DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

TWIN PIKE FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION INC.

002064402

(573) 324-9991

700 W ADAMS
BOWLING GREEN
MO  63334

TWIN PIKE FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION INC.

614 KELLY LN
LOUISIANA
MO  63353

JENNINGS, DEBRA JUNE

bg21stcclc@SBCGLOBAL.NET

Incorporated

JOY LYNN NICHOLS

5 YEARS - 13 YEARS

120

SCHOOL AGE

 
Inspection Information

09/06/2019

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2363464512


DocumentDocument-Date
STAFF SHEET 04/08/2019
EQUIPMENT LIST 04/08/2019
APPLICATION 02/14/2019
SAMPLE FORMS 09/04/2007
LINES OF ADMINISTRATIVE AUTHORITY 08/27/2007
LOCAL FIRE DEPARTMENT NOTIFICATION 09/04/2007
DIRECTOR'S JOB RESPONSIBILITIES 09/04/2007
DIRECTOR'S QUALIFICATIONS 04/09/2009
DAILY SCHEDULE 09/04/2007
CHILD CARE PRACTICES 10/02/2007
CERTIFICATE OF INCORPORATION 09/04/2007
CERTIFICATE OF GOOD STANDING 03/07/2012
ARTICLES OF INCORPORATION 09/04/2007




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
Violation
 Provider Comments
Violation
The facility did not meet requirements for a criminal background check. Results were not on file for the following staff member(s): Karen Allen, Andrea Ankrom, Linda Arnold, Cheryl Becker, Janet Campbell, McKenzie Cannon, Cynthia Cerven, Lori Cohea, Julie Colbert, Brenlee Damon, Angeline Derr, Ethel Drew, Jennifer Dyer, Debra Jennings, Melinda Leonard, Cynthia Norton, Stephanie Sellars, Karen Shinn, Dana Skillman, Sidney Thomas, Rebecca Turner, and Jennifer Yoder.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (4) states: Child care staff members shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements, prior to renewal of the license.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
9/1/2019
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
19 CSR 30-63.040 Background Screening Findings
Compliance
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance
RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules.
Compliance
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance