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
000708596

Phone
(573) 754-5471

Physical Address
130 MEMORIAL DR
LOUISIANA
MO 63353

Owner
DOUGLASS COMMUNITY SERVICES, INCORPORATED

Mailing Address
711 GRAND AVE PO BOX 311
HANNIBAL
MO 63401

Provider/Director
WEIS, JONI LYNN

E-mail Address
louhs1@douglassonline.org

Incorporated
Incorporated

Child Care Specialist
JOY LYNN NICHOLS

Age Range
6 WEEKS - 5 YEARS

Capacity
55

Facility Type
GROUP HOME AND CENTER

Limitations
8 CHILDREN UNDER 12 MONTHS; 20 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
01/14/2021

Arrival Time
10:45 AM

Departure Time
11:50 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2391489990

Document	Document-Date
STAFF SHEET	04/05/2019
EQUIPMENT LIST	02/11/2019
APPLICATION	02/11/2019
FIRE/SAFETY INSPECTION	03/26/2020
SANITATION INSPECTION	01/28/2020
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: 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 8

Total Children 27

Staff	Child	Class Age	Note
2	7	INFANTS AND TODDLERS	children ages 9 months to two years; Robyn Adams and Jennifer Rue
1	3	INFANTS AND TODDLERS	children ages 6 months to two years; Lakin Shealor
1	0	NO CHILDREN IN ATTENDANCE	Joni Weis, facility director
2	9	PRESCHOOL	children ages three to five; Kayla Young and Chris Meza
2	8	PRESCHOOL	children ages three to five; Amanda Elliott and Jenascia Mayfield


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