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
000672866

Phone
(573) 985-3500

Physical Address
209 CARSTARPHEN PL
NEW LONDON
MO 63459-4530

Owner
DOUGLASS COMMUNITY SERVICES, INCORPORATED

Mailing Address
711 GRAND AVE
HANNIBAL
MO 63401-3179

Provider/Director
FREELS, JESSICA

E-mail Address
RALLSCM@DOUGLASSONLINE.ORG

Incorporated
Incorporated

Child Care Specialist
ELLEN DONOHO

Age Range
36 MONTHS - 5 YEARS

Capacity
20

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
11/04/2020

Arrival Time
11:00 AM

Departure Time
11:56 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2387341126

Document	Document-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	10/01/2020
LICENSING ORIENTATION	11/02/2020
DISASTER AND EMERGENCY PREPAREDNESS PLAN	10/21/2019
ARTICLES OF INCORPORATION	05/23/2019
SANITATION INSPECTION	08/25/2020
APPLICATION	06/18/2020
STAFF SHEET	07/09/2020
FIRE/SAFETY INSPECTION	09/24/2020
EQUIPMENT LIST	09/09/2020
CERTIFICATE OF GOOD STANDING	03/17/2020
DIAGRAM/OUTDOOR	07/09/2005
DIAGRAM/INDOOR	07/09/2005
CHILD CARE PRACTICES	11/15/2010
DAILY SCHEDULE	11/15/2010
SAMPLE WEEKLY MENU	11/08/2001
DIRECTOR'S QUALIFICATIONS	03/30/2005
DISCIPLINE POLICIES	03/30/2005
JOB RESPONSIBILITIES	04/01/2003
LLC ARTICLES OF ORGANIZATION	02/03/2003
LINES OF ADMINISTRATIVE AUTHORITY	02/03/2003
POLICIES	02/03/2003

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 3

Total Children 8

Staff	Child	Class Age	Note
3	8	PRESCHOOL	Jessica Freels, teacher Teya Johnson, Teacher Karen Edwards, teacher All children 3-5 years old


19 CSR 30-62.032 Organization and Administration Compliance
19 CSR 30-62.042 Initial Licensing Information Compliance
19 CSR 30-62.052 Annual Requirements 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 30-63.020 General Requirements Compliance
19 CSR 30-63.040 Background Screening Findings Compliance
RSMo 210.115. Reports of abuse, neglect, and under age eighteen deaths — persons required to report — supervisors and administrators not to impede reporting — deaths required to be reported to the division or child fatality review panel, when — report made to another state, when. — Compliance
RSMo 210.211. License required - exceptions - written notice of licensure status, when. Compliance