MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
YMCA-MID COUNTY BRANCH-BUDER ELEMENTARY

Facility DVN
000214959

Phone
(314) 493-6300

Physical Address
10350 BALTIMORE AVE
ST ANN
MO 63074-3837

Owner
GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

Mailing Address
1900 URBAN DR
ST LOUIS
MO 63144

Provider/Director
NORKAITIS, MICHELLE

E-mail Address
mark.pacatte@gwrymca.org

Incorporated
Incorporated

Child Care Specialist
DENISE ELAYNE KOCH

Age Range
5 YEARS - 13 YEARS

Capacity
32

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
05/05/2023

Arrival Time
2:30 PM

Departure Time
3:10 PM

Notice
ANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2447166564

Document	Document-Date
EQUIPMENT LIST	04/15/2023
LINES OF ADMINISTRATIVE AUTHORITY	03/11/2005
SAMPLE WEEKLY MENU	03/10/1986
DAILY SCHEDULE	03/10/1986
SAMPLE FORMS	03/10/1986
POLICIES	03/10/1986
CHILD CARE PRACTICES	03/10/1986
DISCIPLINE POLICIES	03/10/1986
APPLICATION	04/06/2018
DIRECTOR'S QUALIFICATIONS	11/06/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN	04/19/2018
ANNUAL DECLARATION	04/15/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/15/2023

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 1

Staff	Child	Class Age	Note
1	0	NO CHILDREN IN ATTENDANCE	Program Director-Mark Pacatte