MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
SPRINGFIELD-GREENE COUNTY PARK BOARD

Facility DVN
002907233

Phone
(417) 837-5737

Physical Address
1215 N BOONVILLE AVE
SPRINGFIELD
MO 65802-1801

Owner
SPRINGFIELD-GREENE COUNTY PARK BOARD

Mailing Address
300 E HARRISON ST
SPRINGFIELD
MO 65806-3104

Provider/Director
ACKERSON, BRIANNA NICOLE

E-mail Address
jandrews@springfieldmo.gov

Incorporated

Child Care Specialist
ELAINE S COX

Age Range
11 YEARS - 14 YEARS

Capacity
32

Facility Type
SCHOOL AGE

Limitations
BEFORE SCHOOL CARE ONLY

Inspection Information

Date
03/29/2023

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2443801352

Document	Document-Date
DAILY SCHEDULE	08/13/2021
SAMPLE FORMS	08/13/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN	08/13/2021
SAMPLE WEEKLY MENU	08/13/2021
POLICIES	08/13/2021
DIRECTOR'S JOB RESPONSIBILITIES	08/13/2021
DISCIPLINE POLICIES	08/13/2021
CHILD CARE PRACTICES	08/13/2021
LINES OF ADMINISTRATIVE AUTHORITY	08/13/2021
ANNUAL DECLARATION	07/29/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	07/29/2022
EQUIPMENT LIST	07/29/2022
LOCAL FIRE DEPARTMENT NOTIFICATION	05/11/2022
JOB RESPONSIBILITIES	08/13/2021
DIRECTOR'S QUALIFICATIONS	03/29/2023

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.