DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

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

002064402

(573) 324-8461

700 W ADAMS ST
BOWLING GREEN
MO  63334-2046

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

614 KELLY LN
LOUISIANA
MO  63353-2409

SNELL, DEBRA JUNE

cassie.spangler@twinpikefamilyymca.org

Incorporated

SUSAN MARIE DOUGLAS

5 YEARS - 13 YEARS

120

SCHOOL AGE

 
Inspection Information

11/18/2022

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2435780548


DocumentDocument-Date
SAMPLE FORMS 09/04/2007
LINES OF ADMINISTRATIVE AUTHORITY 08/27/2007
LOCAL FIRE DEPARTMENT NOTIFICATION 09/04/2007
DIRECTOR'S JOB RESPONSIBILITIES 09/04/2007
DIRECTOR'S QUALIFICATIONS 11/18/2022
DAILY SCHEDULE 09/04/2007
CHILD CARE PRACTICES 10/02/2007
CERTIFICATE OF INCORPORATION 09/04/2007
ARTICLES OF INCORPORATION 09/04/2007
APPLICATION 02/14/2019
STAFF SHEET 04/08/2019
CERTIFICATE OF GOOD STANDING 05/20/2022
ANNUAL DECLARATION 05/20/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 05/20/2022
EQUIPMENT LIST 05/17/2022




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.

 
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials
Compliance
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
The facility does not have an approved director on staff.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff.
Correction Required
The facility shall have an approved director/group home provider.

Correction Verification
Submit Documentation

Compliance Date
11/18/2022
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Compliance
5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.172 Emergency School Closings
Compliance
5 CSR 25-500.182 Child Care Program
Compliance
5 CSR 25-500.192 Health Care
Compliance
5 CSR 25-500.202 Nutrition and Food Service
Compliance
5 CSR 25-500.212 Transportation and Field Trips
Compliance
5 CSR 25-500.222 Records and Reports
Compliance
5 CSR 25-600.020 General Requirements
Compliance
5 CSR 25-600.040 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