MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES

SECTION FOR CHILD CARE REGULATION

GROUP HOME AND CENTER INSPECTION REPORT

Back

Facility Information

Facility Name
DOUGLASS COMMUNITY SERVICES INCORPORATED

Facility DVN
000708596

Phone
(573) 754-5471

Physical Address
130 MEMORIAL DR
LOUISIANA
MO 63353

Owner
DOUGLASS COMMUNITY SERVICES INCORPORATED

Mailing Address
711 GRAND AVE PO BOX 311
HANNIBAL
MO 63401

Provider/Director
WEIS, JONI LYNN

Board President/Chairperson
MCBRIDE, SETH

E-mail Address
DAN1@DOUGLASSONLINE.ORG

Incorporated
Incorporated

Board President/Chairperson Address

Child Care Specialist
JOY LYNN NICHOLS

Age Range
6 WEEKS - 5 YEARS

Capacity
55

Facility Type
GROUP HOME AND CENTER

Limitations
8 CHILDREN UNDER 12 MONTHS; 20 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
11/02/2018

Arrival Time
11:00 AM

Departure Time
11:55 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2343615571

Document	Document-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
CERTIFICATE OF GOOD STANDING	03/10/2015
DIAGRAM/INDOOR	09/03/2015
DIAGRAM/OUTDOOR	09/08/2015
APPLICATION	03/14/2017
EQUIPMENT LIST	03/14/2017
STAFF SHEET	03/14/2017
FIRE/SAFETY INSPECTION	04/06/2018
SANITATION INSPECTION	02/06/2018

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 10

Total Children 44

Staff	Child	Class Age	Note
2	5	MIXED	3 children under age two; 2 children age two; Miranda Dixon and Amanda Ibbeson
2	7	MIXED	3 children under age two; 4 children age two; Jennifer Rue and Robyn Adams
3	16	PRESCHOOL	Carolyn Harrison, Amanda Elliott, and Amber Elliott
3	16	PRESCHOOL	Kayla Young, Emily Price, and Lakin Shealor


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