DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

DOUGLASS COMMUNITY SERVICES INCORPORATED

001584914

(573) 324-0167

1903 W LOCUST ST
BOWLING GREEN
MO  63334-1027

DOUGLAS COMMUNITY SERVICES INCORPORATED

711 GRAND AVE DCS HEAD START
HANNIBAL
MO  63401

GOLLAHER, JAMIE LYNN

bgcm@douglassonline.org

Incorporated

JOY LYNN NICHOLS

BIRTH - 5 YEARS

56

GROUP HOME AND CENTER

16 CHILDREN IN THE INFANT/TODDLER UNIT; 40 FULL DAY PRESCHOOL CHILDREN
 
Inspection Information

03/13/2019

10:00 AM

11:49 AM

ANNOUNCED

RENEWAL

2352238699


DocumentDocument-Date
EQUIPMENT LIST 02/11/2019
APPLICATION 02/11/2019
FIRE/SAFETY INSPECTION 02/25/2019
STAFF SHEET 03/13/2019
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
CERTIFICATE OF GOOD STANDING 01/12/2015
SANITATION INSPECTION 02/06/2018




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 32
StaffChildClass AgeNote
3 8 MIXED 4 children under age two; 4 children age two; Samantha Wiss, Grace Billings, and Tani Calhoon
2 5 MIXED 4 children age two; 1 child age three; Willa Jean Lewis and Susan Blair
3 8 MIXED 4 children under age two, 4 children age two; Kelly Morrissey, Emily Goodin, and Maria Hurd
4 11 PRESCHOOL Kourtney McCoy, Jessica Dwyer, Mary Hopke, and Abigail Christensen

 
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
Violation
 Provider Comments
Violation
The sanitation inspection was not approved.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (1) (B) states: Evidence of compliance with local or state, or both, sanitation requirements;
Correction Required
The facility shall submit evidence of compliance with sanitation requirements for renewal.

Correction Verification
Submit Documentation

Compliance Date

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 did not include a completed Risk Assessment for Tuberculosis form for Tina Graver.
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 requesting a criminal background check. The provider did not request the results of a criminal background check for Seth McBride, board president prior to January 31, 2019.
Licensing Rule Reference
RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules. 2. (3) states: A family child care home, group child care home, child care center, or license-exempt child care facility that has child care staff members at the time this section becomes effective* shall request the results of a criminal background check for all child care staff members by January 31, 2019, unless the requirements of subsection 5 of this section are met by the child care provider and proof is submitted to the department of health and senior services by January 31, 2019.
Correction Required
Required requests of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date