DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

OZARKS REGIONAL YMCA

000312405

(417) 523-7100

4650 E STATE HIGHWAY YY
SPRINGFIELD
MO  65802

OZARKS REGIONAL YMCA

417 S JEFFERSON
SPRINGFIELD
MO  65806

EGERSTROM, TAYLOR NICOLE

drust@orymca.org

Incorporated

GINA HOHENSEE

5 YEARS - 12 YEARS

60

SCHOOL AGE

 
Inspection Information

01/02/2018

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2321828394


DocumentDocument-Date
STAFF SHEET 12/06/2017
DIAGRAM/OUTDOOR 03/15/1999
DIAGRAM/INDOOR 04/19/1999
LINES OF ADMINISTRATIVE AUTHORITY 02/19/2002
JOB RESPONSIBILITIES 02/19/1992
CERTIFICATE OF GOOD STANDING 10/20/1992
ARTICLES OF INCORPORATION 10/20/1992
SAMPLE FORMS 02/19/2009
CHILD CARE PRACTICES 02/19/2002
SAMPLE WEEKLY MENU 02/19/2002
DAILY SCHEDULE 02/19/2002
POLICIES 02/19/2002
APPLICATION 12/06/2017
EQUIPMENT LIST 12/06/2017




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.

 
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
Violation
 Provider Comments
Violation
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not met as evidenced by there was no plan on file for a child with special needs.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
Correction Required
An individualized plan from a professional source shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
12/21/2017
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
Violation
 Provider Comments
Violation
1 child(ren) records did not include address of another individual who might be reached in an emergency.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
12/21/2017
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance