MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
YMCA-FOUR RIVERS BRANCH-CENTRAL ELEMENTARY

Facility DVN
000237836

Phone
(636) 239-5706

Physical Address
207 JEFFERSON AVE
UNION
MO 63084

Owner
GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

Mailing Address
400 GRAND AVE
WASHINGTON
MO 63090

Provider/Director
MUELLER, MELISSA

E-mail Address
melissa.mueller@gwrymca.org

Incorporated
Incorporated

Child Care Specialist
LAUREN R RAYWARNKE

Age Range
5 YEARS - 12 YEARS

Capacity
32

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
04/04/2024

Arrival Time
2:30 PM

Departure Time
3:36 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2467590530

Document	Document-Date
CERTIFICATE OF INCORPORATION	02/06/2003
DAILY SCHEDULE	02/06/2007
DISCIPLINE POLICIES	08/20/2001
REGISTERING FICTITIOUS NAMES	02/16/2021
CERTIFICATE OF GOOD STANDING	02/23/2021
STAFF SHEET	02/14/2019
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	03/21/2024
EQUIPMENT LIST	03/21/2024
ANNUAL DECLARATION	03/21/2024
DIRECTOR'S JOB RESPONSIBILITIES	08/20/2001
LINES OF ADMINISTRATIVE AUTHORITY	08/24/2001
JOB RESPONSIBILITIES	08/27/2001
ARTICLES OF INCORPORATION	02/06/2003
CHILD CARE PRACTICES	08/27/2001
SAMPLE WEEKLY MENU	02/06/2007
POLICIES	08/27/2001
DIRECTOR'S QUALIFICATIONS	02/10/2021
APPLICATION	01/29/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	02/26/2018

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 2

Total Children 13

Staff	Child	Class Age	Note
2	13	SCHOOL AGE	Emma Brune and Kylie McDaniel with 13 children ages 5 through 11 year's old.