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
002301075

Phone
(816) 521-5398

Physical Address
17302 E R D MIZE RD
INDEPENDENCE
MO 64057-1819

Owner
INDEPENDENCE 30 SCHOOL DISTRICT

Mailing Address
201 N FOREST AVE
INDEPENDENCE
MO 64050-2513

Provider/Director
MANNING, KALI

E-mail Address
YOUTH_DEVELOPMENT@ISDSCHOOLS.ORG

Incorporated

Child Care Specialist
JESSICA GLOVER

Age Range
5 YEARS - 12 YEARS

Capacity
130

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
11/15/2021

Arrival Time
3:20 PM

Departure Time
4:09 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2412752341

Document	Document-Date
JOB RESPONSIBILITIES	11/04/2011
LINES OF ADMINISTRATIVE AUTHORITY	11/04/2011
DIRECTOR'S QUALIFICATIONS	08/24/2011
CHILD CARE PRACTICES	11/04/2011
SAMPLE WEEKLY MENU	11/04/2011
DAILY SCHEDULE	11/04/2011
POLICIES	11/04/2011
DIAGRAM/INDOOR	11/04/2011
APPLICATION	07/11/2019
STAFF SHEET	10/15/2021
EQUIPMENT LIST	11/15/2021
ANNUAL DECLARATION	10/15/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	10/15/2021

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 4

Total Children 30

Staff	Child	Class Age	Note
3	30	MIXED	Three staff, Raeann Hewitt, Adrienne Zamora, and Marcus East, with 30 children, mixed age ranges in attendance.
1	0	NO CHILDREN IN ATTENDANCE	Kali Manning, Director, with no children in attendance.

5 CSR 25-500.032 Organization and Administration

Compliance

5 CSR 25-500.042 Licensing Process

Violation

	Provider Comments
Violation Posting requirements were not met as evidenced by the license was not posted near the entrance. Licensing Rule Reference 5 CSR 25-500.042 Licensing Process (12) states: Once granted, the license shall be posted near the entrance of the facility where it may be seen easily by parents or others who visit. Correction Required The official license shall be posted. Correction Verification Corrected on Site Compliance Date 11/15/2021

5 CSR 25-500.052 Annual Requirements

Compliance

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers

Compliance

5 CSR 25-500.090 Disaster and Emergency Preparedness

Compliance

5 CSR 25-500.092 Furniture, Equipment and Materials

Compliance

5 CSR 25-500.102 Personnel

Compliance

5 CSR 25-500.112 Staff/Child Ratios

Compliance

5 CSR 25-500.122 Medical Examination Reports

Compliance

5 CSR 25-500.132 Admission Policies and Procedures

Compliance

5 CSR 25-500.172 Emergency School Closings

Compliance

5 CSR 25-500.182 Child Care Program

Compliance

5 CSR 25-500.192 Health Care

Compliance

5 CSR 25-500.202 Nutrition and Food Service

Compliance

5 CSR 25-500.212 Transportation and Field Trips

Compliance

5 CSR 25-500.222 Records and Reports

Compliance

5 CSR 25-600.020 General Requirements

Compliance

5 CSR 25-600.040 Background Screening Findings

Compliance

RSMo 210.115. Reports of abuse, neglect, and under age eighteen deaths — persons required to report — supervisors and administrators not to impede reporting — deaths required to be reported to the division or child fatality review panel, when — report made to another state, when. —

Compliance

RSMo 210.211. License required - exceptions - written notice of licensure status, when.

Compliance