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
002198901

Phone
(816) 521-5473

Physical Address
11801 E 32ND ST S
INDEPENDENCE
MO 64052-3176

Owner
INDEPENDENCE 30 SCHOOL DISTRICT

Mailing Address
201 N FOREST AVE
INDEPENDENCE
MO 64050-2513

Provider/Director
JONES, DAWN E

E-mail Address
dawn_jones@isdschools.org

Incorporated

Child Care Specialist
JANA BARTON

Age Range
5 YEARS - 11 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
12/20/2021

Arrival Time
3:40 PM

Departure Time
4:42 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2414743341

Document	Document-Date
STAFF SHEET	11/02/2020
DAILY SCHEDULE	12/11/2013
POLICIES	12/11/2013
JOB RESPONSIBILITIES	12/11/2013
SAMPLE WEEKLY MENU	12/11/2013
CHILD CARE PRACTICES	12/11/2013
DIRECTOR'S JOB RESPONSIBILITIES	12/11/2013
DISCIPLINE POLICIES	12/11/2013
DIRECTOR'S QUALIFICATIONS	12/11/2013
LINES OF ADMINISTRATIVE AUTHORITY	12/11/2013
DISASTER AND EMERGENCY PREPAREDNESS PLAN	01/18/2017
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	08/31/2021
EQUIPMENT LIST	08/31/2021
ANNUAL DECLARATION	08/31/2021

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 3

Total Children 17

Staff	Child	Class Age	Note
1	0	NO CHILDREN IN ATTENDANCE	Dawn Jones, Director
2	17	SCHOOL AGE	Ashley Gruner, Leasa Giavanni