DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE GHC INSPECTION REPORT
Facility Information

YMCA-JEFFERSON COUNTY BRANCH-PEVELY ELEMENTARY

001012684

(314) 598-1568

30 MAIN ST
PEVELY
MO  63070

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

1303 YMCA DR
FESTUS
MO  63028

HOLDINGHAUSEN, CYNTHIA LOUISE

cindy.holdinghausen@gwrymca.org

Incorporated

BRITTANY HECHT

5 YEARS - 12 YEARS

48

SCHOOL AGE GHC

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

04/22/2025

4:11 PM

4:11 PM

UNANNOUNCED

SUPPLEMENTAL

2491903128


DocumentDocument-Date
ARTICLES OF INCORPORATION 10/05/2006
LINES OF ADMINISTRATIVE AUTHORITY 08/19/1997
SAMPLE WEEKLY MENU 08/19/1997
SAMPLE FORMS 08/19/1997
JOB RESPONSIBILITIES 08/19/1997
CHILD CARE PRACTICES 08/19/1997
DAILY SCHEDULE 08/19/1997
POLICIES 08/19/1997
LOCAL FIRE DEPARTMENT NOTIFICATION 09/11/2013
REGISTERING FICTITIOUS NAMES 09/04/2013
CERTIFICATE OF GOOD STANDING 10/19/2015
DISASTER AND EMERGENCY PREPAREDNESS PLAN 04/11/2012
DIRECTOR'S JOB RESPONSIBILITIES 08/01/1997
DISCIPLINE POLICIES 08/19/1997
APPLICATION 10/11/2019
STAFF SHEET 10/24/2019
EQUIPMENT LIST 10/08/2024
ANNUAL DECLARATION 10/08/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 10/08/2024




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.

Compliance List
5 CSR 25-500.032 Organization and Administration
Not Observed
5 CSR 25-500.042 Licensing Process
Not Observed
5 CSR 25-500.052 Annual Requirements
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Cynthia Holdinghausen, Julie Hartmann, Jennifer Cox, Sheryl Herbert, Isabella Barbagaloo, Morgan Roland, Melia Manor, Melissa Lackey, Laurie McTearnen, Rebecca Bishop, Matthew Clark, Michelle Norkaitis & Sarah Rhodebeck (As of 3/31/2025 checks are still needed for Melissa Lackey, Matthew Clark & Michelle Norkaitis.) within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Not Observed
5 CSR 25-500.090 Disaster and Emergency Preparedness
Not Observed
5 CSR 25-500.092 Furniture, Equipment and Materials
Not Observed
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: Julie Hartmann - 1.5 Clock Hours & Jennifer Cox - 1.5 Clock Hours.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each caregiver.

Correction Verification
Submit Documentation

Compliance Date
12/26/2024
5 CSR 25-500.112 Staff/Child Ratios
Not Observed
5 CSR 25-500.122 Medical Examination Reports
Not Observed
5 CSR 25-500.132 Admission Policies and Procedures
Not Observed
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
Not Observed
5 CSR 25-500.192 Health Care
Not Observed
5 CSR 25-500.202 Nutrition and Food Service
Not Observed
5 CSR 25-500.212 Transportation and Field Trips
Not Observed
5 CSR 25-500.222 Records and Reports
Violation
 Provider Comments
Violation
1 child(ren) records did not include address of another individual who might be reached in an emergency.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
12/17/2024
5 CSR 25-600.020 General Requirements
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Laurie McTearnen, Rebecca Bishop, Matthew Clark, Michelle Norkaitis & Sarah Rhodebeck.
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
2/23/2025
5 CSR 25-600.040 Background Screening Findings
Not Observed
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. —
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed