MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
TWIN PIKE FAMILY YMCA

Facility DVN
001782674

Phone
(573) 242-3546

Physical Address
28176 HIGHWAY WW
CLARKSVILLE
MO 63336

Owner
TWIN PIKE FAMILY YMCA

Mailing Address
614 KELLY LN TWIN PIKE FAMILY YMCA
LOUISIANA
MO 63353

Provider/Director
SEWARD, MARGUERITE T

E-mail Address
GREGORYK@CLOPTON.K12.MO.US

Incorporated
Incorporated

Child Care Specialist
LISA IVY

Age Range
5 YEARS - 12 YEARS

Capacity
96

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
02/05/2015

Arrival Time
2:50 PM

Departure Time
3:45 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2246191159

Document	Document-Date
DIRECTOR'S JOB RESPONSIBILITIES	09/20/2005
DIRECTOR'S QUALIFICATIONS	10/30/2007
ARTICLES OF INCORPORATION	10/29/2003
CHILD CARE PRACTICES	09/20/2005
EQUIPMENT LIST	08/25/2011
SAMPLE WEEKLY MENU	09/10/2003
DAILY SCHEDULE	05/06/2008
POLICIES	09/20/2005
APPLICATION	09/17/2013

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 5

Total Children 46

Staff	Child	Class Age	Note
5	46	SCHOOL AGE