MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
NORTHSIDE YOUTH AND SENIOR SERVICE CENTER, INC.

Facility DVN
000335720

Phone
(314) 723-3069

Physical Address
1224 S 14TH ST
ST LOUIS
MO 63104

Owner
NORTHSIDE YOUTH AND SENIOR SERVICE CENTER, INC.

Mailing Address
4120 MAFFITT AVE
ST LOUIS
MO 63113

Provider/Director
AVANT, DOMINIQUE ALVIN

E-mail Address
davant@nsyssc.com

Incorporated
Incorporated

Child Care Specialist
TARA D BURNETT

Age Range
5 YEARS - 12 YEARS

Capacity
50

Facility Type
SCHOOL AGE

Limitations
AFTER SCHOOL CARE ONLY

Inspection Information

Date
01/30/2025

Arrival Time
8:20 AM

Departure Time
8:20 AM

Notice
UNANNOUNCED

Inspection Type
SUPPLEMENTAL

Inspection ID
2486620047

Document	Document-Date
DIRECTOR'S JOB RESPONSIBILITIES	04/10/2007
DAILY SCHEDULE	04/10/2007
SAMPLE WEEKLY MENU	04/10/2007
SAMPLE FORMS	04/10/2007
POLICIES	04/10/2007
DISCIPLINE POLICIES	04/10/2007
LINES OF ADMINISTRATIVE AUTHORITY	04/10/2007
JOB RESPONSIBILITIES	04/10/2007
DIRECTOR'S QUALIFICATIONS	03/31/2015
ARTICLES OF INCORPORATION	03/16/2007
CHILD CARE PRACTICES	04/02/2007
STAFF SHEET	01/30/2017
APPLICATION	02/11/2019
EQUIPMENT LIST	04/01/2024
ANNUAL DECLARATION	04/01/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/01/2024

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 4

NOTE

The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.