DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-ST. CHARLES BRANCH-BLACKHURST ELEMENTARY

002304063

(314) 606-1870

2000 ELM ST
ST CHARLES
MO  63301

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

3900 SHADY SPRINGS LN
ST PETERS
MO  63376-6467

THORNHILL, ASHLEY ELIZABETH

laurie.mctearnen@gwrymca.org

Incorporated

AMY MUSSELMAN

5 YEARS - 13 YEARS

32

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

04/12/2023

3:49 PM

3:49 PM

UNANNOUNCED

SUPPLEMENTAL

2444996870


DocumentDocument-Date
LOCAL FIRE DEPARTMENT NOTIFICATION 08/03/2016
LINES OF ADMINISTRATIVE AUTHORITY 08/03/2016
DIRECTOR'S QUALIFICATIONS 08/03/2016
JOB RESPONSIBILITIES 08/03/2016
DIRECTOR'S JOB RESPONSIBILITIES 08/03/2016
SAMPLE WEEKLY MENU 08/03/2016
CHILD CARE PRACTICES 08/03/2016
DISCIPLINE POLICIES 08/03/2016
DAILY SCHEDULE 08/03/2016
POLICIES 08/03/2016
ARTICLES OF INCORPORATION 08/03/2016
CERTIFICATE OF INCORPORATION 08/03/2016
SAMPLE FORMS 08/03/2016
APPLICATION 01/23/2018
STAFF SHEET 04/25/2018
REGISTERING FICTITIOUS NAMES 04/01/2021
CERTIFICATE OF GOOD STANDING 04/01/2021
EQUIPMENT LIST 04/14/2022
ANNUAL DECLARATION 04/22/2022




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.

 
5 CSR 25-500.032 Organization and Administration
Not Observed
5 CSR 25-500.042 Licensing Process
Not Observed
5 CSR 25-500.052 Annual Requirements
Not Observed
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Not Observed
5 CSR 25-500.090 Disaster and Emergency Preparedness
Not Observed
5 CSR 25-500.092 Furniture, Equipment and Materials
Not Observed
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
The facility does not have an approved director on staff.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff.
Correction Required
The facility shall have an approved director/group home provider.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.112 Staff/Child Ratios
Not Observed
5 CSR 25-500.122 Medical Examination Reports
Not Observed
5 CSR 25-500.132 Admission Policies and Procedures
Not Observed
5 CSR 25-500.172 Emergency School Closings
Not Observed
5 CSR 25-500.182 Child Care Program
Not Observed
5 CSR 25-500.192 Health Care
Not Observed
5 CSR 25-500.202 Nutrition and Food Service
Not Observed
5 CSR 25-500.212 Transportation and Field Trips
Not Observed
5 CSR 25-500.222 Records and Reports
Not Observed
5 CSR 25-600.020 General Requirements
Not Observed
5 CSR 25-600.040 Background Screening Findings
Not Observed
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. —
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed