MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
MILLER, CINDY

Facility DVN
001687456

Phone
(573) 379-0677

Physical Address
404 E 12TH ST
PORTAGEVILLE
MO 63873-1708

Owner
MILLER, CINDY

Mailing Address

Provider/Director
MILLER, CINDY

E-mail Address
cindymmiller65@hotmail.com

Incorporated

Child Care Specialist
MELISSA JILL SMITH

Age Range
1 MONTH - 13 YEARS

Capacity
17

Facility Type
GROUP HOME AND CENTER

Limitations
4 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
07/21/2022

Arrival Time
9:35 AM

Departure Time
10:09 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2428564030

Document	Document-Date
ANNUAL DECLARATION	07/28/2021
EQUIPMENT LIST	08/05/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	08/05/2021
SANITATION INSPECTION	05/10/2022
FIRE/SAFETY INSPECTION	07/18/2022
LOCAL ZONING APPROVAL	05/01/2013
DIAGRAM/INDOOR	06/28/2007
DIAGRAM/OUTDOOR	06/28/2007
CHILD CARE PRACTICES	06/28/2007
POLICIES	06/28/2007
DISCIPLINE POLICIES	06/28/2007
DAILY SCHEDULE	06/28/2007
SAMPLE WEEKLY MENU	05/15/2007
LINES OF ADMINISTRATIVE AUTHORITY	07/23/2007
JOB RESPONSIBILITIES	07/24/2007
DIRECTOR'S QUALIFICATIONS	07/24/2007
OWNER/PROVIDER REFERENCES	07/23/2007
APPLICATION	04/25/2019
STAFF SHEET	05/09/2017
SAFE SLEEP POLICY	01/03/2017

Inspection determined facility to be in compliance with licensing rules.

Open Violations: 6

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 10

Staff	Child	Class Age	Note
1	10	MIXED	Cindy Miller with eight children. Two children are 1, one child is 3, three children are 4, one child is five, two children are 6 and one child is 7.

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
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation
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 Violation
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 25-500.172 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