MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
OZARKS REGIONAL YMCA

Facility DVN
000459418

Phone
(417) 895-2045

Physical Address
2148 N DOUGLAS
SPRINGFIELD
MO 65803

Owner
OZARKS REGIONAL YMCA

Mailing Address
417 S JEFFERSON AVE
SPRINGFIELD
MO 65806-2315

Provider/Director
LARSON, KATHLEEN DON

E-mail Address
drust@orymca.org

Incorporated
Incorporated

Child Care Specialist
GINA HOHENSEE

Age Range
5 YEARS - 12 YEARS

Capacity
20

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
05/18/2018

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2332164268

Document	Document-Date
LINES OF ADMINISTRATIVE AUTHORITY	02/19/2002
JOB RESPONSIBILITIES	02/19/2002
CERTIFICATE OF GOOD STANDING	10/20/1992
CERTIFICATE OF INCORPORATION	10/20/1992
ARTICLES OF INCORPORATION	10/20/1992
SAMPLE FORMS	02/19/2002
CHILD CARE PRACTICES	02/19/2002
SAMPLE WEEKLY MENU	02/19/2002
DAILY SCHEDULE	02/19/2002
POLICIES	02/19/2002
STAFF SHEET	12/13/2016
EQUIPMENT LIST	12/13/2016
APPLICATION	12/13/2016
DIRECTOR'S QUALIFICATIONS	10/23/2014
DISCIPLINE POLICIES	02/19/2002

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.

Compliance List
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 Violation
19 CSR 30-62.112 Staff/Child Ratios Compliance
19 CSR 30-62.122 Medical Examination Reports Violation
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