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 INCORPORATED

Facility DVN
001584914

Phone
(573) 324-0167

Physical Address
1903 W LOCUST ST
BOWLING GREEN
MO 63334-1027

Owner
DOUGLAS COMMUNITY SERVICES INCORPORATED

Mailing Address
711 GRAND AVE DCS HEAD START
HANNIBAL
MO 63401

Provider/Director
FRANKLIN, SHANA LYNN

E-mail Address
BGHEADST@SBCGLOBAL.NET

Incorporated
Incorporated

Child Care Specialist
JOY LYNN NICHOLS

Age Range
BIRTH - 5 YEARS

Capacity
56

Facility Type
GROUP HOME AND CENTER

Limitations
16 CHILDREN IN THE INFANT/TODDLER UNIT; 20 FULL DAY PRESCHOOL CHILDREN

Inspection Information

Date
09/18/2017

Arrival Time
12:15 PM

Departure Time
1:31 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2313470147

Document	Document-Date
LOCAL ZONING APPROVAL	01/14/2001
LOCAL BUILDING APPROVAL	01/14/2001
SAMPLE FORMS	03/22/2005
LINES OF ADMINISTRATIVE AUTHORITY	04/18/2007
ARTICLES OF INCORPORATION	04/02/2008
SAMPLE WEEKLY MENU	04/24/2001
JOB RESPONSIBILITIES	03/26/2007
DISCIPLINE POLICIES	03/17/2009
DIRECTOR'S QUALIFICATIONS	10/28/2008
DIAGRAM/OUTDOOR	09/22/2005
DIAGRAM/INDOOR	08/21/2008
DAILY SCHEDULE	03/21/2007
CHILD CARE PRACTICES	03/17/2009
APPLICATION	01/17/2017
STAFF SHEET	01/17/2017
CERTIFICATE OF GOOD STANDING	01/12/2015
EQUIPMENT LIST	01/17/2017
SANITATION INSPECTION	01/06/2017
FIRE/SAFETY INSPECTION	01/11/2017

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 7

Total Children 25

Staff	Child	Class Age	Note
2	6	INFANTS AND TODDLERS	Jessica Frye and Carrie Wyatt (Susan Blair, aide, also present)
2	7	INFANTS AND TODDLERS	Kelly Morrissey and Shari Bell (Maria Hurd, aide, and Emily Laycook, aide, also present)
3	12	PRESCHOOL	Jessie Dwyer, Molly Chandler, and Grace Billings


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 Compliance
19 CSR 30-62.112 Staff/Child Ratios Compliance
19 CSR 30-62.122 Medical Examination Reports Compliance
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