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-MARION ELEMENTARY

Facility DVN
000397299

Phone
(314) 493-6419

Physical Address
2634 SIMS AVE
ST LOUIS
MO 63114-3130

Owner
GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

Mailing Address
1900 URBAN DR
ST LOUIS
MO 63144

Provider/Director
PACATTE, MARK

E-mail Address
jacob.nelson@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
10/25/2023

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2457439502

Document	Document-Date
LOCAL FIRE DEPARTMENT NOTIFICATION	01/26/2011
DIRECTOR'S QUALIFICATIONS	04/01/2011
ARTICLES OF INCORPORATION	10/29/2013
DAILY SCHEDULE	06/19/1984
DISCIPLINE POLICIES	06/19/1984
JOB RESPONSIBILITIES	06/19/1984
LINES OF ADMINISTRATIVE AUTHORITY	06/19/1984
POLICIES	06/19/1984
SAMPLE FORMS	06/19/1984
SAMPLE WEEKLY MENU	06/28/1984
CHILD CARE PRACTICES	06/19/1984
DIRECTOR'S JOB RESPONSIBILITIES	06/19/1984
REGISTERING FICTITIOUS NAMES	03/14/2023
APPLICATION	02/25/2019
STAFF SHEET	02/25/2019
EQUIPMENT LIST	03/14/2023
ANNUAL DECLARATION	03/14/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	03/14/2023

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.