MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
INDEPENDENCE SCHOOL DISTRICT

Facility DVN
002318763

Phone
(816) 521-5453

Physical Address
1301 S WINDSOR
INDEPENDENCE
MO 64055

Owner
INDEPENDENCE SCHOOL DISTRICT

Mailing Address
201 N FOREST AVE
INDEPENDENCE
MO 64050

Provider/Director
LITTRELL, SHELBY RAE

E-mail Address
SHELBY_LITTRELL@ISDSCHOOLS.ORG

Incorporated

Child Care Specialist
ROMENA FOX

Age Range
5 YEARS - 11 YEARS

Capacity
80

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
01/29/2018

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2323112334

Document	Document-Date
SAMPLE WEEKLY MENU	02/08/2012
POLICIES	02/08/2012
JOB RESPONSIBILITIES	02/08/2012
DISCIPLINE POLICIES	02/08/2012
DIRECTOR'S JOB RESPONSIBILITIES	02/08/2012
CHILD CARE PRACTICES	02/08/2012
SAMPLE FORMS	02/08/2013
LINES OF ADMINISTRATIVE AUTHORITY	02/08/2012
DIRECTOR'S QUALIFICATIONS	12/19/2011
DAILY SCHEDULE	02/08/2012
STAFF SHEET	12/11/2017
EQUIPMENT LIST	12/11/2017
APPLICATION	11/16/2017

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.