MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
DOUGLASS COMMUNITY SERVICES INC.

Facility DVN
000672866

Phone
(573) 985-3500

Physical Address
209 CARSTARPHEN PL
NEW LONDON
MO 63459

Owner
DOUGLASS COMMUNITY SERVICES INC

Mailing Address
711 GRAND AVE
HANNIBAL
MO 63401-3179

Provider/Director
RENCH, MARIA SELENE

E-mail Address
RALLS17@RALLSTECH.COM

Incorporated
Incorporated

Child Care Specialist
ELLEN DONOHO

Age Range
36 MONTHS - 5 YEARS

Capacity
20

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
02/18/2016

Arrival Time
10:05 AM

Departure Time
10:51 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2273898458

Document	Document-Date
FIRE/SAFETY INSPECTION	07/09/2014
SANITATION INSPECTION	08/29/2014
STAFF SHEET	06/13/2014
LINES OF ADMINISTRATIVE AUTHORITY	06/13/2014
ARTICLES OF INCORPORATION	06/13/2014
EQUIPMENT LIST	06/13/2014
APPLICATION	06/13/2014

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 2

Total Children 17

Staff	Child	Class Age	Note
2	17	PRESCHOOL