DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

DOUGLASS COMMUNITY SERVICES, INCORPORATED

000708630

(660) 385-5318

1307 MAFFRY AVE
MACON
MO  63552

DOUGLASS COMMUNITY SERVICES, INCORPORATED

1307 MAFFRY AVE
MACON
MO  63552-1989

STUFFLEBEAN, ELIZABETH ANN

maconcm@douglassonline.org

Incorporated

CHRISTINA BRUCE

36 MONTHS - 5 YEARS

60

GROUP HOME AND CENTER

60 FULL DAY PRESCHOOL CHILDREN
 
Inspection Information

12/01/2020

9:50 AM

12:21 PM

UNANNOUNCED

COMPLIANCE MONITORING

2389180243


DocumentDocument-Date
SAMPLE WEEKLY MENU 08/30/1995
SAMPLE FORMS 07/24/2007
POLICIES 07/14/2009
LOCAL ZONING APPROVAL 09/14/1995
ARTICLES OF INCORPORATION 08/30/1995
LINES OF ADMINISTRATIVE AUTHORITY 01/24/2005
DISCIPLINE POLICIES 07/14/2009
DIRECTOR'S QUALIFICATIONS 02/23/2005
DAILY SCHEDULE 07/24/2007
CHILD CARE PRACTICES 12/12/1995
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/03/2018
SANITATION INSPECTION 01/29/2019
JOB RESPONSIBILITIES 04/08/2019
CERTIFICATE OF GOOD STANDING 02/11/2019
APPLICATION 02/11/2019
STAFF SHEET 04/08/2019
EQUIPMENT LIST 04/08/2019
FIRE/SAFETY INSPECTION 03/02/2020
LOCAL FIRE DEPARTMENT NOTIFICATION 04/08/2019
DIAGRAM/OUTDOOR 10/05/2018
DIAGRAM/INDOOR 10/05/2018




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 11
Total Children 30
StaffChildClass AgeNote
5 0 NO CHILDREN IN ATTENDANCE Krystle Graham, Natisha Jett, Mary Kohrs, Dena Moyer, and Jamie Niemeier
3 18 PRESCHOOL Amelia Albright, Jennifer Dawson, Ellen Jones were present with 18 children ages 3 to 5
3 12 PRESCHOOL Becky Kirchner , Michelle Hughes and Kayla Palmer were present with 12 children ages 3 to 5

 
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
Violation
 Provider Comments
Violation
The facility has not met the requirements for state or local sanitation as evidenced by sanitation inspection has not been conducted.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee and requirements for state or local zoning, building and sanitation.
Correction Required
The facility shall comply with fire and safety/zoning/sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
A facility orientation was not documented and available for review for all caregivers. The following staff need documentation of a facility orientation: Elizabeth Stufflebean and , Michelle Hughes.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (J) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering and before being left alone with children that caregivers receive a facility orientation. The child care provider shall ensure that documentation verifying completion of the facility orientation is maintained and on file for review by the department for each caregiver. The facility orientation shall include:
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days and documentation verifying completion is maintained and on file for review by the department for each caregiver.

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): Ellen Jones .
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (M) states: Child care staff members shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Michelle Hughes.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include a “Risk Assessment for Tuberculosis” form, included herein, completed and signed by a health care professional, as provided by the Missouri Department of Health and Senior Services (MDHSS). If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
TB reports shall be on file as required

Correction Verification
Submit Documentation

Compliance Date

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