DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

TWIN PIKE FAMILY YMCA

001779428

(573) 754-6904

500 HALEY AVE
LOUISIANA
MO  63353

TWIN PIKE FAMILY YMCA

614 KELLY LN
LOUISIANA
MO  63353-2409

GRIMES, STEPHANIE KAY

BROOKSM@LOUISIANA.K12.MO.US

Incorporated

WENDI MATLICK

5 MONTHS - 12 YEARS

96

SCHOOL AGE

 
Inspection Information

02/26/2014

4:00 PM

4:43 PM

UNANNOUNCED

COMPLIANCE MONITORING

2220441077


DocumentDocument-Date
APPLICATION 09/24/2013
STAFF SHEET 09/24/2013
EQUIPMENT LIST 09/24/2013
DIRECTOR'S QUALIFICATIONS 09/24/2013
CERTIFICATE OF GOOD STANDING 09/24/2013
DAILY SCHEDULE 06/01/2004
SAMPLE WEEKLY MENU 09/05/2003
POLICIES 09/05/2003
LINES OF ADMINISTRATIVE AUTHORITY 08/27/2007
SAMPLE FORMS 09/05/2003




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 7
Total Children 61
StaffChildClass AgeNote
7 61 SCHOOL AGE

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Initial Licensing Information
Compliance
19 CSR 30-62.052 License Renewal
Compliance
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
19 CSR 30-62.102 Personnel
Compliance
19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Compliance
19 CSR 30-62.132 Admission Policies and Procedures
Compliance
19 CSR 30-62.172 Emergency School Closings
Compliance
19 CSR 30-62.182 Child Care Program
Compliance
19 CSR 30-62.192 Health Care
Compliance
19 CSR 30-62.202 Nutrition and Food Service
Not Observed
19 CSR 30-62.212 Transportation and Field Trips
Not Observed
19 CSR 30-62.222 Records and Reports
Compliance