DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

QUEEN OF ANGELS DAYCARE CENTER

000800173

(417) 869-9842

625 S JEFFERSON AVE
SPRINGFIELD
MO  65806-3107

QUEEN OF ANGELS DAYCARE CENTER



 

NGUYEN, MARTHA THU HANG

mariamatta04@yahoo.com

Incorporated

ANGEL DONSON

24 MONTHS - 10 YEARS

40

GROUP HOME AND CENTER

 
Inspection Information

10/15/2021

1:45 PM

3:04 PM

UNANNOUNCED

COMPLIANCE MONITORING

2410547016


DocumentDocument-Date
LOCAL BUILDING APPROVAL 09/12/2000
LOCAL ZONING APPROVAL 09/12/2000
STAFF SHEET 06/24/2020
APPLICATION 06/24/2020
DISCIPLINE POLICIES 08/05/2008
POLICIES 08/05/2008
LINES OF ADMINISTRATIVE AUTHORITY 07/29/1996
JOB RESPONSIBILITIES 07/08/1996
DIRECTOR'S QUALIFICATIONS 09/04/2002
CHILD CARE PRACTICES 05/15/1996
SAMPLE WEEKLY MENU 05/07/1996
DAILY SCHEDULE 05/07/1996
DIAGRAM/OUTDOOR 01/24/1996
DIAGRAM/INDOOR 01/24/1996
ARTICLES OF INCORPORATION 05/07/1996
CERTIFICATE OF GOOD STANDING 06/27/2014
SANITATION INSPECTION 07/20/2021
FIRE/SAFETY INSPECTION 08/10/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 10/15/2021
EQUIPMENT LIST 10/15/2021
ANNUAL DECLARATION 10/15/2021




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 1
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 19
StaffChildClass AgeNote
1 8 MIXED Caregiver Rosaline Nguyen with eight children. Seven children are age 2 years old and one child is 3 years old.
2 11 PRESCHOOL Caregivers Martha Nguyen and Emeline Phan with 11 children ages 3-4 years old.

 
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 Annual Declaration was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, promulgated as of 2020 and incorporated by reference in this rule. As published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102-0570 and available by the department at https://health.mo.gov/safety/childcare/forms.php indicating the licensee’s intent to continue operating a licensed group child care home or child care center and agreement to comply with all statutes and department licensing rules.
Correction Required
The facility shall submit the Annual Declaration as required.

Correction Verification
Corrected on Site

Compliance Date
10/15/2021
Violation
The facility is owned by a legal entity and evidence of good standing was not available.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (D) states: Documentation as required by the Missouri Secretary of State and state law to verify the legal entity is in good standing, if a group child care home or child care center is owned by a legal entity.
Correction Required
The facility shall submit evidence that the legal entity is in good standing with the Missouri Secretary of State and state law.

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 25-500.087 Fire Safety
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
Compliance
5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.142 Nighttime Care
Compliance
5 CSR 25-500.152 Hourly Care Facilities
Compliance
5 CSR 25-500.162 Overlap Care of Children
Compliance
5 CSR 25-500.172 Emergency School Closings
Compliance
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
Compliance
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