MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
RANDOLPH AREA YOUNG MEN'S CHRISTIAN ASSOCIATION

Facility DVN
002196707

Phone
(660) 263-3600

Physical Address
1000 KWIX RD
MOBERLY
MO 65270

Owner
RANDOLPH AREA YOUNG MEN'S CHRISTIAN ASSOCIATION

Mailing Address
PO BOX 176
MOBERLY
MO 65270-0176

Provider/Director
BOGGESS, CARL LEE

E-mail Address
WANDERSON@MOBERLY.12.MO.US

Incorporated
Incorporated

Child Care Specialist
CHRISTINA BRUCE

Age Range
5 YEARS - 12 YEARS

Capacity
49

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
10/21/2016

Arrival Time
2:55 PM

Departure Time
4:10 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2291929064

Inspection determined facility to be in compliance with 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 3

Total Children 9

Staff	Child	Class Age	Note
1	0	NO CHILDREN IN ATTENDANCE	Lee Boggess, director, was on site during the inspection.
2	9	SCHOOL AGE	Maranda and Michael are the caregivers.