DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-O'FALLON BRANCH-J.L. MUDD ELEMENTARY

000172414

(314) 471-1242

610 PRINCE RUPPERT DR
O FALLON
MO  63366-1802

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

3451 PHEASANT MEADOW DR
O FALLON
MO  63368-7324

SIKORSKI, CHEYENNE MARIE

cheyenne.sikorski@gwrymca.org

Incorporated

KIMBERLY KINNAIRD

5 YEARS - 12 YEARS

48

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

10/01/2024

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2479178500


DocumentDocument-Date
SAMPLE FORMS 05/15/1992
ARTICLES OF INCORPORATION 11/04/2014
CERTIFICATE OF INCORPORATION 11/04/2014
REGISTERING FICTITIOUS NAMES 11/04/2014
CHILD CARE PRACTICES 11/17/2014
DAILY SCHEDULE 11/17/2014
DISCIPLINE POLICIES 11/17/2014
JOB RESPONSIBILITIES 11/17/2014
LINES OF ADMINISTRATIVE AUTHORITY 11/17/2014
DIRECTOR'S JOB RESPONSIBILITIES 11/17/2014
SAMPLE WEEKLY MENU 11/17/2014
POLICIES 11/17/2014
OWNER/PROVIDER REFERENCES 11/17/2014
LOCAL FIRE DEPARTMENT NOTIFICATION 11/17/2014
APPLICATION 11/20/2018
DIRECTOR'S QUALIFICATIONS 02/05/2016
STAFF SHEET 12/29/2020
EQUIPMENT LIST 03/15/2024
ANNUAL DECLARATION 03/15/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/15/2024
CERTIFICATE OF GOOD STANDING 02/02/2024




Inspection determined facility to be in compliance with licensing rules.
Compliance 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.

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
Violation
 Provider Comments
Violation
A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: Jerimiah Rover 5 training hours and Leah Williams 2 training hours.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (C) states: Caregivers who were employed after the first of the year shall obtain one (1) clock of hour training for each one (1) month of employment, regardless of the date employment began.
Correction Required
Required training hours shall be documented for each employee.

Correction Verification
Submit Documentation

Compliance Date
10/1/2024
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