MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
DOUGLASS COMMUNITY SERVICES, INCORPORATED

Facility DVN
000672599

Phone
(573) 221-1540

Physical Address
661 CLINIC RD
HANNIBAL
MO 63401

Owner
DOUGLASS COMMUNITY SERVICES INCORPORATED

Mailing Address
661 CLINIC RD
HANNIBAL
MO 63401-3607

Provider/Director
COMBS, CINDY

E-mail Address
EHSCLINIC@DOUGLASSONLINE.ORG

Incorporated
Incorporated

Child Care Specialist
BETHANY C DUCKWORTH

Age Range
6 WEEKS - 36 MONTHS

Capacity
16

Facility Type
GROUP HOME AND CENTER

Limitations
LICENSED FOR 6 WEEKS THROUGH 35 MONTHS

Inspection Information

Date
09/03/2019

Arrival Time
10:15 AM

Departure Time
10:55 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2363112808

Document	Document-Date
ARTICLES OF INCORPORATION	06/02/2016
FIRE/SAFETY INSPECTION	06/24/2019
SANITATION INSPECTION	06/03/2019
APPLICATION	06/07/2018
EQUIPMENT LIST	06/07/2018
CERTIFICATE OF GOOD STANDING	06/07/2018
STAFF SHEET	08/30/2018

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 16

Staff	Child	Class Age	Note
3	8	INFANTS AND TODDLERS	Staff: Mary Brown, Ola Gail Wilson, and Melinda Totten Three 2 year olds. Class A
2	8	INFANTS AND TODDLERS	Staff: Christina Anderson and Sharea Salmon No 2 year old children. Class B


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
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