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-CLEARVIEW ELEMENTARY

Facility DVN
000434711

Phone
(314) 436-1177

Physical Address
1581 CLEARVIEW RD
UNION
MO 63084-3031

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
40

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
05/02/2024

Arrival Time
2:30 PM

Departure Time
3:42 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2469560542

Document	Document-Date
LINES OF ADMINISTRATIVE AUTHORITY	03/03/2007
CERTIFICATE OF INCORPORATION	02/06/2003
ARTICLES OF INCORPORATION	02/06/2003
SAMPLE WEEKLY MENU	03/03/2007
DAILY SCHEDULE	03/03/2007
POLICIES	02/17/2005
DISASTER AND EMERGENCY PREPAREDNESS PLAN	09/13/2018
STAFF SHEET	03/26/2019
APPLICATION	03/06/2019
DIRECTOR'S QUALIFICATIONS	10/13/2020
JOB RESPONSIBILITIES	03/03/2007
CHILD CARE PRACTICES	03/03/2007
CERTIFICATE OF GOOD STANDING	02/22/2021
REGISTERING FICTITIOUS NAMES	02/22/2021
DIRECTOR'S JOB RESPONSIBILITIES	02/10/2005
DISCIPLINE POLICIES	03/03/2007
ANNUAL DECLARATION	04/25/2023
EQUIPMENT LIST	05/02/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	05/02/2024
DISASTER AND EMERGENCY PREPAREDNESS PLAN	05/12/2022

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 6

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 20

Staff	Child	Class Age	Note
2	20	SCHOOL AGE	Caregivers Adam Vancil and Tori Pado with 20 children ages 5 through 9 year's old.