DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

DOUGLASS COMMUNITY SERVICES INCORPORATED

000708596

(573) 754-5471

130 MEMORIAL DR
LOUISIANA
MO  63353

DOUGLASS COMMUNITY SERVICES INCORPORATED

711 GRAND AVE PO BOX 311
HANNIBAL
MO  63401

WEIS, JONI LYNN

louhs1@douglassonline.org

Incorporated

JOY LYNN NICHOLS

6 WEEKS - 5 YEARS

55

GROUP HOME AND CENTER

8 CHILDREN UNDER 12 MONTHS; 20 CHILDREN UNDER 24 MONTHS
 
Inspection Information

10/21/2019

1:00 PM

2:44 PM

UNANNOUNCED

COMPLIANCE MONITORING

2367243274


DocumentDocument-Date
STAFF SHEET 04/05/2019
SANITATION INSPECTION 03/15/2019
EQUIPMENT LIST 02/11/2019
APPLICATION 02/11/2019
FIRE/SAFETY INSPECTION 04/18/2019
POLICIES 03/03/2010
LOCAL ZONING APPROVAL 04/30/2009
LOCAL BUILDING APPROVAL 04/30/2009
SAMPLE FORMS 07/20/2005
LINES OF ADMINISTRATIVE AUTHORITY 06/25/2007
JOB RESPONSIBILITIES 07/20/2005
SAMPLE WEEKLY MENU 04/22/2009
DISCIPLINE POLICIES 03/03/2010
DIRECTOR'S QUALIFICATIONS 04/23/2009
DAILY SCHEDULE 03/15/2010
CHILD CARE PRACTICES 03/03/2010
CERTIFICATE OF GOOD STANDING 03/10/2015
DIAGRAM/INDOOR 09/03/2015
DIAGRAM/OUTDOOR 09/08/2015




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 1
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 11
Total Children 35
StaffChildClass AgeNote
3 6 MIXED 3 children under age two; 3 children age two; Jennifer Rue, Willa Jean Lewis, and Robyn Adams
3 13 PRESCHOOL Carolyn Harrison, Jenascia Mayfield, and Amanda Elliott
3 10 PRESCHOOL Emily Price, Kayla Young, and Christina Meza
2 6 TWO YEAR OLDS Miranda Blair and Toni 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
Violation
 Provider Comments
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by one child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 8. F. states: They have been notified that they may request notice at initial enrollment in or attendance at the facility or upon request of whether there are children for whom an immunization exemption has been filed currently enrolled in or attending the facility
Correction Required
Child enrollment information shall be completed and on file as requested.

Correction Verification
Submit Documentation

Compliance Date

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
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance