MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
THE ADAIR COUNTY FAMILY YMCA, INC.

Facility DVN
002892777

Phone
(660) 665-1922

Physical Address
2010 E NORMAL AVE
KIRKSVILLE
MO 63501-3321

Owner
THE ADAIR COUNTY FAMILY YMCA, INC.

Mailing Address
1708 S JAMISON ST
KIRKSVILLE
MO 63501

Provider/Director
TREASURE, WENDY GAIL

E-mail Address
krouner@adairymca.org

Incorporated
Incorporated

Child Care Specialist
BETHANY CARREL DUCKWORTH

Age Range
8 YEARS - 12 YEARS

Capacity
100

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
09/24/2024

Arrival Time
2:50 PM

Departure Time
3:26 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2477241659

Document	Document-Date
APPLICATION	05/20/2021
CERTIFICATE OF GOOD STANDING	07/26/2021
CERTIFICATE OF INCORPORATION	07/26/2021
CHILD CARE PRACTICES	07/26/2021
DAILY SCHEDULE	07/26/2021
DIRECTOR'S QUALIFICATIONS	05/21/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN	07/26/2021
DISCIPLINE POLICIES	07/26/2021
EQUIPMENT LIST	08/06/2024
POLICIES	07/26/2021
SAMPLE WEEKLY MENU	07/26/2021
ARTICLES OF INCORPORATION	12/15/2017
SAMPLE FORMS	07/26/2021
LINES OF ADMINISTRATIVE AUTHORITY	07/27/2021
JOB RESPONSIBILITIES	07/21/2021
DIRECTOR'S JOB RESPONSIBILITIES	07/27/2021
LICENSING ORIENTATION	07/26/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	08/07/2024
ANNUAL DECLARATION	08/06/2024

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 3

Total Children 18

Staff	Child	Class Age	Note
1	0	NO CHILDREN IN ATTENDANCE	Staff: Wendy Treasure. Not counted in staff/child ratio at time of inspection.
1	4	SCHOOL AGE	Staff: Molly West. Age range 8 years through 9 years. One volunteer age 15 years.
1	14	SCHOOL AGE	Staff: Jackie Jones. Age range 9 years through 10 years. One volunteer age 16 years.