DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

DOUGLASS COMMUNITY SERVICES, INCORPORATED

001707228

(573) 231-0754

2181 JOHNSON ST
HANNIBAL
MO  63401

DOUGLASS COMMUNITY SERVICES INCORPORATED

711 GRAND AVE DCS HEAD START
HANNIBAL
MO  63401

THOMAS, LISA MARIE

MCBRIDE, SETH

HANNIBALCM@DOUGLASSONLINE.ORG

Incorporated


BETHANY C DUCKWORTH

24 MONTHS - 5 YEARS

108

GROUP HOME AND CENTER

NO CHILDREN UNDER AGE TWO.
 
Inspection Information

02/25/2019

10:59 AM

1:00 PM

UNANNOUNCED

COMPLIANCE MONITORING

2351068676


DocumentDocument-Date
DIAGRAM/OUTDOOR 10/07/2002
DIAGRAM/INDOOR 10/07/2002
POLICIES 08/24/2006
EQUIPMENT LIST 05/17/2017
DAILY SCHEDULE 06/15/2015
ARTICLES OF INCORPORATION 06/15/2015
STAFF SHEET 06/15/2015
APPLICATION 05/17/2017
FIRE/SAFETY INSPECTION 12/11/2018
SANITATION INSPECTION 10/23/2018
DISCIPLINE POLICIES 08/24/2006
CHILD CARE PRACTICES 08/24/2006
JOB RESPONSIBILITIES 08/24/2006
LINES OF ADMINISTRATIVE AUTHORITY 08/26/2009
DISASTER AND EMERGENCY PREPAREDNESS PLAN 02/24/2012
CERTIFICATE OF GOOD STANDING 05/10/2017




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 3
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 12
Total Children 80
StaffChildClass AgeNote
2 12 PRESCHOOL Staff: Kate Schell and Adrian Searson Class B
2 14 PRESCHOOL Staff: Lexie Johnson and Carly Duncan Class C
2 15 PRESCHOOL Staff: Melinda Troxell and Marley Richardson Class D
2 16 PRESCHOOL Staff: Carrie Wolfmeyer and Stephanie Farr Class E
2 15 PRESCHOOL Staff: Michelle Gallaher and Dondi Lyng Class A
2 8 TWO YEAR OLDS Staff: Meranda Hartwig and Rebecca Harrison

 
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
Violation
 Provider Comments
Violation
Medical examination report was not on file for Keith Kerns as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Keith Kerns.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (B) states: Medical examination reports shall include a “Risk Assessment for Tuberculosis” form, included herein, completed and signed by a health care professional, as provided by the Missouri Department of Health and Senior Services (MDHSS). If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
TB reports shall be 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
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
RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules.
Violation
 Provider Comments
Violation
The provider did not meet requirements for requests/results of a criminal background check. A child care staff member(s), Tami Brown, was/were employed/present prior to the provider requesting the results of a criminal background check.
Licensing Rule Reference
RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules. 2. (1) states: Prior to the employment or presence of a child care staff member in a family child care home, group child care home, child care center, or license-exempt child care facility, the child care provider shall request the results of a criminal background check for such child care staff member from the department of health and senior services.
Correction Required
Required requests/results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date