MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE GHC INSPECTION REPORT

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Facility Information

Facility Name
MISSION: ST. LOUIS

Facility DVN
003082266

Phone
(314) 531-0982

Physical Address
4471 OLIVE ST
ST LOUIS
MO 63108-1807

Owner
MISSION: ST. LOUIS

Mailing Address
3108 N GRAND BLVD
ST LOUIS
MO 63107-2502

Provider/Director
WINTER, KAYLA LUCILLE

E-mail Address
erin@missionstl.org

Incorporated
Incorporated

Child Care Specialist
AMY MUSSELMAN

Age Range
5 YEARS - 12 YEARS

Capacity
60

Facility Type
SCHOOL AGE GHC

Limitations
AFTER SCHOOL CARE ONLY

Inspection Information

Date
04/16/2025

Arrival Time
3:52 PM

Departure Time
4:18 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2491398312

Document	Document-Date
LICENSING ORIENTATION	07/29/2024
EQUIPMENT LIST	09/25/2024
DAILY SCHEDULE	09/25/2024
LINES OF ADMINISTRATIVE AUTHORITY	09/25/2024
ARTICLES OF INCORPORATION	09/25/2024
SAMPLE WEEKLY MENU	09/25/2024
JOB RESPONSIBILITIES	09/25/2024
DISASTER AND EMERGENCY PREPAREDNESS PLAN	09/25/2024
POLICIES	09/25/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	10/18/2024
DIRECTOR'S QUALIFICATIONS	09/10/2024
DIRECTOR'S JOB RESPONSIBILITIES	09/25/2024
CHILD CARE PRACTICES	09/25/2024
DISCIPLINE POLICIES	09/25/2024
SAMPLE FORMS	09/25/2024
CERTIFICATE OF GOOD STANDING	09/25/2024
LOCAL FIRE DEPARTMENT NOTIFICATION	08/08/2024
CERTIFICATE OF INCORPORATION	09/25/2024
OWNER/PROVIDER REFERENCES	09/25/2024
APPLICATION	10/31/2024

Inspection determined facility to be in compliance with 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 5

Total Children 38

Staff	Child	Class Age	Note
2	4	SCHOOL AGE	Nassir Whitley, teacher, and Adi Zegan, teacher, were in attendance with four children, ages 5-years-old through 12-years-old.
1	12	SCHOOL AGE	Sarah Ambrose, teacher, was in attendance with twelve children, ages 5-years-old through 7-years-old.
1	11	SCHOOL AGE	Stella Limere, teacher, was in attendance with eleven children, ages 7-years-old to 9-years-old.
1	11	SCHOOL AGE	Payton Beck, teacher, was in attendance with eleven children, ages 9-years-old through 12-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 Compliance
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 25-500.162 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