MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE GHC INSPECTION REPORT

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Facility Information

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

Facility DVN
002056564

Phone
(417) 658-9478

Physical Address
1111 WORNALL RD
NEOSHO
MO 64850

Owner
TRI-STATE FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION

Mailing Address
4701 CHOUTEAU AVE
NEOSHO
MO 64850

Provider/Director
WOODWARD, ALEXANDER MONTEZ

E-mail Address
tina@tristatefamilyymca.org

Incorporated
Incorporated

Child Care Specialist
ANGEL DONSON

Age Range
5 YEARS - 12 YEARS

Capacity
32

Facility Type
SCHOOL AGE GHC

Limitations
AFTER SCHOOL CARE ONLY

Inspection Information

Date
03/12/2025

Arrival Time
3:15 PM

Departure Time
3:59 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2488939445

Document	Document-Date
CERTIFICATE OF GOOD STANDING	04/10/2015
APPLICATION	01/23/2019
STAFF SHEET	04/12/2019
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	01/22/2025
EQUIPMENT LIST	01/22/2025
ANNUAL DECLARATION	01/22/2025

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 2

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 2

Total Children 10

Staff	Child	Class Age	Note
2	10	SCHOOL AGE	Alexander Woodword and Rachel Baugh with 10 children ages 5-12 years old.