DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-O'FALLON BRANCH-FLINT HILL ELEMENTARY

002610786

(314) 471-3501

587 MEXICO RD
WENTZVILLE
MO  63385

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

3451 PHEASANT MEADOW DR
O FALLON
MO  63368-7324

MURDOUGH, ANGELA

angie.murdough@gwrymca.org

Incorporated

AMY MUSSELMAN

5 YEARS - 12 YEARS

48

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

08/15/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2452645872


DocumentDocument-Date
REGISTERING FICTITIOUS NAMES 03/14/2023
DIAGRAM/INDOOR 08/01/2016
DIAGRAM/OUTDOOR 08/11/2016
DISCIPLINE POLICIES 08/01/2016
POLICIES 08/01/2016
SAMPLE WEEKLY MENU 08/01/2016
JOB RESPONSIBILITIES 08/01/2016
ARTICLES OF INCORPORATION 08/01/2016
CHILD CARE PRACTICES 08/01/2016
DAILY SCHEDULE 08/01/2016
LINES OF ADMINISTRATIVE AUTHORITY 08/01/2016
SAMPLE FORMS 08/11/2016
DIRECTOR'S JOB RESPONSIBILITIES 08/01/2016
LOCAL FIRE DEPARTMENT NOTIFICATION 08/06/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/06/2016
APPLICATION 03/07/2018
STAFF SHEET 04/12/2018
EQUIPMENT LIST 03/03/2023
ANNUAL DECLARATION 03/03/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/03/2023
CERTIFICATE OF GOOD STANDING 03/16/2023
DIRECTOR'S QUALIFICATIONS 08/19/2021




Inspection determined facility to be in compliance with licensing rules.
Compliance 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.

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
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
8/15/2023
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
Violation
 Provider Comments
Violation
4 child(ren) records did not include date care begins and ends.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (A) states: The child's full name, address, birth-date and the date care begins and ends;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
6/13/2023
Violation
1 child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
6/13/2023
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