MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE GHC INSPECTION REPORT

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Facility Information

Facility Name
INDEPENDENCE 30 SCHOOL DISTRICT

Facility DVN
002301084

Phone
(816) 521-5468

Physical Address
15208 E 39TH ST S
INDEPENDENCE
MO 64055-4239

Owner
INDEPENDENCE 30 SCHOOL DISTRICT

Mailing Address
201 N FOREST AVE
INDEPENDENCE
MO 64050-2513

Provider/Director
CRABTREE, IRENE REBECCA

E-mail Address
YOUTH_DEVELOPMENT@ISDSCHOOLS.ORG

Incorporated

Child Care Specialist
ROBYN EMBREE

Age Range
5 YEARS - 11 YEARS

Capacity
60

Facility Type
SCHOOL AGE GHC

Limitations

Inspection Information

Date
05/06/2025

Arrival Time
7:33 AM

Departure Time
8:12 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2492700690

Document	Document-Date
LINES OF ADMINISTRATIVE AUTHORITY	10/17/2011
DIRECTOR'S JOB RESPONSIBILITIES	10/17/2011
DAILY SCHEDULE	10/17/2011
CHILD CARE PRACTICES	06/17/2013
DISCIPLINE POLICIES	10/17/2011
POLICIES	10/17/2011
JOB RESPONSIBILITIES	10/17/2011
DIRECTOR'S QUALIFICATIONS	09/29/2011
SAMPLE WEEKLY MENU	10/17/2011
SAMPLE FORMS	10/17/2011
DIAGRAM/OUTDOOR	07/06/2011
DIAGRAM/INDOOR	07/06/2011
APPLICATION	08/01/2019
STAFF SHEET	08/22/2019
EQUIPMENT LIST	08/27/2024
ANNUAL DECLARATION	08/27/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	08/27/2024

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 3

Total Children 30

Staff	Child	Class Age	Note
1	8	SCHOOL AGE	Irene Crabtree (director) present with eight school age children.
2	22	SCHOOL AGE	Jessica Lilly and Mason Little (both staff) present with twenty two school age children.

Compliance List
5 CSR 25-500.032 Organization and Administration Compliance
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 Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials Compliance
5 CSR 25-500.102 Personnel Compliance
5 CSR 25-500.112 Staff/Child Ratios Compliance
5 CSR 25-500.122 Medical Examination Reports Not Observed
5 CSR 25-500.132 Admission Policies and Procedures Compliance
5 CSR 25-500.142 Nighttime Care Compliance
5 CSR 25-500.162 Overlap Care of Children Compliance
5 CSR 25-500.162 Overlap Care of Children Compliance
5 CSR 25-500.172 Emergency School Closings Not Observed
5 CSR 25-500.182 Child Care Program Compliance
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 Compliance
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. — Compliance
RSMo 210.211. License required - exceptions - written notice of licensure status, when. Compliance