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
002779266

Phone
(816) 521-5300

Physical Address
10401 E 31ST ST S
INDEPENDENCE
MO 64052

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
60

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
05/24/2021

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2400626310

Document	Document-Date
ANNUAL DECLARATION	02/25/2021
EQUIPMENT LIST	03/31/2021
LLC ARTICLES OF ORGANIZATION	02/23/2021
JOB RESPONSIBILITIES	07/31/2019
POLICIES	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: 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.