MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
GREATER K.C. LINC, INC.

Facility DVN
002687687

Phone
(816) 889-5050

Physical Address
12650 MANCHESTER AVE
GRANDVIEW
MO 64030-2168

Owner
GREATER K.C. LINC, INC.

Mailing Address

Provider/Director
ERVIN, JASON DOMINIC

E-mail Address
jervin@kclinc.org

Incorporated
Incorporated

Child Care Specialist
BIONICA D SMITHJACKSON

Age Range
9 YEARS - 14 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations
AFTER SCHOOL CARE ONLY

Inspection Information

Date
12/14/2022

Arrival Time
3:00 PM

Departure Time
4:55 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2437336810

Document	Document-Date
APPLICATION	12/19/2017
DAILY SCHEDULE	12/18/2017
DIAGRAM/INDOOR	12/19/2017
STAFF SHEET	12/19/2017
SAMPLE WEEKLY MENU	12/18/2017
SAMPLE FORMS	11/16/2017
POLICIES	11/16/2017
DISCIPLINE POLICIES	11/16/2017
LINES OF ADMINISTRATIVE AUTHORITY	11/16/2017
DIRECTOR'S QUALIFICATIONS	12/18/2017
LOCAL FIRE DEPARTMENT NOTIFICATION	12/18/2017
DIAGRAM/OUTDOOR	12/19/2017
CHILD CARE PRACTICES	12/18/2017
ARTICLES OF INCORPORATION	12/19/2017
CERTIFICATE OF GOOD STANDING	12/19/2017
LLC ARTICLES OF ORGANIZATION	12/19/2017
OWNER/PROVIDER REFERENCES	12/19/2017
JOB RESPONSIBILITIES	12/19/2017
ANNUAL DECLARATION	12/08/2022
EQUIPMENT LIST	12/14/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	12/14/2022

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 4

Total Children 19

Staff	Child	Class Age	Note
2	0	NO CHILDREN IN ATTENDANCE	director JEv and staff MA with no children
2	19	SCHOOL AGE	JEd and AK with nineteen school-age children