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-OSTMANN ELEMENTARY

Facility DVN
001716530

Phone
(636) 293-4446

Physical Address
200 MERIWETHER LEWIS DR
O FALLON
MO 63368

Owner
GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

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

Provider/Director
GAWEDZINSKI, DONNA JEAN

E-mail Address
Laurie.mctearnen@gwrymca.org

Incorporated
Incorporated

Child Care Specialist
CHARMEL WILLIAMS

Age Range
5 YEARS - 12 YEARS

Capacity
48

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
04/12/2023

Arrival Time
7:20 AM

Departure Time
8:10 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2444941066

Document	Document-Date
POLICIES	08/21/2002
DISCIPLINE POLICIES	08/21/2002
CHILD CARE PRACTICES	08/21/2002
SAMPLE WEEKLY MENU	08/21/2002
DAILY SCHEDULE	08/21/2002
LINES OF ADMINISTRATIVE AUTHORITY	08/21/2002
CERTIFICATE OF GOOD STANDING	03/04/2014
REGISTERING FICTITIOUS NAMES	01/27/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN	03/22/2018
DIRECTOR'S QUALIFICATIONS	01/03/2020
STAFF SHEET	04/01/2021
APPLICATION	04/27/2021
EQUIPMENT LIST	04/04/2022
ANNUAL DECLARATION	04/06/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/06/2022

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 5

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 17

Staff	Child	Class Age	Note
2	17	SCHOOL AGE	Donna Gawedzinski Site Director and Susan Lassen Group Leader were present with seventeen children, ages 5-years-old to 12-years-old