MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
INDEPENDENCE 30 SCHOOL DISTRICT

Facility DVN
002572532

Phone
(816) 521-5433

Physical Address
2437 S HARDY AVE
INDEPENDENCE
MO 64052-1451

Owner
INDEPENDENCE 30 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
65

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
01/08/2021

Arrival Time
9:10 AM

Departure Time
9:45 AM

Notice
ANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2391018573

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

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 1

Staff	Child	Class Age	Note
1	0	NO CHILDREN IN ATTENDANCE	Trisa Gannaway