DHSS MO
MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES

SECTION FOR CHILD CARE REGULATION

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

DOUGLASS COMMUNITY SERVICES INCORPORATED

000708596

(573) 754-5471

130 MEMORIAL DR
LOUISIANA
MO  63353

DOUGLASS COMMUNITY SERVICES INCORPORATED

711 GRAND AVE PO BOX 311
HANNIBAL
MO  63401

HENDERSON, SHANNON T

MARX, MICHAEL EDWARD

LOUSL@DOUGLASSONLINE.ORG

Incorporated


CHRISTINA BRUCE

6 WEEKS - 5 YEARS

55

GROUP HOME AND CENTER

16 CHILDREN UNDER 24 MONTHS
 
Inspection Information

10/20/2016

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2291672555


DocumentDocument-Date
POLICIES 03/03/2010
LOCAL ZONING APPROVAL 04/30/2009
LOCAL BUILDING APPROVAL 04/30/2009
SAMPLE FORMS 07/20/2005
LINES OF ADMINISTRATIVE AUTHORITY 06/25/2007
JOB RESPONSIBILITIES 07/20/2005
SAMPLE WEEKLY MENU 04/22/2009
DISCIPLINE POLICIES 03/03/2010
DIRECTOR'S QUALIFICATIONS 04/23/2009
DAILY SCHEDULE 03/15/2010
CHILD CARE PRACTICES 03/03/2010
APPLICATION 03/10/2015
CERTIFICATE OF GOOD STANDING 03/10/2015
EQUIPMENT LIST 03/10/2015
STAFF SHEET 03/10/2015
DIAGRAM/INDOOR 09/03/2015
DIAGRAM/OUTDOOR 09/08/2015
FIRE/SAFETY INSPECTION 09/07/2015
SANITATION INSPECTION 09/15/2015




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.

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Initial Licensing Information
Compliance
19 CSR 30-62.052 License Renewal
Compliance
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
19 CSR 30-62.087 Fire Safety
Compliance
19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
The provider did not meet requirements for requests/results of background reviews. Reviews were missing/out of date for the following volunteers counted in staff/child ratio, caregivers or other personnel: Emily Price and Parker Oblinger.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (K) states: Volunteers counted in staff/child ratios, caregivers, and other personnel shall be screened for child abuse/neglect. The screening shall be requested by the provider within ten (10) days of any individual beginning employment or volunteering in the facility. Any investigated allegation of child abuse or neglect involving these persons in which the investigator finds reasonable cause to believe that the individual is the alleged perpetrator of child abuse or neglect shall be evaluated by the department. After review, the department may prohibit the person from being present in the facility during child care hours. A copy of the screening request and the response shall be filed in the employee's record.
Correction Required
Required requests/results of current background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
10/19/2016
Violation
The provider did not meet requirements for requests/results of background reviews. Reviews were missing/out of date for the following owner(s), board president or chairperson, center director or group day care home provider, employees or volunteers counted in staff/child ration: Emily Price and Parker Oblinger.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (L) . states: The child care provider shall request and have on file the results of a criminal record review from the Missouri State Highway Patrol as defined by 19 CSR 30-62.042 Initial Licensing Information and 19 CSR 30-62.052 License Renewal. The child care provider shall request a criminal record review within ten (10) days following a change of the facility owner(s), board president or chairperson, the center director or group day care home provider, employees of the provider, or volunteers counted in staff/child ratios. The department may request a criminal record review from the Missouri State Highway Patrol for any adult present in the facility when child care children are present. The criminal record reviews shall include records of criminal convictions, pending criminal charges, and suspended imposition of sentence during the term of probation. Requests for criminal record reviews shall be made on a form provided by the highway patrol.
Correction Required
Required requests/results of current background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
10/19/2016
Violation
Paige Cullom did not complete safe sleep training within the required timeframe.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (4) (B) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratio in a group child care home or child care center, licensed prior to the effective date of this rule, shall complete safe sleep training described in section (4) of this rule within three (3) months of the effective date of this rule.
Correction Required
Safe sleep training shall be completed as required.

Correction Verification
Submit Documentation

Compliance Date
10/20/2016
19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report was not on file for Emily Price and Parker Oblinger as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
10/19/2016
Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Carolyn Harrison and Parker Oblinger.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (B) states: Medical examination reports shall include a “Risk Assessment for Tuberculosis” form, included herein, completed and signed by a health care professional, as provided by the Missouri Department of Health and Senior Services (MDHSS). If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
TB reports shall be on file as required

Correction Verification
Submit Documentation

Compliance Date
10/19/2016
19 CSR 30-62.132 Admission Policies and Procedures
Compliance
19 CSR 30-62.142 Nighttime Care
Compliance
19 CSR 30-62.152 Hourly Care Facilities
Compliance
19 CSR 30-62.162 Overlap Care of Children
Compliance
19 CSR 30-62.172 Emergency School Closings
Compliance
19 CSR 30-62.182 Child Care Program
Compliance
19 CSR 30-62.192 Health Care
Compliance
19 CSR 30-62.202 Nutrition and Food Service
Compliance
19 CSR 30-62.212 Transportation and Field Trips
Compliance
19 CSR 30-62.222 Records and Reports
Compliance
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance