DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

INDEPENDENCE 30 SCHOOL DISTRICT

001814031

(816) 521-5443

1403 W LINDEN AVE
INDEPENDENCE
MO  64052

INDEPENDENCE 30 SCHOOL DISTRICT

201 N FOREST AVE
INDEPENDENCE
MO  64050

CROSBY, DANA NICOLE

YOUTH_DEVELOPMENT@ISDSCHOOLS.ORG


ROBYN EMBREE

5 YEARS - 11 YEARS

20

SCHOOL AGE

 
Inspection Information

01/12/2024

2:44 PM

2:44 PM

UNANNOUNCED

SUPPLEMENTAL

2462250401


DocumentDocument-Date
SAMPLE FORMS 09/04/2014
DIRECTOR'S QUALIFICATIONS 09/11/2014
CHILD CARE PRACTICES 03/21/2012
DIRECTOR'S JOB RESPONSIBILITIES 03/21/2012
DAILY SCHEDULE 03/21/2012
DISCIPLINE POLICIES 03/21/2012
JOB RESPONSIBILITIES 03/21/2012
LINES OF ADMINISTRATIVE AUTHORITY 03/21/2012
POLICIES 03/21/2012
SAMPLE WEEKLY MENU 03/21/2012
DISASTER AND EMERGENCY PREPAREDNESS PLAN 03/21/2012
APPLICATION 05/30/2018
STAFF SHEET 08/21/2018
EQUIPMENT LIST 09/19/2023
ANNUAL DECLARATION 09/05/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 09/05/2023




Inspection determined facility to be in compliance with licensing rules.
Compliance 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.

Compliance List
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
Not Observed
5 CSR 25-500.090 Disaster and Emergency Preparedness
Not Observed
5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by equipment was no longer on site.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (A) 1. states: Play equipment and materials shall be clean, in good condition with all parts intact and accessible to children.
Correction Required
Indoor play equipment, clean and in good repair, shall be accessible to children.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet requirements for age-appropriate indoor equipment and materials as evidenced by no equipment was on site.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 1. states: Children twenty-four (24) months of age and older shall have an ample variety of age-appropriate toys, books, creative materials and activities which provide fun, stimulation, development and opportunities for individual choices.
Correction Required
The facility shall provide age-appropriate equipment and materials as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet requirements for blocks, construction and transportations toys. The facility needed an additional 8 minimum items in this category.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. A. states: Blocks, construction and transportation toys;
Correction Required
The facility shall provide appropriate equipment for children as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet requirements for manipulatives. The facility needed an additional 8 minimum items in this category.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. B. states: Manipulatives;
Correction Required
The facility shall provide appropriate equipment for children as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet requirements for creative arts. The facility needed an additional 8 minimum items in this category.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. C. states: Creative arts;
Correction Required
The facility shall provide appropriate equipment for children as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet requirements for large muscle activities. The facility needed an additional 8 minimum items in this category.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. D. states: Large muscle activities;
Correction Required
The facility shall provide appropriate equipment for children as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet requirements for library and language activities. The facility needed an additional 8 minimum items in this category.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. E. states: Library and language activities;
Correction Required
The facility shall provide appropriate equipment for children as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet requirements for music and rhythm activities. The facility needed an additional 8 minimum items in this category.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. F. states: Music and rhythm activities;
Correction Required
The facility shall provide appropriate equipment for children as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet requirements for dramatic and housekeeping play. The facility needed an additional 8 minimum items in this category.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. G. states: Dramatic and housekeeping play; and
Correction Required
The facility shall provide appropriate equipment for children as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet requirements for science activities and sensory experiences. The facility needed an additional 8 minimum items in this category.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. H. states: Science activities or sensory experiences.
Correction Required
The facility shall provide appropriate equipment for children as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility had an insufficient amount of equipment and materials. The facility needed an additional 80 items.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. (B) states: A minimum of forty (40) approved items shall be required for every ten (10) children in the licensed capacity of the facility. The forty (40) items shall include at least four (4) items from each of the following categories:
Correction Required
The facility shall provide appropriate equipment for children as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2022, the staff listed need the following information: Dana Crosby (director), Victoria McGuire (staff) and Anastasia Wohler (staff) all need 12 hours.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each caregiver.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.112 Staff/Child Ratios
Not Observed
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
Not Observed
5 CSR 25-500.192 Health Care
Not Observed
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
Not Observed
5 CSR 25-600.020 General Requirements
Not Observed
5 CSR 25-600.040 Background Screening Findings
Not Observed
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. —
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed