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
OUTERSKY, MEGAN

E-mail Address
moutersky@ofymca.org

Incorporated
Incorporated

Child Care Specialist
ELAINE S COX

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
09/20/2017

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2313831578

Document	Document-Date
STAFF SHEET	12/15/2015
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

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.