MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER KANSAS CITY

Facility DVN
002933035

Phone
(816) 986-4191

Physical Address
1001 SW LONGVIEW PARK DR
LEES SUMMIT
MO 64081-2188

Owner
YMCA OF GREATER KANSAS CITY

Mailing Address
3100 BROADWAY BLVD
KANSAS CITY
MO 64111-2658

Provider/Director
ZUBECK, SARAH KATHERINE

E-mail Address
ydslicensing@kansascityymca.org

Incorporated
Incorporated

Child Care Specialist
JANA BARTON

Age Range
5 YEARS - 14 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
11/21/2022

Arrival Time
4:10 PM

Departure Time
4:32 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2435807105

Document	Document-Date
APPLICATION	05/26/2022
DIRECTOR'S QUALIFICATIONS	07/20/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	01/12/2022
EQUIPMENT LIST	01/12/2022
ARTICLES OF INCORPORATION	10/18/2021
CERTIFICATE OF INCORPORATION	10/18/2021
CERTIFICATE OF GOOD STANDING	04/12/2022
SAMPLE WEEKLY MENU	04/24/2022
DAILY SCHEDULE	04/24/2022
DIRECTOR'S JOB RESPONSIBILITIES	04/24/2022
JOB RESPONSIBILITIES	04/24/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN	04/24/2022
SAMPLE FORMS	04/24/2022
CHILD CARE PRACTICES	05/06/2022
DISCIPLINE POLICIES	05/06/2022
LICENSING ORIENTATION	07/30/2020
POLICIES	05/06/2022
REGISTERING FICTITIOUS NAMES	04/12/2022
LINES OF ADMINISTRATIVE AUTHORITY	07/20/2022

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.

Attendance at Time of Inspection

Total Staff 2

Total Children 28

Staff	Child	Class Age	Note
2	28	SCHOOL AGE	With director and staff ET. Also present was volunteer (YDA) JW, not counted in ratio