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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
001779428
Phone
(573) 754-6904
Physical Address
500 HALEY AVE
LOUISIANA
MO
63353
Owner
TWIN PIKE FAMILY YMCA
Mailing Address
614 KELLY LN
LOUISIANA
MO
63353-2409
Provider/Director
SHEPHERD, NOVETA A
E-mail Address
BROOKSM@LOUISIANA.K12.MO.US
Incorporated
Incorporated
Child Care Specialist
WENDI MATLICK
Age Range
5 YEARS - 13 YEARS
Capacity
96
Facility Type
SCHOOL AGE
Limitations
Inspection Information
Date
03/21/2016
Arrival Time
4:00 PM
Departure Time
4:32 PM
Notice
UNANNOUNCED
Inspection Type
COMPLIANCE MONITORING
Inspection ID
2276295588
Document
Document-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
Staff
Child
Class Age
Note
9
71
SCHOOL AGE
Benita Asquith, Christine Barber, Jeremy Booth, Melinda Brooks, Brittany Cole, Ann Murry, Noveta Shepherd, Christina Hoskins and Loretta Woodward