MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
Y-CARE WEST SCHOOL

Facility DVN
000318061

Phone
(573) 659-3195

Physical Address
100 DIX RD
JEFFERSON CITY
MO 65109-0962

Owner
JEFFERSON CITY AREA YOUNG MEN'S CHRISTIAN ASSOCIATION

Mailing Address
PO BOX 104176
JEFFERSON CITY
MO 65110-4176

Provider/Director
WILLIAMS, DESTINY

E-mail Address
JKEVER@JCYMCA.ORG

Incorporated
Incorporated

Child Care Specialist
LAUREN R RAYWARNKE

Age Range
5 YEARS - 12 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations
AFTER SCHOOL CARE ONLY

Inspection Information

Date
11/10/2022

Arrival Time
2:45 PM

Departure Time
3:37 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2435141146

Document	Document-Date
REGISTERING FICTITIOUS NAMES	09/22/2010
LINES OF ADMINISTRATIVE AUTHORITY	04/29/2009
JOB RESPONSIBILITIES	11/20/2008
DIRECTOR'S QUALIFICATIONS	02/24/2010
LOCAL FIRE DEPARTMENT NOTIFICATION	09/19/2008
SAMPLE FORMS	11/18/2008
DISCIPLINE POLICIES	11/20/2008
CHILD CARE PRACTICES	11/20/2008
POLICIES	11/20/2008
CERTIFICATE OF GOOD STANDING	10/19/2010
APPLICATION	10/12/2018
STAFF SHEET	11/06/2018
EQUIPMENT LIST	11/02/2022
ANNUAL DECLARATION	10/19/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	10/19/2022

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 1

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 3

Total Children 31

Staff	Child	Class Age	Note
3	31	SCHOOL AGE	D.W., K.S and D.H. with 31 children ages 5 through 10 year's old.