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
002356285

Phone
(417) 414-8876

Physical Address
103 S PUBLIC AVE
CLEVER
MO 65631-9103

Owner
OZARKS REGIONAL YMCA

Mailing Address
417 S JEFFERSON AVE
SPRINGFIELD
MO 65806-2315

Provider/Director
CARLSON, AERIEL INEZ

E-mail Address
YMCASAS@orymca.org

Incorporated
Incorporated

Child Care Specialist
BILLIE RUSSELL

Age Range
5 YEARS - 12 YEARS

Capacity
40

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
02/15/2022

Arrival Time
3:30 PM

Departure Time
4:15 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2418157175

Document	Document-Date
ANNUAL DECLARATION	01/14/2021
LINES OF ADMINISTRATIVE AUTHORITY	02/19/2002
JOB RESPONSIBILITIES	02/19/2002
CHILD CARE PRACTICES	07/17/2010
DAILY SCHEDULE	02/19/2002
POLICIES	07/17/2010
CERTIFICATE OF GOOD STANDING	08/06/2012
ARTICLES OF INCORPORATION	10/30/1992
DIRECTOR'S QUALIFICATIONS	05/26/2016
APPLICATION	06/11/2018
STAFF SHEET	06/14/2018
EQUIPMENT LIST	02/26/2021

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 14

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 1

Total Children 8

Staff	Child	Class Age	Note
1	8	SCHOOL AGE	Caregiver, Aeriel Carlson, was with children five (5) to ten (10) years old.