DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

DOUGLASS COMMUNITY SERVICES, INCORPORATED

000672599

(573) 221-1540

661 CLINIC RD
HANNIBAL
MO  63401

DOUGLASS COMMUNITY SERVICES INCORPORATED

661 CLINIC RD
HANNIBAL
MO  63401-3607

COMBS, CINDY

EHSCLINIC@DOUGLASSONLINE.ORG

Incorporated

BETHANY C DUCKWORTH

6 WEEKS - 36 MONTHS

16

GROUP HOME AND CENTER

LICENSED FOR 6 WEEKS THROUGH 35 MONTHS
 
Inspection Information

02/25/2019

9:45 AM

10:44 AM

UNANNOUNCED

COMPLIANCE MONITORING

2351068671


DocumentDocument-Date
APPLICATION 06/07/2018
ARTICLES OF INCORPORATION 06/02/2016
EQUIPMENT LIST 06/07/2018
STAFF SHEET 08/30/2018
FIRE/SAFETY INSPECTION 07/02/2018
SANITATION INSPECTION 06/13/2018
CERTIFICATE OF GOOD STANDING 06/07/2018




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 5
Total Children 12
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS Staff: Ola Gail Wilson and Melinda Totten 1 volunteer (LaVera Foster)
3 5 INFANTS AND TODDLERS Staff: Anna Capp, Sharea Salmon, and Christina Anderson

 
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
Violation
 Provider Comments
Violation
The requirements for nonprescription medications were not met as evidenced by a medication was not labeled by the parent with the child's name.
Licensing Rule Reference
19 CSR 30-62.192 Health Care (3) (D) states: All nonprescription medication shall be in the original container and labeled by the parent(s) with the child's name, and instructions for administration, including the times and amounts for dosages.
Correction Required
Medications shall be stored and labeled as required.

Correction Verification
Corrected on Site

Compliance Date
2/25/2019
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
RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules.
Compliance