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
11/17/2022

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2435544209

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: 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.