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
SAMINA C ODLE

Age Range
1 MONTH - 13 YEARS

Capacity
17

Facility Type
GROUP HOME AND CENTER

Limitations
4 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
10/17/2022

Arrival Time
8:40 AM

Departure Time
8:40 AM

Notice
UNANNOUNCED

Inspection Type
SUPPLEMENTAL

Inspection ID
2433088284

Document	Document-Date
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
STAFF SHEET	05/09/2017
SAFE SLEEP POLICY	01/03/2017
APPLICATION	04/25/2019
FIRE/SAFETY INSPECTION	07/18/2022
SANITATION INSPECTION	05/10/2022
ANNUAL DECLARATION	07/28/2021
EQUIPMENT LIST	08/05/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	08/05/2021

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.