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
002301066

Phone
(816) 521-5458

Physical Address
20404 E TRUMAN RD
INDEPENDENCE
MO 64056-3009

Owner
INDEPENDENCE 30 SCHOOL DISTRICT

Mailing Address
201 N FOREST AVE
INDEPENDENCE
MO 64050-2696

Provider/Director
ENICKS, KELSEY JAYDE

E-mail Address
youth_development@isdschools.org

Incorporated

Child Care Specialist
RACHEL CATRELL

Age Range
5 YEARS - 11 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
10/19/2023

Arrival Time
8:00 AM

Departure Time
9:08 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2456917098

Document	Document-Date
SAMPLE WEEKLY MENU	10/12/2011
SAMPLE FORMS	10/12/2011
POLICIES	08/18/2011
LINES OF ADMINISTRATIVE AUTHORITY	10/12/2011
JOB RESPONSIBILITIES	10/12/2011
DISCIPLINE POLICIES	08/18/2011
DIRECTOR'S QUALIFICATIONS	10/12/2011
DIRECTOR'S JOB RESPONSIBILITIES	10/12/2011
DAILY SCHEDULE	10/12/2011
CHILD CARE PRACTICES	08/18/2011
APPLICATION	08/01/2019
STAFF SHEET	10/08/2021
EQUIPMENT LIST	08/30/2023
ANNUAL DECLARATION	08/30/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	08/30/2023

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 12

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 19

Staff	Child	Class Age	Note
2	19	SCHOOL AGE	Caregivers Donna Mann and Stacy Manning with 19 children in attendance.

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
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 Violation
5 CSR 25-500.092 Furniture, Equipment and Materials Compliance
5 CSR 25-500.102 Personnel Violation
5 CSR 25-500.112 Staff/Child Ratios Compliance
5 CSR 25-500.122 Medical Examination Reports Violation
5 CSR 25-500.132 Admission Policies and Procedures Violation
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 Violation
5 CSR 25-500.202 Nutrition and Food Service Not Observed
5 CSR 25-500.212 Transportation and Field Trips Not Observed
5 CSR 25-500.222 Records and Reports Violation
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