DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

INDEPENDENCE SCHOOL DISTRICT

001814031

(816) 521-5443

1403 W LINDEN AVE
INDEPENDENCE
MO  64052

INDEPENDENCE SCHOOL DISTRICT

201 N FOREST AVE
INDEPENDENCE
MO  64050

GANNAWAY, TRISA NICOLE



WANDA ILENE TAYLOR

5 YEARS - 11 YEARS

40

SCHOOL AGE

 
Inspection Information

02/21/2019

2:47 PM

3:25 PM

UNANNOUNCED

COMPLIANCE MONITORING

2355326127


DocumentDocument-Date
CHILD CARE PRACTICES 03/21/2012
DIRECTOR'S JOB RESPONSIBILITIES 03/21/2012
DAILY SCHEDULE 03/21/2012
DISCIPLINE POLICIES 03/21/2012
JOB RESPONSIBILITIES 03/21/2012
LINES OF ADMINISTRATIVE AUTHORITY 03/21/2012
POLICIES 03/21/2012
SAMPLE WEEKLY MENU 03/21/2012
APPLICATION 05/30/2018
EQUIPMENT LIST 08/21/2018
STAFF SHEET 08/21/2018
SAMPLE FORMS 09/04/2014
DIRECTOR'S QUALIFICATIONS 09/11/2014
DISASTER AND EMERGENCY PREPAREDNESS PLAN 03/21/2012




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 1
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 7
StaffChildClass AgeNote
3 7 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
Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
19 CSR 30-62.102 Personnel
Compliance
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
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by 1 immunization record(s) was/were not on file .
Licensing Rule Reference
19 CSR 30-62.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.202 Nutrition and Food Service
Compliance
19 CSR 30-62.212 Transportation and Field Trips
Compliance
19 CSR 30-62.222 Records and Reports
Compliance
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance
RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules.
Compliance