DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

YMCA-ST. CHARLES BRANCH-LINCOLN ELEMENTARY

002600206

(636) 928-1928

625 S 6TH ST
ST CHARLES
MO  63301-2917

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

3900 SHADY SPRINGS LN
ST PETERS
MO  63376-6467

THORNHILL, ASHLEY ELIZABETH

ashley.thornhill@gwrymca.org

Incorporated

AMY MUSSELMAN

5 YEARS - 13 YEARS

32

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

10/16/2024

8:02 AM

8:22 AM

UNANNOUNCED

COMPLIANCE MONITORING

2480095602


DocumentDocument-Date
ARTICLES OF INCORPORATION 08/04/2016
CERTIFICATE OF INCORPORATION 08/04/2016
CHILD CARE PRACTICES 08/04/2016
DAILY SCHEDULE 08/04/2016
DIRECTOR'S JOB RESPONSIBILITIES 08/04/2016
DISCIPLINE POLICIES 08/04/2016
JOB RESPONSIBILITIES 08/04/2016
POLICIES 08/04/2016
SAMPLE WEEKLY MENU 08/04/2016
SAMPLE FORMS 08/04/2016
LOCAL FIRE DEPARTMENT NOTIFICATION 08/04/2016
DIRECTOR'S QUALIFICATIONS 08/04/2016
LINES OF ADMINISTRATIVE AUTHORITY 08/04/2016
REGISTERING FICTITIOUS NAMES 08/04/2016
APPLICATION 04/13/2018
CERTIFICATE OF GOOD STANDING 03/20/2024
STAFF SHEET 02/28/2023
EQUIPMENT LIST 03/19/2024
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/04/2016
ANNUAL DECLARATION 04/08/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/19/2024




Inspection determined facility to be in compliance with licensing rules.
Compliance 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 1
Total Children 8
StaffChildClass AgeNote
1 8 SCHOOL AGE Ann Divendal, Group Leader, was in attendance with eight children, ages 5-years-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
Violation
 Provider Comments
Violation
The facility does not have an approved director on staff.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff.
Correction Required
The facility shall have an approved director/group home provider.

Correction Verification
Submit Documentation

Compliance Date

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 25-500.142 Nighttime Care
Compliance
5 CSR 25-500.162 Overlap Care of Children
Compliance
5 CSR 25-500.172 Emergency School Closings
Not Observed
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