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
002318763

Phone
(816) 521-5453

Physical Address
1301 WINDSOR ST
INDEPENDENCE
MO 64055-1179

Owner
INDEPENDENCE 30 SCHOOL DISTRICT

Mailing Address
201 N FOREST AVE
INDEPENDENCE
MO 64050-2696

Provider/Director
CROSBY, DANA NICOLE

E-mail Address
youth_development@isdschools.org

Incorporated

Child Care Specialist
PENNY SNODGRASS

Age Range
5 YEARS - 11 YEARS

Capacity
80

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
02/07/2024

Arrival Time
3:35 PM

Departure Time
4:38 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2464052615

Document	Document-Date
SAMPLE WEEKLY MENU	02/08/2012
POLICIES	02/08/2012
JOB RESPONSIBILITIES	02/08/2012
DISCIPLINE POLICIES	02/08/2012
DIRECTOR'S JOB RESPONSIBILITIES	02/08/2012
CHILD CARE PRACTICES	02/08/2012
SAMPLE FORMS	02/08/2013
LINES OF ADMINISTRATIVE AUTHORITY	02/08/2012
DIRECTOR'S QUALIFICATIONS	12/19/2011
DAILY SCHEDULE	02/08/2012
APPLICATION	09/24/2019
STAFF SHEET	12/02/2019
ANNUAL DECLARATION	01/03/2024
EQUIPMENT LIST	01/03/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	01/03/2024

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 6

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 12

Staff	Child	Class Age	Note
2	12	SCHOOL AGE	age range Kindergarten through 5th grade Staff: Dana Crosby and Avery Byrd