MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

Back

Facility Information

Facility Name
INDEPENDENCE 30 SCHOOL DISTRICT

Facility DVN
000468275

Phone
(816) 521-5403

Physical Address
827 W COLLEGE ST
INDEPENDENCE
MO 64050-2403

Owner
INDEPENDENCE 30 SCHOOL DISTRICT

Mailing Address
201 N FOREST AVE
INDEPENDENCE
MO 64050-2696

Provider/Director
MAYES, DAHRIS RENEE

E-mail Address
YOUTH_DEVELOPMENT@ISDSCHOOLS.ORG

Incorporated

Child Care Specialist
JANA BARTON

Age Range
5 YEARS - 11 YEARS

Capacity
50

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
11/03/2022

Arrival Time
3:40 PM

Departure Time
4:16 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2434687648

Document	Document-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	10/03/2022
EQUIPMENT LIST	10/03/2022
ANNUAL DECLARATION	10/03/2022
STAFF SHEET	02/08/2021
CHILD CARE PRACTICES	10/03/2017
DAILY SCHEDULE	10/03/2017
DIRECTOR'S JOB RESPONSIBILITIES	10/03/2017
DIRECTOR'S QUALIFICATIONS	09/01/2017
DISCIPLINE POLICIES	10/03/2017
LINES OF ADMINISTRATIVE AUTHORITY	10/03/2017
POLICIES	10/03/2017
SAMPLE WEEKLY MENU	10/03/2017
SAMPLE FORMS	11/02/2017

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 2

Total Children 15

Staff	Child	Class Age	Note
2	15	SCHOOL AGE	with director and staff JB


5 CSR 25-500.032 Organization and Administration Compliance
5 CSR 25-500.042 Licensing Process Compliance
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