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
001816691

Phone
(816) 521-5418

Physical Address
3700 S DELAWARE AVE
INDEPENDENCE
MO 64055-3140

Owner
INDEPENDENCE 30 SCHOOL DISTRICT

Mailing Address
201 N FOREST AVE
INDEPENDENCE
MO 64050-2513

Provider/Director
POSTOAK, KOREY MARTIN

E-mail Address
YOUTH_DEVELOPMENT@ISDSCHOOLS.ORG

Incorporated

Child Care Specialist
BIONICA D SMITHJACKSON

Age Range
5 YEARS - 12 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
04/24/2023

Arrival Time
7:30 AM

Departure Time
8:16 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2445903493

Document	Document-Date
SAMPLE WEEKLY MENU	08/08/2003
LINES OF ADMINISTRATIVE AUTHORITY	08/08/2003
SAMPLE FORMS	08/08/2003
DIRECTOR'S JOB RESPONSIBILITIES	08/08/2003
JOB RESPONSIBILITIES	08/08/2003
POLICIES	08/08/2003
CHILD CARE PRACTICES	08/08/2003
DIRECTOR'S QUALIFICATIONS	01/10/2013
DISCIPLINE POLICIES	08/08/2003
DAILY SCHEDULE	08/08/2003
APPLICATION	07/11/2019
STAFF SHEET	08/15/2019
EQUIPMENT LIST	09/09/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	09/12/2022
ANNUAL DECLARATION	09/06/2022

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 3

Total Children 24

Staff	Child	Class Age	Note
2	19	NO CHILDREN IN ATTENDANCE	director Korey Poastoak and staff Amanda Kilts with nineteen school-age children
1	5	NO CHILDREN IN ATTENDANCE	staff Gwen Palouchak with five school-age children


5 CSR 25-500.032 Organization and Administration Not Observed
5 CSR 25-500.042 Licensing Process Not Observed
5 CSR 25-500.052 Annual Requirements Not Observed
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 Not Observed
5 CSR 25-500.132 Admission Policies and Procedures Not Observed
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 Not Observed
5 CSR 25-500.212 Transportation and Field Trips Compliance
5 CSR 25-500.222 Records and Reports Not Observed
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