILITIES 08/01/2016
LOCAL FIRE DEPARTMENT NOTIFICATION 08/06/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/06/2016
APPLICATION 03/07/2018
STAFF SHEET 04/12/2018
EQUIPMENT LIST 03/03/2023
ANNUAL DECLARATION 03/03/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/03/2023
CERTIFICATE OF GOOD STANDING 03/16/2023
DIRECTOR'S QUALIFICATIONS 08/19/2021




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 2
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 9
StaffChildClass AgeNote
2 9 SCHOOL AGE Morgan Vance, Site Director, and Madison Henke, Group Leader, were in attendance with nine children, ages 5-years-old to 8-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
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
Violation
 Provider Comments
Violation
1 child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
4 child(ren) records did not include date care begins and ends.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (A) states: The child's full name, address, birth-date and the date care begins and ends;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

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