DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE GHC INSPECTION REPORT
Facility Information

MISSION: ST. LOUIS

002727491

(314) 533-0975

1881 PINE ST
ST LOUIS
MO  63103-2264

MISSION: ST. LOUIS



 

WINTER, KAYLA LUCILLE

kayla.winter@missionstl.org

Incorporated

THERESA BROZ

5 YEARS - 15 YEARS

125

SCHOOL AGE GHC

AFTER SCHOOL CARE ONLY
 
Inspection Information

04/01/2025

3:30 PM

4:18 PM

UNANNOUNCED

COMPLIANCE MONITORING

2490274893


DocumentDocument-Date
APPLICATION 07/31/2019
DIAGRAM/INDOOR 08/03/2019
DIAGRAM/OUTDOOR 08/03/2019
CHILD CARE PRACTICES 08/03/2019
DAILY SCHEDULE 08/03/2019
DIRECTOR'S QUALIFICATIONS 08/03/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/03/2019
DISCIPLINE POLICIES 08/03/2019
JOB RESPONSIBILITIES 08/03/2019
LINES OF ADMINISTRATIVE AUTHORITY 08/03/2019
POLICIES 08/03/2019
SAMPLE FORMS 08/03/2019
SAMPLE WEEKLY MENU 08/03/2019
LOCAL FIRE DEPARTMENT NOTIFICATION 08/03/2019
ARTICLES OF INCORPORATION 08/03/2019
STAFF SHEET 07/20/2022
EQUIPMENT LIST 07/31/2024
ANNUAL DECLARATION 07/31/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 09/26/2024
DIRECTOR'S JOB RESPONSIBILITIES 08/03/2019
LICENSING ORIENTATION 07/29/2024
CERTIFICATE OF GOOD STANDING 10/10/2024
CERTIFICATE OF INCORPORATION 08/07/2019




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.
Attendance at Time of Inspection
Total Staff 9
Total Children 37
StaffChildClass AgeNote
4 0 NO CHILDREN IN ATTENDANCE Patrick Smith, Site Coordinator, Rameah Harris, Associate, Octave Bulancti, Teacher, Rebekah Baumann, Program Manager, were present with zero children
1 5 SCHOOL AGE Bart Baker, Success Coach, was present with five children ages 10-years-old to 11-years-old
1 10 SCHOOL AGE Ashlee Williams, Success Coach, was present with ten children ages 7-years-old to 9-years-old
1 5 SCHOOL AGE Roxanne Almaguer, Success Coach, was present with five children ages 11-years-old to 14-years-old
1 8 SCHOOL AGE Edwin Rosario, Success Coach, was present with eight children ages 5-years-old to 6-years-old
1 9 SCHOOL AGE Cabella Larson, Success Coach, was present with nine children ages 7-years-old to 8-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
Not Observed
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
Not Observed
5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.142 Nighttime Care
Not Observed
5 CSR 25-500.162 Overlap Care of Children
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
Not Observed
5 CSR 25-500.222 Records and Reports
Not Observed
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