DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

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

LOUSL@DOUGLASSONLINE.ORG

Incorporated

CHRISTINA BRUCE

6 WEEKS - 5 YEARS

55

GROUP HOME AND CENTER

16 CHILDREN UNDER 24 MONTHS
 
Inspection Information

04/21/2017

10:05 AM

11:59 AM

ANNOUNCED

RENEWAL

2303694230


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 03/14/2017
CERTIFICATE OF GOOD STANDING 03/10/2015
EQUIPMENT LIST 03/14/2017
STAFF SHEET 03/14/2017
DIAGRAM/INDOOR 09/03/2015
DIAGRAM/OUTDOOR 09/08/2015
FIRE/SAFETY INSPECTION 04/10/2017
SANITATION INSPECTION 03/03/2017




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 2
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 8
Total Children 33
StaffChildClass AgeNote
3 8 INFANTS AND TODDLERS Parker, Miranda, and Amanda I are the caregivers.
2 7 INFANTS AND TODDLERS Robin and Jessica are the caregivers.
3 18 PRESCHOOL Emily, Jean, and Amanda are the caregivers.

 
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
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 Reviews were missing/out of date for the following owner(s), board president or chairperson, center director or group day care home provider, person(s) employed or volunteer(s) counted in staff/child ratio: 6 staff, except Miranda Dixson, FCSR results were dated in February of 2017 and the application for renewal was received 3/14/17.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (3) states: After the child care provider applies for renewal of the license, the provider shall request the results of a criminal record review from the Missouri State Highway Patrol for the child care provider, the owner(s), board president or chairperson, the center director or group day care home provider, all persons employed by the child care provider, and all volunteers counted in staff/child ratios. 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
Corrected on Site

Compliance Date
4/21/2017
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
Compliance
19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 8/30/16.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by 1 immunization record(s) was/were not on file .
Licensing Rule Reference
19 CSR 30-62.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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