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
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

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 GHC

Limitations

Inspection Information

Date
08/27/2025

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2499410873

Document	Document-Date
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
APPLICATION	11/26/2019
STAFF SHEET	01/28/2020
ANNUAL DECLARATION	02/04/2025
EQUIPMENT LIST	02/04/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	02/04/2025

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.