MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
TRI-STATE FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION

Facility DVN
001632719

Phone
(417) 455-9999

Physical Address
4701 CHOUTEAU DR
NEOSHO
MO 64850-9123

Owner
TRI-STATE FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION

Mailing Address
4701 CHOUTEAU DR
NEOSHO
MO 64850-9123

Provider/Director
BLANCHARD, SANDRA JO

E-mail Address
tina@tristatefamilyymca.org

Incorporated
Incorporated

Child Care Specialist
CAYLIN MERTZ

Age Range
24 MONTHS - 6 YEARS

Capacity
42

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
03/10/2023

Arrival Time
10:47 AM

Departure Time
11:40 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2442782241

Document	Document-Date
DIRECTOR'S QUALIFICATIONS	03/26/2012
APPLICATION	05/16/2018
STAFF SHEET	07/13/2018
CERTIFICATE OF GOOD STANDING	07/31/2018
ANNUAL DECLARATION	07/20/2022
EQUIPMENT LIST	07/20/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	09/16/2022
FIRE/SAFETY INSPECTION	06/14/2022
SANITATION INSPECTION	05/23/2022

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 4

Total Children 28

Staff	Child	Class Age	Note
1	7	MIXED	Staff Taylor Adams with 7 children; 6 children age two-years-old and 1 child age three-years-old.
2	14	PRESCHOOL	Staff Autumn Reid and Amaya Rush with 14 children ages four-years-old and five-years-old.
1	7	PRESCHOOL	Staff Sandy Blanchard with 7 children age three-years-old and four-years-old.