DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE GHC INSPECTION REPORT
Facility Information

INDEPENDENCE 30 SCHOOL DISTRICT

001816691

(816) 521-5418

3700 S DELAWARE AVE
INDEPENDENCE
MO  64055-3140

INDEPENDENCE 30 SCHOOL DISTRICT

201 N FOREST AVE
INDEPENDENCE
MO  64050-2513

POSTOAK, KOREY MARTIN

YOUTH_DEVELOPMENT@ISDSCHOOLS.ORG


BIONICA D SMITHJACKSON

5 YEARS - 12 YEARS

60

SCHOOL AGE GHC

BEFORE AND AFTER SCHOOL CARE ONLY
 
Inspection Information

10/29/2025

7:15 AM

8:15 AM

UNANNOUNCED

COMPLIANCE MONITORING

2502742292


DocumentDocument-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 09/04/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 09/04/2025
ANNUAL DECLARATION 09/04/2025
LOCAL ZONING APPROVAL 10/31/2024
LOCAL BUILDING APPROVAL 10/31/2024




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 2
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 18
StaffChildClass AgeNote
1 0 NO CHILDREN IN ATTENDANCE additional staff on the premises was director Korey Postoak
1 10 SCHOOL AGE caregiver Jasmine Driskell with ten children, 6-to-10-years-old
1 8 SCHOOL AGE caregiver Gwen Palovchak with eight children, 6-to-10-years-old

Compliance List
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Jasmine Driskell within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Jasmine Driskell
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering, and before being left alone with children, that caregivers employed on or after August 30, 2019, receive a facility orientation. The facility orientation shall include--
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Compliance
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
Compliance
5 CSR 25-500.202 Nutrition and Food Service
Not Observed
5 CSR 25-500.212 Transportation and Field Trips
Compliance
5 CSR 25-500.222 Records and Reports
Compliance
5 CSR 25-600.020 General Requirements
Compliance
5 CSR 25-600.040 Background Screening Findings
Compliance
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