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
002572532

Phone
(816) 521-5433

Physical Address
2437 S HARDY AVE
INDEPENDENCE
MO 64052-1451

Owner
INDEPENDENCE SCHOOL DISTRICT

Mailing Address
201 N FOREST AVE
INDEPENDENCE
MO 64050-2696

Provider/Director
KREISLER, ERICA SUZETTE

E-mail Address
YOUTH_DEVELOPMENT@ISDSCHOOLS.ORG

Incorporated

Child Care Specialist
MADELINE L DUMERCY

Age Range
5 YEARS - 11 YEARS

Capacity
65

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
05/20/2020

Arrival Time
3:00 PM

Departure Time
3:12 PM

Notice
ANNOUNCED

Inspection Type
SUPPLEMENTAL

Inspection ID
2380216247

Document	Document-Date
APPLICATION	08/30/2017
CHILD CARE PRACTICES	10/31/2017
DAILY SCHEDULE	10/31/2017
DIAGRAM/INDOOR	10/31/2017
DIAGRAM/OUTDOOR	10/31/2017
DIRECTOR'S QUALIFICATIONS	11/08/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN	10/31/2017
DISCIPLINE POLICIES	10/31/2017
JOB RESPONSIBILITIES	10/31/2017
POLICIES	10/31/2017
SAMPLE WEEKLY MENU	10/31/2017
EQUIPMENT LIST	10/30/2019
STAFF SHEET	11/01/2019

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.

Attendance at Time of Inspection

Total Staff 1

Staff	Child	Class Age	Note
1	0	NO CHILDREN IN ATTENDANCE	Trisa Gannaway, no children was present due to facility being closed for COVID-19.