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

002064359

(573) 324-9991

500 SCHOOL ST
FRANKFORD
MO  63441

TWIN PIKE FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION INC

614 KELLY LN TWIN PIKE FAMILY YMCA
LOUISIANA
MO  63353

WARD, DIANE MARIE

wingmom1956@gmail.com

Incorporated

JOY LYNN NICHOLS

5 YEARS - 13 YEARS

20

SCHOOL AGE

 
Inspection Information

10/07/2019

3:40 PM

4:21 PM

UNANNOUNCED

COMPLIANCE MONITORING

2366197568


DocumentDocument-Date
STAFF SHEET 03/14/2019
EQUIPMENT LIST 03/14/2019
APPLICATION 02/14/2019
SAMPLE FORMS 09/05/2007
POLICIES 10/01/2007
LOCAL FIRE DEPARTMENT NOTIFICATION 09/05/2007
LINES OF ADMINISTRATIVE AUTHORITY 09/05/2007
JOB RESPONSIBILITIES 09/05/2007
SAMPLE WEEKLY MENU 09/05/2007
DISCIPLINE POLICIES 10/01/2007
DIRECTOR'S QUALIFICATIONS 12/03/2012
DIRECTOR'S JOB RESPONSIBILITIES 09/05/2007
DAILY SCHEDULE 09/05/2007
CHILD CARE PRACTICES 10/01/2007
CERTIFICATE OF GOOD STANDING 03/07/2013
CERTIFICATE OF INCORPORATION 09/05/2007
ARTICLES OF INCORPORATION 09/05/2007




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 1
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 2
Total Children 13
StaffChildClass AgeNote
2 13 SCHOOL AGE Lanette Bird and Diane Ward

 
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
The facility did not meet requirements for child enrollment and health information on file as evidenced by child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 8. F. states: They have been notified that they may request notice at initial enrollment in or attendance at the facility or upon request of whether there are children for whom an immunization exemption has been filed currently enrolled in or attending the facility.
Correction Required
Child enrollment information shall be completed and on file as requested.

Correction Verification
Submit Documentation

Compliance Date

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