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
002318781

Phone
(816) 521-5423

Physical Address
2601 N LIBERTY ST
INDEPENDENCE
MO 64050-1319

Owner
INDEPENDENCE SCHOOL DISTRICT

Mailing Address
201 N FOREST AVE
INDEPENDENCE
MO 64050-2513

Provider/Director
DECKER, TAYLOR ELIZABETH

E-mail Address
Patti_White@isdschools.org

Incorporated

Child Care Specialist
ROMENA FOX

Age Range
5 YEARS - 11 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
02/09/2018

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2324126917

Document	Document-Date
APPLICATION	07/28/2016
DAILY SCHEDULE	09/25/2014
JOB RESPONSIBILITIES	09/25/2014
POLICIES	09/25/2014
SAMPLE WEEKLY MENU	09/25/2014
DISCIPLINE POLICIES	09/25/2014
CHILD CARE PRACTICES	09/25/2014
DIRECTOR'S JOB RESPONSIBILITIES	09/25/2014
LINES OF ADMINISTRATIVE AUTHORITY	09/25/2014
DIRECTOR'S QUALIFICATIONS	04/07/2014

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.