DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE GHC INSPECTION REPORT
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Facility Information

YMCA-ST. CHARLES BRANCH-JEFFERSON INTERMEDIATE

002053816

(636) 443-4421

2660 ZUMBEHL RD
ST CHARLES
MO  63301-1134

GATEWAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION

3900 SHADY SPRINGS LN
ST PETERS
MO  63376-6467

SMITH, DARRIS JAVON

darris.smith@gwrymca.org

Incorporated

AMY MUSSELMAN

9 YEARS - 12 YEARS

32

SCHOOL AGE GHC

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

04/29/2026

3:11 PM

3:45 PM

UNANNOUNCED

COMPLIANCE MONITORING

2512389156


DocumentDocument-Date
LINES OF ADMINISTRATIVE AUTHORITY 08/09/2007
DISCIPLINE POLICIES 08/09/2007
DIRECTOR'S JOB RESPONSIBILITIES 08/09/2007
DAILY SCHEDULE 08/09/2007
CHILD CARE PRACTICES 08/09/2007
DIRECTOR'S QUALIFICATIONS 08/27/2012
ARTICLES OF INCORPORATION 08/09/2007
JOB RESPONSIBILITIES 03/24/2015
POLICIES 03/24/2015
SAMPLE WEEKLY MENU 08/09/2007
SAMPLE FORMS 03/24/2015
CERTIFICATE OF INCORPORATION 01/20/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/09/2017
APPLICATION 03/06/2019
STAFF SHEET 02/28/2023
CERTIFICATE OF GOOD STANDING 03/20/2024
REGISTERING FICTITIOUS NAMES 03/20/2024
ANNUAL DECLARATION 04/01/2026
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/01/2026
EQUIPMENT LIST 04/01/2026
LOCAL ZONING APPROVAL 12/05/2024
LOCAL BUILDING APPROVAL 12/05/2024




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 5
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 1
Total Children 6
StaffChildClass AgeNote
1 6 SCHOOL AGE Kennedy Coulter, Group Leader, was in attendance with six children, ages 11-years-old to 12-years-old.