MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
TRI-STATE FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION

Facility DVN
002613612

Phone
(417) 455-9999

Physical Address
1400 HALE MCGINTY DR
NEOSHO
MO 64850-7609

Owner
TRI-STATE FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION

Mailing Address
4701 CHOUTEAU DR
NEOSHO
MO 64850-9123

Provider/Director
PARRA, TARA E

E-mail Address
tinaferguson@crowder.edu

Incorporated
Incorporated

Child Care Specialist
EUNICE D KARR

Age Range
9 YEARS - 12 YEARS

Capacity
32

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
02/08/2017

Arrival Time
3:26 PM

Departure Time
4:03 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2299203880

Document	Document-Date
STAFF SHEET	08/24/2016
EQUIPMENT LIST	08/26/2016
DIRECTOR'S QUALIFICATIONS	08/26/2016
CERTIFICATE OF GOOD STANDING	08/19/2016
APPLICATION	08/19/2016

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 1

NOTE

The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.