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
002301066

Phone
(816) 521-5458

Physical Address
20404 E TRUMAN RD
INDEPENDENCE
MO 64056

Owner
INDEPENDENCE SCHOOL DISTRICT

Mailing Address
201 N FOREST AVE
INDEPENDENCE
MO 64050

Provider/Director
GERNHART, KARA

E-mail Address
KARA_GERNHART@ISDSCHOOLS.ORG

Incorporated

Child Care Specialist
ROMENA FOX

Age Range
5 YEARS - 11 YEARS

Capacity
80

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
03/08/2018

Arrival Time
8:35 AM

Departure Time
9:35 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2326145870

Document	Document-Date
SAMPLE WEEKLY MENU	10/12/2011
SAMPLE FORMS	10/12/2011
POLICIES	08/18/2011
LINES OF ADMINISTRATIVE AUTHORITY	10/12/2011
JOB RESPONSIBILITIES	10/12/2011
DISCIPLINE POLICIES	08/18/2011
DIRECTOR'S QUALIFICATIONS	10/12/2011
DIRECTOR'S JOB RESPONSIBILITIES	10/12/2011
DAILY SCHEDULE	10/12/2011
CHILD CARE PRACTICES	08/18/2011
STAFF SHEET	08/24/2017
EQUIPMENT LIST	08/24/2017
APPLICATION	08/07/2017

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 6

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 20

Staff	Child	Class Age	Note
2	20	SCHOOL AGE


19 CSR 30-62.032 Organization and Administration Compliance
19 CSR 30-62.042 Initial Licensing Information Compliance
19 CSR 30-62.052 License Renewal Compliance
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers Compliance
19 CSR 30-62.090 Disaster and Emergency Preparedness Violation
19 CSR 30-62.092 Furniture, Equipment and Materials Compliance
19 CSR 30-62.102 Personnel Violation
19 CSR 30-62.112 Staff/Child Ratios Compliance
19 CSR 30-62.122 Medical Examination Reports Compliance
19 CSR 30-62.132 Admission Policies and Procedures Compliance
19 CSR 30-62.172 Emergency School Closings Compliance
19 CSR 30-62.182 Child Care Program Compliance
19 CSR 30-62.192 Health Care Compliance
19 CSR 30-62.202 Nutrition and Food Service Not Observed
19 CSR 30-62.212 Transportation and Field Trips Compliance
19 CSR 30-62.222 Records and Reports Violation
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when. Compliance