MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT

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Facility Information

Facility Name
GREATER K.C. LINC, INC.

Facility DVN
002687687

Phone
(816) 889-5050

Physical Address
12650 MANCHESTER AVE
GRANDVIEW
MO 64030-2168

Owner
GREATER K.C. LINC, INC.

Mailing Address

Provider/Director
ERVIN, JASON DOMINIC

E-mail Address
jervin@kclinc.org

Incorporated
Incorporated

Child Care Specialist
BIONICA D SMITHJACKSON

Age Range
9 YEARS - 16 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations
AFTER SCHOOL CARE ONLY

Inspection Information

Date
05/30/2024

Arrival Time
3:15 PM

Departure Time
3:37 PM

Notice
UNANNOUNCED

Inspection Type
REINSPECTION

Inspection ID
2471649472

Document	Document-Date
APPLICATION	12/19/2017
DAILY SCHEDULE	12/18/2017
DIAGRAM/INDOOR	12/19/2017
STAFF SHEET	12/19/2017
SAMPLE WEEKLY MENU	12/18/2017
SAMPLE FORMS	11/16/2017
POLICIES	11/16/2017
DISCIPLINE POLICIES	11/16/2017
LINES OF ADMINISTRATIVE AUTHORITY	11/16/2017
DIRECTOR'S QUALIFICATIONS	12/18/2017
LOCAL FIRE DEPARTMENT NOTIFICATION	12/18/2017
DIAGRAM/OUTDOOR	12/19/2017
CHILD CARE PRACTICES	12/18/2017
ARTICLES OF INCORPORATION	12/19/2017
CERTIFICATE OF GOOD STANDING	12/19/2017
LLC ARTICLES OF ORGANIZATION	12/19/2017
OWNER/PROVIDER REFERENCES	12/19/2017
JOB RESPONSIBILITIES	12/19/2017
ANNUAL DECLARATION	12/04/2023
EQUIPMENT LIST	12/14/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	12/04/2023

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.

Attendance at Time of Inspection

Total Staff 4

Total Children 23

Staff	Child	Class Age	Note
2	0	NO CHILDREN IN ATTENDANCE	staff Kimberly Harris and Donna Holden with no children
2	23	SCHOOL AGE	caregivers Andrew Kearse and Latrisha Bradley with twenty-three school-age children; 11-to-14-years-old

Compliance List
5 CSR 25-500.032 Organization and Administration Not Observed
5 CSR 25-500.042 Licensing Process Violation
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 Not Observed
5 CSR 25-500.102 Personnel Not Observed
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