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
002310690

Phone
(816) 521-5513

Physical Address
2611 S LEES SUMMIT RD
INDEPENDENCE
MO 64055

Owner
INDEPENDENCE SCHOOL DISTRICT

Mailing Address
201 N FOREST AVE
INDEPENDENCE
MO 64050-2513

Provider/Director
MAYES, DAHRIS RENEE

E-mail Address
ROBIN_CAYTON@ISDSCHOOLS.ORG

Incorporated

Child Care Specialist
ROMENA FOX

Age Range
5 YEARS - 11 YEARS

Capacity
80

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
02/22/2021

Arrival Time
8:25 AM

Departure Time
9:45 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2393560412

Document	Document-Date
DIRECTOR'S QUALIFICATIONS	05/15/2017
DIRECTOR'S JOB RESPONSIBILITIES	01/06/2012
JOB RESPONSIBILITIES	01/06/2012
CHILD CARE PRACTICES	01/06/2012
DISCIPLINE POLICIES	01/06/2012
LINES OF ADMINISTRATIVE AUTHORITY	01/06/2012
DAILY SCHEDULE	01/06/2012
POLICIES	01/06/2012
SAMPLE FORMS	01/06/2012
SAMPLE WEEKLY MENU	01/06/2012
APPLICATION	09/27/2019
ANNUAL DECLARATION	02/11/2021
STAFF SHEET	02/22/2021

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 2

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 40

Staff	Child	Class Age	Note
1	15	SCHOOL AGE	Caregiver Whitney Edwards with fifteen children, all school age
1	16	SCHOOL AGE	Director Dahris Mayes with sixteen children, all school age
1	9	SCHOOL AGE	Caregiver Catherine Gitlin with nine children, all school age