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
002198938

Phone
(816) 521-5408

Physical Address
120 N CEDAR AVE
INDEPENDENCE
MO 64053-1310

Owner
INDEPENDENCE 30 SCHOOL DISTRICT

Mailing Address
201 N FOREST AVE
INDEPENDENCE
MO 64050-2513

Provider/Director
SCHADEGG, ERICA SUZETTE

E-mail Address
YOUTH_DEVELOPMENT@ISDSCHOOLS.ORG

Incorporated

Child Care Specialist
JANA BARTON

Age Range
5 YEARS - 11 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations

Inspection Information

Date
09/18/2024

Arrival Time
8:15 AM

Departure Time
9:18 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2478345387

Document	Document-Date
APPLICATION	11/26/2019
STAFF SHEET	01/28/2020
SAMPLE FORMS	02/26/2014
POLICIES	02/26/2014
JOB RESPONSIBILITIES	02/26/2014
DAILY SCHEDULE	02/26/2014
DIAGRAM/OUTDOOR	02/26/2014
DIAGRAM/INDOOR	02/26/2014
CHILD CARE PRACTICES	02/26/2014
DIRECTOR'S QUALIFICATIONS	02/26/2014
DISCIPLINE POLICIES	02/26/2014
EQUIPMENT LIST	02/07/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	02/07/2024
ANNUAL DECLARATION	02/07/2024

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 2

Total Children 22

Staff	Child	Class Age	Note
1	6	SCHOOL AGE	with Leasa Giavanni
1	16	SCHOOL AGE	with Andrea Colonia