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
001816691

Phone
(816) 521-5418

Physical Address
3700 S DELAWARE AVE
INDEPENDENCE
MO 64055-3140

Owner
INDEPENDENCE 30 SCHOOL DISTRICT

Mailing Address
201 N FOREST AVE
INDEPENDENCE
MO 64050-2513

Provider/Director
POSTOAK, KOREY MARTIN

E-mail Address
YOUTH_DEVELOPMENT@ISDSCHOOLS.ORG

Incorporated

Child Care Specialist
BIONICA D SMITHJACKSON

Age Range
5 YEARS - 12 YEARS

Capacity
60

Facility Type
SCHOOL AGE

Limitations
BEFORE AND AFTER SCHOOL CARE ONLY

Inspection Information

Date
10/29/2024

Arrival Time
4:30 PM

Departure Time
5:56 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2481043255

Document	Document-Date
SAMPLE WEEKLY MENU	08/08/2003
LINES OF ADMINISTRATIVE AUTHORITY	08/08/2003
SAMPLE FORMS	08/08/2003
DIRECTOR'S JOB RESPONSIBILITIES	08/08/2003
JOB RESPONSIBILITIES	08/08/2003
POLICIES	08/08/2003
CHILD CARE PRACTICES	08/08/2003
DIRECTOR'S QUALIFICATIONS	01/10/2013
DISCIPLINE POLICIES	08/08/2003
DAILY SCHEDULE	08/08/2003
APPLICATION	07/11/2019
STAFF SHEET	08/15/2019
EQUIPMENT LIST	09/09/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	09/12/2022
ANNUAL DECLARATION	09/06/2022

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 4

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 21

Staff	Child	Class Age	Note
2	21	SCHOOL AGE	caregivers Korey Postoak and Gwen Palovchak with twenty-one school-age children; 5-to-11-years-old