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-HAWTHORN ELEMENTARY

Facility DVN
000176465

Phone
(314) 749-7355

Physical Address
166 BOONE HILLS DR
ST PETERS
MO 63376

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
11/08/2024

Arrival Time
7:50 AM

Departure Time
8:29 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2481844704

Document	Document-Date
SAMPLE FORMS	05/15/1992
DAILY SCHEDULE	01/13/1983
DIRECTOR'S JOB RESPONSIBILITIES	01/10/1983
CERTIFICATE OF GOOD STANDING	10/30/2013
POLICIES	08/05/1982
DIRECTOR'S QUALIFICATIONS	09/20/2017
DISCIPLINE POLICIES	01/10/1983
CERTIFICATE OF INCORPORATION	01/10/1983
ARTICLES OF INCORPORATION	01/10/1983
CHILD CARE PRACTICES	01/10/1983
JOB RESPONSIBILITIES	01/10/1983
LINES OF ADMINISTRATIVE AUTHORITY	01/10/1983
LOCAL FIRE DEPARTMENT NOTIFICATION	01/10/1983
REGISTERING FICTITIOUS NAMES	01/10/1983
SAMPLE WEEKLY MENU	01/10/1983
APPLICATION	09/05/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	08/08/2016
EQUIPMENT LIST	10/25/2023
STAFF SHEET	10/25/2023
ANNUAL DECLARATION	10/25/2023

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 8

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 10

Staff	Child	Class Age	Note
2	10	SCHOOL AGE	Caregivers Rylie Rivera and Chloe Calcaterra present with children ages 6-years-old to 11-years-old.