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
000223396

Phone
(417) 888-2560

Physical Address
3745 S BROADWAY AVE
SPRINGFIELD
MO 65807-4547

Owner
OZARKS REGIONAL YMCA

Mailing Address
417 S JEFFERSON AVE
SPRINGFIELD
MO 65806-2315

Provider/Director
AUGUSTINE, JOHN JOSEPH

E-mail Address
YMCASAS@orymca.org

Incorporated
Incorporated

Child Care Specialist
BILLIE RUSSELL

Age Range
5 YEARS - 12 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
02/22/2021

Arrival Time
4:15 PM

Departure Time
4:46 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2394108864

Document	Document-Date
POLICIES	07/17/2010
SAMPLE WEEKLY MENU	02/19/2001
LINES OF ADMINISTRATIVE AUTHORITY	02/19/2002
DISCIPLINE POLICIES	07/17/2010
DIRECTOR'S JOB RESPONSIBILITIES	02/08/2007
DAILY SCHEDULE	02/19/2002
CHILD CARE PRACTICES	07/17/2010
CERTIFICATE OF INCORPORATION	02/20/2002
CERTIFICATE OF GOOD STANDING	08/10/2012
ARTICLES OF INCORPORATION	02/20/2002
DIRECTOR'S QUALIFICATIONS	09/17/2013
APPLICATION	12/04/2018
EQUIPMENT LIST	12/04/2018
STAFF SHEET	12/04/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	02/10/2020
ANNUAL DECLARATION	01/05/2021

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 2

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 12

Staff	Child	Class Age	Note
2	12	SCHOOL AGE	Caregivers, Allison Murphy and Rene McCullough were with twelve (12) school age children ages five (5) to twelve (12) years old.