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
000708630

Phone
(660) 385-5318

Physical Address
1307 MAFFRY AVE
MACON
MO 63552

Owner
DOUGLASS COMMUNITY SERVICES INCORPORATED

Mailing Address
1307 MAFFRY AVE
MACON
MO 63552-1989

Provider/Director
KIRKS, DANA B

E-mail Address
maconcm@douglassonline.org

Incorporated
Incorporated

Child Care Specialist
SUSAN MARIE DOUGLAS

Age Range
36 MONTHS - 5 YEARS

Capacity
60

Facility Type
GROUP HOME AND CENTER

Limitations
60 FULL DAY PRESCHOOL CHILDREN

Inspection Information

Date
10/23/2018

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2342488593

Document	Document-Date
DISASTER AND EMERGENCY PREPAREDNESS PLAN	10/03/2018
FIRE/SAFETY INSPECTION	03/26/2018
APPLICATION	03/14/2017
STAFF SHEET	03/14/2017
EQUIPMENT LIST	03/14/2017
SANITATION INSPECTION	02/08/2018
SAMPLE WEEKLY MENU	08/30/1995
SAMPLE FORMS	07/24/2007
POLICIES	07/14/2009
LOCAL ZONING APPROVAL	09/14/1995
ARTICLES OF INCORPORATION	08/30/1995
LINES OF ADMINISTRATIVE AUTHORITY	01/24/2005
JOB RESPONSIBILITIES	09/27/1995
DISCIPLINE POLICIES	07/14/2009
DIRECTOR'S QUALIFICATIONS	02/23/2005
DIAGRAM/OUTDOOR	04/23/2001
DIAGRAM/INDOOR	01/07/2011
DAILY SCHEDULE	07/24/2007
CHILD CARE PRACTICES	12/12/1995
CERTIFICATE OF GOOD STANDING	02/09/2015

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.