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
000708630

Phone
(660) 385-5318

Physical Address
1307 MAFFRY AVE
MACON
MO 63552-1989

Owner
DOUGLASS COMMUNITY SERVICES, INCORPORATED

Mailing Address

Provider/Director
STUFFLEBEAN, ELIZABETH ANN

E-mail Address
maconcm@douglassonline.org

Incorporated
Incorporated

Child Care Specialist
SUSAN MARIE DOUGLAS

Age Range
36 MONTHS - 5 YEARS

Capacity
60

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
05/24/2021

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2400633291

Document	Document-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/06/2021
ANNUAL DECLARATION	04/06/2021
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	09/23/2020
DAILY SCHEDULE	07/24/2007
CHILD CARE PRACTICES	12/12/1995
DISASTER AND EMERGENCY PREPAREDNESS PLAN	10/03/2018
SANITATION INSPECTION	02/23/2021
JOB RESPONSIBILITIES	04/08/2019
CERTIFICATE OF GOOD STANDING	03/31/2021
APPLICATION	02/11/2019
STAFF SHEET	04/08/2019
EQUIPMENT LIST	05/03/2021
FIRE/SAFETY INSPECTION	02/10/2021
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: 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.