DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

INDEPENDENCE 30 SCHOOL DISTRICT

002301084

(816) 521-5468

15208 E 39TH ST S
INDEPENDENCE
MO  64055-4239

INDEPENDENCE 30 SCHOOL DISTRICT

201 N FOREST AVE
INDEPENDENCE
MO  64050-2513

MASTERS, REBEKAH LEA

YOUTH_DEVELOPMENT@ISDSCHOOLS.ORG


ROBYN EMBREE

5 YEARS - 11 YEARS

130

SCHOOL AGE

 
Inspection Information

10/25/2023

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2457572685


DocumentDocument-Date
LINES OF ADMINISTRATIVE AUTHORITY 10/17/2011
DIRECTOR'S JOB RESPONSIBILITIES 10/17/2011
DAILY SCHEDULE 10/17/2011
CHILD CARE PRACTICES 06/17/2013
DISCIPLINE POLICIES 10/17/2011
POLICIES 10/17/2011
JOB RESPONSIBILITIES 10/17/2011
DIRECTOR'S QUALIFICATIONS 09/29/2011
SAMPLE WEEKLY MENU 10/17/2011
SAMPLE FORMS 10/17/2011
DIAGRAM/OUTDOOR 07/06/2011
DIAGRAM/INDOOR 07/06/2011
APPLICATION 08/01/2019
STAFF SHEET 08/22/2019
EQUIPMENT LIST 10/24/2023
ANNUAL DECLARATION 09/01/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 10/24/2023




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.

 
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Compliance
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
Violation
 Provider Comments
Violation
The facility has not submitted the approval request for proposed director: has not been approved by the department.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (2) (A) 1. B. states: Once the center director or group child care home provider is certificated by the department, the Center Director/Group Child Care Home Provider Approval Request form shall be submitted to the department and maintained on file at the facility. See Center Director/Group Child Care Home Provider Approval Request form, revised 2021 and incorporated by reference in this rule. As published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions.
Correction Required
An approval request form shall be submitted to the department.

Correction Verification
Submit Documentation

Compliance Date
10/25/2023
Violation
The facility does not have an approved director on staff.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff.
Correction Required
The facility shall have an approved director/group home provider.

Correction Verification
Submit Documentation

Compliance Date
10/25/2023
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
Compliance
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