MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE GHC INSPECTION REPORT

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Facility Information

Facility Name
YMCA-ST. CHARLES BRANCH-MONROE ELEMENTARY

Facility DVN
000176518

Phone
(636) 352-7618

Physical Address
2670 ZUMBEHL RD
ST CHARLES
MO 63301-1134

Owner
GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

Mailing Address
3900 SHADY SPRINGS LN
ST PETERS
MO 63376-6467

Provider/Director
SMITH, DARRIS JAVON

E-mail Address
darris.smith@gwrymca.org

Incorporated
Incorporated

Child Care Specialist
AMY MUSSELMAN

Age Range
5 YEARS - 12 YEARS

Capacity
60

Facility Type
SCHOOL AGE GHC

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
10/14/2025

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2501753043

Document	Document-Date
DIRECTOR'S QUALIFICATIONS	08/27/2012
SAMPLE FORMS	11/01/1982
POLICIES	11/01/1982
LINES OF ADMINISTRATIVE AUTHORITY	11/01/1982
JOB RESPONSIBILITIES	11/01/1982
DISCIPLINE POLICIES	11/01/1982
DIRECTOR'S JOB RESPONSIBILITIES	11/01/1982
DAILY SCHEDULE	11/01/1982
CHILD CARE PRACTICES	11/01/1982
SAMPLE WEEKLY MENU	11/01/1982
ARTICLES OF INCORPORATION	03/16/2015
CERTIFICATE OF INCORPORATION	03/16/2015
APPLICATION	03/06/2019
STAFF SHEET	02/28/2023
CERTIFICATE OF GOOD STANDING	03/20/2024
EQUIPMENT LIST	03/19/2024
ANNUAL DECLARATION	09/30/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	09/30/2025
REGISTERING FICTITIOUS NAMES	03/20/2024
LOCAL ZONING APPROVAL	12/05/2024
LOCAL BUILDING APPROVAL	12/05/2024

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.