MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
YMCA-JEFFERSON COUNTY BRANCH-FESTUS ELEMENTARY

Facility DVN
000523893

Phone
(314) 598-2734

Physical Address
1500 MIDMEADOW LN
FESTUS
MO 63028-1544

Owner
GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

Mailing Address
1303 YMCA DR
FESTUS
MO 63028

Provider/Director
HOLDINGHAUSEN, CYNTHIA LOUISE

E-mail Address
cindy.holdinghausen@gwrymca.org

Incorporated
Incorporated

Child Care Specialist
BRITTANY HECHT

Age Range
5 YEARS - 12 YEARS

Capacity
48

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
08/28/2024

Arrival Time
8:20 AM

Departure Time
8:47 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2476965679

Document	Document-Date
LINES OF ADMINISTRATIVE AUTHORITY	03/26/1993
JOB RESPONSIBILITIES	03/26/1993
CHILD CARE PRACTICES	03/26/1993
SAMPLE FORMS	03/26/1993
SAMPLE WEEKLY MENU	03/26/1993
DAILY SCHEDULE	03/26/1993
POLICIES	03/26/1993
ARTICLES OF INCORPORATION	09/26/2011
DIRECTOR'S QUALIFICATIONS	12/22/2011
CERTIFICATE OF GOOD STANDING	11/14/2016
REGISTERING FICTITIOUS NAMES	11/14/2016
STAFF SHEET	11/20/2018
APPLICATION	11/20/2018
CERTIFICATE OF INCORPORATION	03/26/1993
DIRECTOR'S JOB RESPONSIBILITIES	02/09/1993
DISASTER AND EMERGENCY PREPAREDNESS PLAN	04/20/2012
DISCIPLINE POLICIES	03/26/1993
EQUIPMENT LIST	01/24/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	01/24/2024
ANNUAL DECLARATION	01/24/2024

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 4

Total Children 33

Staff	Child	Class Age	Note
4	33	SCHOOL AGE	Lisa Otte, Caregiver/Designated Person in Charge Brendan Tamboli, Sara Mills & Molly Politte, Caregivers 33 - 5-10 Year Olds (Outside on the Playground)

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