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
001782674

Phone
(573) 242-3546

Physical Address
28176 HIGHWAY WW
CLARKSVILLE
MO 63336

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

Mailing Address
614 KELLY LN TWIN PIKE FAMILY YMCA
LOUISIANA
MO 63353

Provider/Director
YATES, REBECCA A

E-mail Address
ymca21stcclc@sbcglobal.net

Incorporated
Incorporated

Child Care Specialist
JOY LYNN NICHOLS

Age Range
5 YEARS - 13 YEARS

Capacity
96

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
09/20/2019

Arrival Time
4:00 PM

Departure Time
5:10 PM

Notice
ANNOUNCED

Inspection Type
RENEWAL

Inspection ID
2364871649

Document	Document-Date
DIRECTOR'S JOB RESPONSIBILITIES	09/20/2005
DIRECTOR'S QUALIFICATIONS	10/30/2007
ARTICLES OF INCORPORATION	10/29/2003
CHILD CARE PRACTICES	09/20/2005
SAMPLE WEEKLY MENU	09/10/2003
DAILY SCHEDULE	05/06/2008
POLICIES	09/20/2005
STAFF SHEET	09/20/2019
EQUIPMENT LIST	09/20/2019
APPLICATION	08/22/2019

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 3

Total Children 16

Staff	Child	Class Age	Note
3	16	SCHOOL AGE	Rebecca Yates, Jacqueline Myers, and Kathryn Gregory