MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
OZARKS FAMILY YMCA, INC.

Facility DVN
001518594

Phone
(417) 935-2177

Physical Address
315 E CENTER
SEYMOUR
MO 65746

Owner
OZARKS FAMILY YMCA, INC.

Mailing Address
PO BOX 640
SEYMOUR
MO 65746-0640

Provider/Director

E-mail Address
DCHAMBERS@OZARKSFAMILYY.ORG

Incorporated
Incorporated

Child Care Specialist
GINA HOHENSEE

Age Range
6 YEARS - 11 YEARS

Capacity
35

Facility Type
GROUP HOME AND CENTER

Limitations
35 SCHOOL-AGE CHILDREN DURING THE SCHOOL YEAR

Inspection Information

Date
11/08/2016

Arrival Time
2:35 PM

Departure Time
3:39 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2293125118

Document	Document-Date
JOB RESPONSIBILITIES	12/22/2011
SAMPLE WEEKLY MENU	05/30/2006
LINES OF ADMINISTRATIVE AUTHORITY	05/30/2006
DAILY SCHEDULE	05/30/2006
DIRECTOR'S QUALIFICATIONS	01/12/2012
DIAGRAM/OUTDOOR	01/06/2012
DIAGRAM/INDOOR	01/06/2012
FIRE/SAFETY INSPECTION	09/25/2015
APPLICATION	11/05/2015
EQUIPMENT LIST	11/05/2015
SANITATION INSPECTION	10/30/2015
STAFF SHEET	12/15/2015

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 7

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 2

Total Children 10

Staff	Child	Class Age	Note
2	10	SCHOOL AGE