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-MARION ELEMENTARY

Facility DVN
000397299

Phone
(314) 493-6419

Physical Address
2634 SIMS AVE
ST LOUIS
MO 63114-3130

Owner
GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

Mailing Address
1900 URBAN DR
ST LOUIS
MO 63144

Provider/Director
PACATTE, MARK

E-mail Address
jacob.nelson@gwrymca.org

Incorporated
Incorporated

Child Care Specialist
NANCY SMITH

Age Range
5 YEARS - 12 YEARS

Capacity
32

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
03/28/2023

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2443911521

Document	Document-Date
APPLICATION	02/25/2019
EQUIPMENT LIST	04/30/2021
STAFF SHEET	02/25/2019
LOCAL FIRE DEPARTMENT NOTIFICATION	01/26/2011
DIRECTOR'S QUALIFICATIONS	04/01/2011
ARTICLES OF INCORPORATION	10/29/2013
DAILY SCHEDULE	06/19/1984
DISCIPLINE POLICIES	06/19/1984
JOB RESPONSIBILITIES	06/19/1984
LINES OF ADMINISTRATIVE AUTHORITY	06/19/1984
POLICIES	06/19/1984
SAMPLE FORMS	06/19/1984
SAMPLE WEEKLY MENU	06/28/1984
CHILD CARE PRACTICES	06/19/1984
DIRECTOR'S JOB RESPONSIBILITIES	06/19/1984
REGISTERING FICTITIOUS NAMES	08/28/2015
ANNUAL DECLARATION	04/30/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/30/2021

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.

Compliance List
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 Violation
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