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
002301057

Phone
(816) 521-5478

Physical Address
4300 S PHELPS RD
INDEPENDENCE
MO 64055-5102

Owner
INDEPENDENCE 30 SCHOOL DISTRICT

Mailing Address
201 N FOREST AVE
INDEPENDENCE
MO 64050-2513

Provider/Director
MAVERICK, MOSES

E-mail Address
YOUTH_DEVELOPMENT@ISDSCHOOLS.ORG

Incorporated
Incorporated

Child Care Specialist
JANA BARTON

Age Range
5 YEARS - 11 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
10/13/2023

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2456461520

Document	Document-Date
SAMPLE WEEKLY MENU	10/17/2011
POLICIES	10/17/2011
JOB RESPONSIBILITIES	10/17/2011
DISCIPLINE POLICIES	10/17/2011
DIRECTOR'S JOB RESPONSIBILITIES	10/17/2011
CHILD CARE PRACTICES	10/17/2011
SAMPLE FORMS	10/17/2011
LINES OF ADMINISTRATIVE AUTHORITY	10/17/2011
DAILY SCHEDULE	10/17/2011
DIRECTOR'S QUALIFICATIONS	08/24/2015
APPLICATION	08/01/2019
STAFF SHEET	08/21/2019
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	08/31/2023
EQUIPMENT LIST	08/31/2023
ANNUAL DECLARATION	08/31/2023

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.

Compliance List
5 CSR 25-500.090 Disaster and Emergency Preparedness Compliance
5 CSR 25-500.182 Child Care Program Compliance
5 CSR 25-600.020 General Requirements 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