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

SHEPHERD, NOVETA A

BROOKSM@LOUISIANA.K12.MO.US

Incorporated

WENDI MATLICK

5 YEARS - 13 YEARS

96

SCHOOL AGE

 
Inspection Information

03/21/2016

4:00 PM

4:32 PM

UNANNOUNCED

COMPLIANCE MONITORING

2276295588


DocumentDocument-Date
APPLICATION 09/08/2015
SAMPLE FORMS 09/05/2003
LINES OF ADMINISTRATIVE AUTHORITY 08/27/2007
POLICIES 09/05/2003
SAMPLE WEEKLY MENU 09/05/2003
DAILY SCHEDULE 06/01/2004
CERTIFICATE OF GOOD STANDING 09/24/2013
DIRECTOR'S QUALIFICATIONS 09/24/2013




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 9
Total Children 71
StaffChildClass AgeNote
9 71 SCHOOL AGE Benita Asquith, Christine Barber, Jeremy Booth, Melinda Brooks, Brittany Cole, Ann Murry, Noveta Shepherd, Christina Hoskins and Loretta Woodward