DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

INDEPENDENCE 30 SCHOOL DISTRICT

002310725

(816) 521-5393

429 S LESLIE ST
INDEPENDENCE
MO  64050-4032

INDEPENDENCE 30 SCHOOL DISTRICT

201 N FOREST AVE
INDEPENDENCE
MO  64050-2513

KREISLER, ERICA

erica_kreisler@isdschools.org


ROBYN EMBREE

5 YEARS - 11 YEARS

40

SCHOOL AGE

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

04/20/2023

12:56 PM

1:14 PM

ANNOUNCED

COMPLIANCE MONITORING

2445715239


DocumentDocument-Date
SAMPLE FORMS 02/10/2012
LINES OF ADMINISTRATIVE AUTHORITY 02/10/2012
DAILY SCHEDULE 02/10/2012
SAMPLE WEEKLY MENU 02/10/2012
POLICIES 02/10/2012
DISCIPLINE POLICIES 02/10/2012
JOB RESPONSIBILITIES 02/10/2012
DIAGRAM/OUTDOOR 02/10/2012
DIAGRAM/INDOOR 02/10/2012
CHILD CARE PRACTICES 02/10/2012
DIRECTOR'S QUALIFICATIONS 11/07/2013
APPLICATION 12/11/2019
STAFF SHEET 04/07/2022
ANNUAL DECLARATION 03/31/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/31/2023
EQUIPMENT LIST 04/07/2022




Inspection determined facility to be in compliance with licensing rules.
Compliance 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 1
StaffChildClass AgeNote
1 0 NO CHILDREN IN ATTENDANCE Rebecca Masters (director) present with no children in attendance for inactive facility.

Compliance List
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Violation
 Provider Comments
Violation
The equipment list did not contain a list of equipment as required in 5 CSR 25-500.092.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment.
Correction Required
The facility shall submit an equipment list as required.

Correction Verification
Submit Documentation

Compliance Date

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
Not Observed
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