MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
OZARKS REGIONAL YMCA

Facility DVN
000354825

Phone
(417) 812-4901

Physical Address
3414 S MENTOR AVE
SPRINGFIELD
MO 65804-4826

Owner
OZARKS REGIONAL YMCA

Mailing Address
323 N PATTON AVE
SPRINGFIELD
MO 65806-1229

Provider/Director
HOLDENRIED, KATHERINE ANTONINA

E-mail Address
YMCASAS@orymca.org

Incorporated
Incorporated

Child Care Specialist
ELAINE S COX

Age Range
5 YEARS - 12 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
08/21/2024

Arrival Time
1:57 PM

Departure Time
2:59 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2476427123

Document	Document-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	02/28/2024
EQUIPMENT LIST	01/30/2024
CERTIFICATE OF GOOD STANDING	02/29/2024
ANNUAL DECLARATION	01/30/2024
DAILY SCHEDULE	02/19/2002
SAMPLE WEEKLY MENU	02/19/2002
CHILD CARE PRACTICES	02/19/2002
ARTICLES OF INCORPORATION	10/30/1992
CERTIFICATE OF INCORPORATION	10/30/1992
POLICIES	12/29/2022
LINES OF ADMINISTRATIVE AUTHORITY	12/29/2022
JOB RESPONSIBILITIES	12/29/2022
DISCIPLINE POLICIES	12/29/2022
DIRECTOR'S JOB RESPONSIBILITIES	12/29/2022
DIRECTOR'S QUALIFICATIONS	01/23/2024
DISASTER AND EMERGENCY PREPAREDNESS PLAN	03/18/2024

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 6

Total Children 28

Staff	Child	Class Age	Note
2	0	NO CHILDREN IN ATTENDANCE	Desiree Young and Tonya Walker not counting in staff/child ratio.
4	28	SCHOOL AGE	Hannah Briley, Jess Surline, Rebecca Moore and Grayson Sullivan with children ages 5-years-old to 11-years-old.

Compliance List
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 Not Observed
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 Not Observed
5 CSR 25-600.020 General Requirements Not Observed
5 CSR 25-600.040 Background Screening Findings Not Observed
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. — Not Observed
RSMo 210.211. License required - exceptions - written notice of licensure status, when. Not Observed