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

BRITTNEY RALPH

5 YEARS - 12 YEARS

48

SCHOOL AGE GHC

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

12/11/2025

7:11 AM

8:12 AM

UNANNOUNCED

COMPLIANCE MONITORING

2505264196


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 12/02/2025
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 12/02/2025
ANNUAL DECLARATION 12/02/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/02/2025




Inspection determined facility to be in compliance with licensing rules.
Compliance 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.
Attendance at Time of Inspection
Total Staff 4
Total Children 22
StaffChildClass AgeNote
4 22 SCHOOL AGE Site director, Julie Hartmann, and staff members, Aubrey Gordan, Sheryl Herbert, and Jennifer Cox were present with 22 children ages ranging between 5-years-old to 10-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
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Cindy Holdinghausen, Jennifer Cox, Julie Hartmann, Sheryl Herbert, and Aubrey Gordan 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
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
Violation
 Provider Comments
Violation
The facility did not conduct a Family Care Safety Registry screening for Gabriel Raez, who was hired on 11/3/2025.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (P) states: The child care provider shall conduct a Family Care Safety Registry screening prior to employment for any newly hired child care staff member who has a qualifying criminal background check result.
Correction Required
Required results of the Family Care Safety Registry screening shall be on file.

Correction Verification
Submit Documentation

Compliance Date

Violation
A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: Gabriel Raez, and Aubrey Gordan.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (F) 1. states: Caregivers shall obtain a Missouri Professional Development Identification (MOPD ID) number from the department.
Correction Required
All caregivers shall obtain a MOPD ID.

Correction Verification
Submit Documentation

Compliance Date

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
Compliance
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
Not Observed
5 CSR 25-500.212 Transportation and Field Trips
Compliance
5 CSR 25-500.222 Records and Reports
Violation
 Provider Comments
Violation
2 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

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