DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

TRI-STATE FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION

002083687

(417) 455-9999

12350 NORWAY RD
NEOSHO
MO  64850-6632

TRI-STATE FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION

4701 CHOUTEAU DR
NEOSHO
MO  64850-9123

KEPLAR, CLARA ALICE

tina@tristatefamilyymca.org

Incorporated

ANGEL DONSON

5 YEARS - 12 YEARS

60

SCHOOL AGE

AFTER SCHOOL CARE ONLY
 
Inspection Information

03/17/2023

4:11 PM

4:49 PM

UNANNOUNCED

COMPLIANCE MONITORING

2443720047


DocumentDocument-Date
POLICIES 08/08/2007
JOB RESPONSIBILITIES 08/08/2007
DAILY SCHEDULE 08/08/2007
ARTICLES OF INCORPORATION 08/08/2007
LINES OF ADMINISTRATIVE AUTHORITY 01/03/2008
CHILD CARE PRACTICES 08/08/2007
DISCIPLINE POLICIES 08/08/2007
CERTIFICATE OF GOOD STANDING 10/09/2015
STAFF SHEET 11/13/2019
APPLICATION 11/13/2019
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 02/15/2023
EQUIPMENT LIST 02/15/2023
ANNUAL DECLARATION 02/15/2023




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 18
StaffChildClass AgeNote
3 18 SCHOOL AGE Caregivers Clara Keplar, Hanna Lett and Emma Scroggins with 18 children ages 6-11 years old.

 
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
Compliance
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
Violation
 Provider Comments
Violation
The provider did not have available a copy of the Licensing Rules for Group Day Care Homes and Child Day Care Center of Missouri.
Licensing Rule Reference
5 CSR 25-500.132 Admission Policies and Procedures (3) states: The provider shall have available a copy of the Licensing Rules for Group Day Care Homes and Child Day Care Centers in Missouri and shall advise the parent(s) at the time of enrollment of his/her child of the availability of the rules for review.
Correction Required
Licensing Rules for Group Day Care Homes and Child Day Care Centers of Missouri shall be available.

Correction Verification
Submit Documentation

Compliance Date

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