DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

DOUGLASS COMMUNITY SERVICES, INCORPORATED

002558647

(660) 395-1455

406 BLEES INDUSTRIAL DR
MACON
MO  63552-4451

DOUGLASS COMMUNITY SERVICES INCORPORATED

711 GRAND AVE
HANNIBAL
MO  63401

KEUNE, KIMBERLY DENISE

maconccpcm@douglassonline.org

Incorporated

SUSAN MARIE DOUGLAS

6 WEEKS - 36 MONTHS

16

GROUP HOME AND CENTER

 
Inspection Information

11/12/2019

8:35 AM

10:25 AM

ANNOUNCED

RENEWAL

2368835220


DocumentDocument-Date
APPLICATION 10/15/2019
EQUIPMENT LIST 10/15/2019
DIAGRAM/INDOOR 01/18/2016
DISCIPLINE POLICIES 11/12/2019
POLICIES 11/12/2019
STAFF SHEET 10/28/2019
SAMPLE WEEKLY MENU 01/08/2016
SAMPLE FORMS 01/08/2016
CHILD CARE PRACTICES 11/12/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 01/08/2016
CERTIFICATE OF GOOD STANDING 10/15/2019
ARTICLES OF INCORPORATION 09/15/2017
DAILY SCHEDULE 01/08/2016
SANITATION INSPECTION 09/10/2018
FIRE/SAFETY INSPECTION 11/05/2019
DIAGRAM/OUTDOOR 07/11/2018
DIRECTOR'S QUALIFICATIONS 12/21/2018
JOB RESPONSIBILITIES 06/18/2018
SAFE SLEEP POLICY 05/06/2019
LINES OF ADMINISTRATIVE AUTHORITY 05/06/2019
LOCAL ZONING APPROVAL 10/28/2019




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 4
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 4
Total Children 11
StaffChildClass AgeNote
2 5 INFANTS AND TODDLERS Alice Haddock Rachel Butner ages 2
2 6 INFANTS AND TODDLERS Kim Walker Linda Newland Ages 4 months to 2 years

 
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

Violation
The Family Care Safety Registry check was not conducted for Seth Mc Bride, Stephanie Stilley, and Lori Harrington within 60 days prior to the expiration of the license.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (2) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within sixty (60) days prior to the expiration of the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all staff member(s) within sixty (60) days prior to the expiration of the license.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet requirements for a criminal background check. Results were not on file for the following staff member(s): Stephanie Stilley, and Lori Harrington.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (4) states: Child care staff members shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements, prior to renewal of the license.
Correction Required
Required results of criminal background checks shall be on file.

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
Violation
 Provider Comments
Violation
Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill was not held at least one time every three months.
Licensing Rule Reference
19 CSR 30-62.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Submit Documentation

Compliance Date

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