MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
MILLER, ANGIE

Facility DVN
000604108

Phone
(660) 397-3231

Physical Address
1202 E BROADWAY ST
EDINA
MO 63537-1184

Owner
MILLER, ANGIE

Mailing Address

Provider/Director

E-mail Address
SOOKIE70MRTL2003@YAHOO.COM

Incorporated

Child Care Specialist
BETHANY C DUCKWORTH

Age Range
6 WEEKS - 12 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations
UP TO 10 CHILDREN IN CARE NO MORE THAN 2 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 10 CHILDREN IN CARE NO MORE THAN 4 CHILDREN UNDER AGE 2 WITH 2 ADULT CAREGIVERS; UP TO 6 CHILDREN IN CARE NO MORE THAN 3 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER

Inspection Information

Date
01/13/2020

Arrival Time
10:05 AM

Departure Time
10:54 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2373365154

Document	Document-Date
ASSISTANT APPROVAL REQUEST	06/27/2017
ASSISTANT REFERENCES	11/15/2018
SAFE SLEEP POLICY	01/13/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN	11/15/2011
DAILY SCHEDULE	03/02/1994
SAMPLE WEEKLY MENU	05/10/1994
OWNER/PROVIDER REFERENCES	03/11/1994
CHILD CARE/DISCIPLINE POLICIES	03/20/1994
POLICIES	03/20/1994
DIAGRAM/INDOOR	09/20/1999
DIAGRAM/OUTDOOR	09/20/1999
APPLICATION	04/29/2019
EQUIPMENT LIST	04/29/2019
SANITATION INSPECTION	05/28/2019
FIRE/SAFETY INSPECTION	07/09/2019

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:20PM	4:50PM	7/3/2007
7:30AM	8:00AM	7/3/2007

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 1

Total Children 5

Staff	Child	Class Age	Note
1	5	MIXED	Staff: Angie Miller Two children under 2 years old. Age range 5 months through 4 years.