DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

DOUGLASS COMMUNITY SERVICES INCORPORATED

000659630

(660) 263-7421

707 SINNOCK
MOBERLY
MO  65270

DOUGLASS COMMUNITY SERVICES INCORPORATED

711 GRAND AVE DCS HEAD START
HANNIBAL
MO  63401

BOSS, SUSAN

moberlycm@douglassonline.org

Incorporated

ELLEN DONOHO

36 MONTHS - 5 YEARS

60

GROUP HOME AND CENTER

 
Inspection Information

04/17/2019

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2355798214


DocumentDocument-Date
POLICIES 04/02/2008
LINES OF ADMINISTRATIVE AUTHORITY 10/06/2004
DISCIPLINE POLICIES 04/18/2008
JOB RESPONSIBILITIES 10/06/2004
DIRECTOR'S QUALIFICATIONS 10/06/2004
ARTICLES OF INCORPORATION 10/06/2004
CHILD CARE PRACTICES 04/18/2008
DAILY SCHEDULE 10/06/2004
DIAGRAM/OUTDOOR 10/06/2004
DIAGRAM/INDOOR 10/06/2004
LOCAL ZONING APPROVAL 10/06/2004
LOCAL BUILDING APPROVAL 10/06/2004
CERTIFICATE OF GOOD STANDING 02/22/2016
APPLICATION 02/20/2018
EQUIPMENT LIST 02/28/2018
STAFF SHEET 04/12/2018
SANITATION INSPECTION 03/11/2019
FIRE/SAFETY INSPECTION 07/05/2018




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.

 
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
Violation
 Provider Comments
Violation
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
Correction Required
An individualized plan from a professional source shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
4/17/2019
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
19 CSR 30-63.040 Background Screening Findings
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