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
MCCULLOUGH, RENE MARIE

E-mail Address
YMCASAS@orymca.org

Incorporated
Incorporated

Child Care Specialist
BDS-BILLIE RUSSELL

Age Range
5 YEARS - 12 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
09/27/2021

Arrival Time
3:15 PM

Departure Time
4:14 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2408703803

Document	Document-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	07/20/2021
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	07/20/2021
APPLICATION	12/04/2018
EQUIPMENT LIST	07/20/2021
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: 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 26

Staff	Child	Class Age	Note
2	26	SCHOOL AGE	Afton Riggs and Olivia Robinson were present with 26, five (5) to twelve (12) year old 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