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 YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.

Facility DVN
001779419

Phone
(573) 754-3412

Physical Address
23526 PIKE 9247
LOUISIANA
MO 63353

Owner
TWIN PIKE FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION, INC

Mailing Address
614 KELLY LN
LOUISIANA
MO 63353

Provider/Director
HUCKSTEP-SPANGLER, CASSANDRA JO; HUCKSTEP-SPANGLER, CASSANDRA JO

E-mail Address
CSPANGLER@bonclbluejays.com

Incorporated
Incorporated

Child Care Specialist
JOY LYNN NICHOLS

Age Range
5 YEARS - 15 YEARS

Capacity
32

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
09/06/2017

Arrival Time
3:20 PM

Departure Time
4:22 PM

Notice
ANNOUNCED

Inspection Type
RENEWAL

Inspection ID
2312866216

Document	Document-Date
STAFF SHEET	09/06/2017
EQUIPMENT LIST	09/06/2017
APPLICATION	08/24/2017
SAMPLE FORMS	09/02/2003
DISCIPLINE POLICIES	09/02/2003
LINES OF ADMINISTRATIVE AUTHORITY	09/02/2003
DIRECTOR'S QUALIFICATIONS	08/02/2008

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 2

Total Children 18

Staff	Child	Class Age	Note
2	18	SCHOOL AGE	Lisa Phillips and Leslie Lovell


19 CSR 30-62.032 Organization and Administration Compliance
19 CSR 30-62.042 Initial Licensing Information Compliance
19 CSR 30-62.052 License Renewal Compliance
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers Compliance
19 CSR 30-62.090 Disaster and Emergency Preparedness Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials Compliance
19 CSR 30-62.102 Personnel Compliance
19 CSR 30-62.112 Staff/Child Ratios Compliance
19 CSR 30-62.122 Medical Examination Reports Compliance
19 CSR 30-62.132 Admission Policies and Procedures Compliance
19 CSR 30-62.172 Emergency School Closings Compliance
19 CSR 30-62.182 Child Care Program Compliance
19 CSR 30-62.192 Health Care Compliance
19 CSR 30-62.202 Nutrition and Food Service Compliance
19 CSR 30-62.212 Transportation and Field Trips Compliance
19 CSR 30-62.222 Records and Reports Compliance
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when. Compliance