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
002779266

Phone
(816) 521-5300

Physical Address
10401 E 31ST ST S
INDEPENDENCE
MO 64052

Owner
INDEPENDENCE SCHOOL DISTRICT

Mailing Address
201 N FOREST AVE
INDEPENDENCE
MO 64050-2696

Provider/Director
GANNAWAY, TRISA NICOLE

E-mail Address
YOUTH_DEVELOPMENT@ISDSCHOOLS.ORG

Incorporated

Child Care Specialist
JONI BEEM

Age Range
5 YEARS - 11 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
03/09/2020

Arrival Time
6:30 AM

Departure Time
7:16 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2377526138

Document	Document-Date
STAFF SHEET	07/31/2019
JOB RESPONSIBILITIES	07/31/2019
POLICIES	07/31/2019
EQUIPMENT LIST	07/31/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN	07/31/2019
SAMPLE WEEKLY MENU	07/31/2019
SAMPLE FORMS	07/31/2019
DIRECTOR'S QUALIFICATIONS	08/09/2019
DIRECTOR'S JOB RESPONSIBILITIES	07/31/2019
APPLICATION	03/29/2019
LINES OF ADMINISTRATIVE AUTHORITY	08/09/2019
CHILD CARE PRACTICES	07/31/2019
DISCIPLINE POLICIES	08/09/2019
DAILY SCHEDULE	08/09/2019

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 4

Staff	Child	Class Age	Note
3	4	SCHOOL AGE	all in gym