MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
YMCA-KIRKWOOD BRANCH-MARK TWAIN ELEMENTARY

Facility DVN
001606828

Phone
(314) 962-0613

Physical Address
8636 LITZSINGER RD
ST LOUIS
MO 63144-2423

Owner
GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

Mailing Address
1900 URBAN DR
BRENTWOOD
MO 63144-1824

Provider/Director
PACATTE, MARK GERARD

E-mail Address
mark.pacatte@gwrymca.org

Incorporated
Incorporated

Child Care Specialist
TANISHA BELL

Age Range
5 YEARS - 12 YEARS

Capacity
48

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
04/11/2023

Arrival Time
5:15 PM

Departure Time
5:54 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2444972975

Document	Document-Date
SAMPLE WEEKLY MENU	08/28/2011
SAMPLE FORMS	08/28/2011
REGISTERING FICTITIOUS NAMES	06/02/2010
POLICIES	08/28/2011
LINES OF ADMINISTRATIVE AUTHORITY	08/28/2011
DISCIPLINE POLICIES	08/28/2011
DIRECTOR'S QUALIFICATIONS	02/25/2013
DIRECTOR'S JOB RESPONSIBILITIES	08/28/2011
DAILY SCHEDULE	08/28/2011
CHILD CARE PRACTICES	08/28/2011
CERTIFICATE OF INCORPORATION	08/28/2011
CERTIFICATE OF GOOD STANDING	03/09/2011
ARTICLES OF INCORPORATION	08/28/2011
JOB RESPONSIBILITIES	07/02/2001
DISASTER AND EMERGENCY PREPAREDNESS PLAN	09/26/2018
APPLICATION	04/03/2019
STAFF SHEET	04/19/2019
ANNUAL DECLARATION	03/17/2023
EQUIPMENT LIST	03/17/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	03/17/2023

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 2

Total Children 2

Staff	Child	Class Age	Note
2	2	SCHOOL AGE	Jaqueline Barnes (Site Director) and Doris Wright (Caregiver) were present with two children, eight-years-old-9-years-old.