MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
TWIN PIKE FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.

Facility DVN
002064359

Phone
(573) 754-4497

Physical Address
500 SCHOOL ST
FRANKFORD
MO 63441-1019

Owner
TWIN PIKE FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.

Mailing Address
614 KELLY LN
LOUISIANA
MO 63353-2409

Provider/Director
WARD, DIANE MARIE

E-mail Address
cassie.spangler@twinpikefamilyymca.org

Incorporated
Incorporated

Child Care Specialist
SUSAN MARIE DOUGLAS

Age Range
5 YEARS - 13 YEARS

Capacity
20

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
06/06/2022

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2424381625

Document	Document-Date
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	05/25/2022
CERTIFICATE OF INCORPORATION	09/05/2007
ARTICLES OF INCORPORATION	09/05/2007
APPLICATION	02/14/2019
STAFF SHEET	03/14/2019
ANNUAL DECLARATION	05/20/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	05/20/2022
EQUIPMENT LIST	05/20/2022

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.