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-EMGE ELEMENTARY

Facility DVN
001719822

Phone
(314) 717-8983

Physical Address
250 FALLON PKWY
O FALLON
MO 63368-7325

Owner
GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

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

Provider/Director

E-mail Address
angie.murdough@GWRYMCA.ORG

Incorporated
Incorporated

Child Care Specialist
AMY MUSSELMAN

Age Range
5 YEARS - 12 YEARS

Capacity
48

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
04/19/2023

Arrival Time
1:30 PM

Departure Time
2:07 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2445564259

Document	Document-Date
SAMPLE WEEKLY MENU	08/21/2002
SAMPLE FORMS	08/23/2002
POLICIES	08/22/2002
LINES OF ADMINISTRATIVE AUTHORITY	08/21/2002
JOB RESPONSIBILITIES	08/22/2002
DISCIPLINE POLICIES	08/22/2002
DIRECTOR'S JOB RESPONSIBILITIES	08/22/2002
DAILY SCHEDULE	08/22/2002
CHILD CARE PRACTICES	08/22/2002
LOCAL FIRE DEPARTMENT NOTIFICATION	08/22/2002
REGISTERING FICTITIOUS NAMES	01/24/2012
CERTIFICATE OF INCORPORATION	11/24/2014
ARTICLES OF INCORPORATION	11/24/2014
CERTIFICATE OF GOOD STANDING	10/11/2017
APPLICATION	10/03/2019
STAFF SHEET	10/10/2019
DIRECTOR'S QUALIFICATIONS	09/06/2017
EQUIPMENT LIST	01/20/2023
ANNUAL DECLARATION	01/20/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	01/20/2023

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 19

Staff	Child	Class Age	Note
2	19	SCHOOL AGE	John Schilling, Site Director, and Allison Holzrichter, Program Director, were in attendance with nineteen children, ages 6-years-old to 11-years-old.


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 Compliance
5 CSR 25-500.112 Staff/Child Ratios Compliance
5 CSR 25-500.122 Medical Examination Reports Not Observed
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 Not Observed
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