MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
MILLER, ANGELA MARIE

Facility DVN
000604108

Phone
(660) 397-3231

Physical Address
1202 E BROADWAY ST
EDINA
MO 63537-1184

Owner
MILLER, ANGELA MARIE

Mailing Address

Provider/Director
MILLER, ANGELA MARIE

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; IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE UNDER AGE 2 WITH 1 ADULT CAREGIVER

Inspection Information

Date
03/14/2022

Arrival Time
8:50 AM

Departure Time
9:35 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2419704942

Document	Document-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	08/04/2021
ANNUAL DECLARATION	08/04/2021
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	08/04/2021
SANITATION INSPECTION	08/25/2021
FIRE/SAFETY INSPECTION	06/23/2021

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 6

Staff	Child	Class Age	Note
1	6	MIXED	Staff: Angie Miller. Age range 16 months through 4 years. Two children under 2 years of age.