DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-SOUTH CITY BRANCH-BAYLESS ELEMENTARY

002016875

(314) 256-8608

4531 WEBER RD
ST LOUIS
MO  63123-5700

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

3150 SUBLETTE AVE
ST LOUIS
MO  63139-1467

ROE, CHERYL

christina.declue@gwrymca.org

Incorporated

THERESA ZEHNLE

5 YEARS - 12 YEARS

40

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

04/12/2023

3:45 PM

4:05 PM

UNANNOUNCED

REINSPECTION

2445080218


DocumentDocument-Date
SAMPLE FORMS 08/16/2007
DIRECTOR'S QUALIFICATIONS 11/04/2008
POLICIES 08/16/2007
LOCAL FIRE DEPARTMENT NOTIFICATION 08/16/2007
LINES OF ADMINISTRATIVE AUTHORITY 08/16/2007
DIAGRAM/OUTDOOR 08/24/2007
DAILY SCHEDULE 08/24/2007
SAMPLE WEEKLY MENU 08/16/2007
LOCAL ZONING APPROVAL 09/26/2007
LOCAL BUILDING APPROVAL 09/26/2007
JOB RESPONSIBILITIES 08/16/2007
DIAGRAM/INDOOR 09/17/2007
CHILD CARE PRACTICES 08/16/2007
ARTICLES OF INCORPORATION 09/13/2011
FIRE/SAFETY INSPECTION 12/29/2014
SANITATION INSPECTION 11/03/2014
CERTIFICATE OF GOOD STANDING 10/13/2016
REGISTERING FICTITIOUS NAMES 10/13/2016
DIRECTOR'S JOB RESPONSIBILITIES 08/16/2007
DISASTER AND EMERGENCY PREPAREDNESS PLAN 06/07/2012
DISCIPLINE POLICIES 08/16/2007
APPLICATION 10/04/2018
STAFF SHEET 10/09/2018
EQUIPMENT LIST 10/20/2021
ANNUAL DECLARATION 10/20/2021




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.
Attendance at Time of Inspection
Total Staff 2
Total Children 25
StaffChildClass AgeNote
2 25 SCHOOL AGE Ellen Cusumano, Group Leader, and Matthew Brody, Group Leader, were present with twenty-five children ages 6-years-old to 12-years-old

 
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
Not Observed
5 CSR 25-500.112 Staff/Child Ratios
Violation
 Provider Comments
Violation
Staff/child ratio requirements were not met as evidenced by twenty-four children, ages 5-years-old to 12-years-old, were cared for by one caregiver(s).
Licensing Rule Reference
5 CSR 25-500.112 Staff/Child Ratios (1) (D) states: Ages Five (5) and Up. Groups composed solely of five (5)-year olds and older shall have no less than one (1) adult to every sixteen (16) children;
Correction Required
Correct staff/child ratios shall be maintained.

Correction Verification
Return Inspection

Compliance Date
4/12/2023
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