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-MARVIN ELEMENTARY

Facility DVN
000172898

Phone
(314) 493-6445

Physical Address
3510 WOODSON RD
ST LOUIS
MO 63114

Owner
GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

Mailing Address
1900 URBAN DR
ST LOUIS
MO 63144

Provider/Director
PACATTE, MARK GERARD

E-mail Address
mark.pacatte@gwrymca.org

Incorporated
Incorporated

Child Care Specialist
AMY MUSSELMAN

Age Range
5 YEARS - 12 YEARS

Capacity
32

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
05/23/2023

Arrival Time
7:10 AM

Departure Time
7:42 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2447855105

Document	Document-Date
SAMPLE WEEKLY MENU	08/20/1984
SAMPLE FORMS	08/20/1984
LOCAL FIRE DEPARTMENT NOTIFICATION	02/15/2008
POLICIES	08/20/1984
LINES OF ADMINISTRATIVE AUTHORITY	08/20/1984
JOB RESPONSIBILITIES	08/20/1984
DISCIPLINE POLICIES	08/20/1984
DIRECTOR'S QUALIFICATIONS	11/05/2001
DIRECTOR'S JOB RESPONSIBILITIES	08/20/1984
DAILY SCHEDULE	08/20/1984
CHILD CARE PRACTICES	08/20/1984
ARTICLES OF INCORPORATION	08/20/1984
CERTIFICATE OF INCORPORATION	01/20/2016
CERTIFICATE OF GOOD STANDING	04/27/2023
REGISTERING FICTITIOUS NAMES	04/27/2023
APPLICATION	03/16/2020
STAFF SHEET	03/16/2020
ANNUAL DECLARATION	04/19/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/19/2023
EQUIPMENT LIST	04/19/2023

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 6

Staff	Child	Class Age	Note
2	6	SCHOOL AGE	Katrena Noah-Hubbard, Site Director, and Michelle Wise, Site Assistant, were in attendance with six children, ages 6-years-old to 9-years-old.

Compliance List
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 Compliance
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 Compliance
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