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 CARREL 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
05/11/2023

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2447058708

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	08/31/2022
SANITATION INSPECTION	05/25/2022
ANNUAL DECLARATION	08/31/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	08/30/2022
FIRE/SAFETY INSPECTION	05/10/2023

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.