MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
YMCA-O'FALLON BRANCH-PHEASANT POINT ELEMENTARY

Facility DVN
001169042

Phone
(314) 471-3493

Physical Address
3450 PHEASANT MEADOW DR
O FALLON
MO 63368-7324

Owner
GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

Mailing Address
3451 PHEASANT MEADOW DR
O FALLON
MO 63368-7324

Provider/Director
STEVENSON, COURTNEY DARON

E-mail Address
courtney.stevenson@gwrymca.org

Incorporated
Incorporated

Child Care Specialist
KIMBERLY KINNAIRD

Age Range
5 YEARS - 12 YEARS

Capacity
48

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
09/06/2024

Arrival Time
8:30 AM

Departure Time
8:51 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2477460374

Document	Document-Date
SAMPLE WEEKLY MENU	10/27/1998
SAMPLE FORMS	10/27/1998
POLICIES	10/27/1998
LINES OF ADMINISTRATIVE AUTHORITY	10/27/1998
JOB RESPONSIBILITIES	10/27/1998
DISCIPLINE POLICIES	10/27/1998
DIRECTOR'S JOB RESPONSIBILITIES	10/27/1998
DAILY SCHEDULE	10/27/1998
CHILD CARE PRACTICES	10/27/1998
CERTIFICATE OF INCORPORATION	10/27/1998
ARTICLES OF INCORPORATION	10/27/1998
STAFF SHEET	04/17/2018
DIRECTOR'S QUALIFICATIONS	10/02/2017
APPLICATION	03/01/2018
STAFF SHEET	04/17/2018
APPLICATION	02/28/2020
EQUIPMENT LIST	03/03/2023
ANNUAL DECLARATION	03/03/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	03/03/2023
REGISTERING FICTITIOUS NAMES	03/08/2024
CERTIFICATE OF GOOD STANDING	03/08/2024

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 2

Total Children 13

Staff	Child	Class Age	Note
2	13	SCHOOL AGE	Caregivers Eli Kiser and Tory Bunner present with children ages 5-year-old to 9-years-old.

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