MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

Back

Facility Information

Facility Name
OZARKS REGIONAL YMCA

Facility DVN
000270746

Phone
(417) 888-2535

Physical Address
4100 S FREMONT AVE
SPRINGFIELD
MO 65804-6506

Owner
OZARKS REGIONAL YMCA

Mailing Address
417 S JEFFERSON
SPRINGFIELD
MO 65806

Provider/Director
GRAY, SARAH JANE

E-mail Address
YMCASAS@orymca.org

Incorporated
Incorporated

Child Care Specialist
BILLIE RUSSELL

Age Range
5 YEARS - 12 YEARS

Capacity
99

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
03/22/2021

Arrival Time
4:10 PM

Departure Time
4:53 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2396588387

Document	Document-Date
ANNUAL DECLARATION	11/17/2020
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	12/14/2020
SAMPLE WEEKLY MENU	02/19/2002
POLICIES	02/19/2002
LINES OF ADMINISTRATIVE AUTHORITY	02/19/2002
DISCIPLINE POLICIES	02/19/2002
DIRECTOR'S JOB RESPONSIBILITIES	02/19/2002
DAILY SCHEDULE	02/19/2002
CHILD CARE PRACTICES	02/19/2002
ARTICLES OF INCORPORATION	10/20/1992
APPLICATION	10/07/2019
EQUIPMENT LIST	12/14/2020
DIRECTOR'S QUALIFICATIONS	11/22/2019
STAFF SHEET	11/22/2019

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 2

Total Children 22

Staff	Child	Class Age	Note
2	22	SCHOOL AGE	Alex Gorman and Kallei Dickson were with twenty-two (22) school age children.


19 CSR 30-62.032 Organization and Administration Compliance
19 CSR 30-62.042 Licensing Process Compliance
19 CSR 30-62.052 Annual Requirements 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 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 30-63.020 General Requirements Compliance
19 CSR 30-63.040 Background Screening Findings Compliance
RSMo 210.115. Reports of abuse, neglect, and under age eighteen deaths — persons required to report — supervisors and administrators not to impede reporting — deaths required to be reported to the division or child fatality review panel, when — report made to another state, when. — Compliance
RSMo 210.211. License required - exceptions - written notice of licensure status, when. Compliance