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  63552-1989

DOUGLASS COMMUNITY SERVICES, INCORPORATED



 

REYNOLDS, ELIZABETH ANN

maconcm@douglassonline.org

Incorporated

SUSAN MARIE DOUGLAS

36 MONTHS - 5 YEARS

60

GROUP HOME AND CENTER

 
Inspection Information

11/12/2021

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2412370627


DocumentDocument-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.

 
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
5 CSR 25-500.087 Fire Safety
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials
Compliance
5 CSR 25-500.102 Personnel
Compliance
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 9-7-2021.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
11/12/2021
5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.142 Nighttime Care
Compliance
5 CSR 25-500.152 Hourly Care Facilities
Compliance
5 CSR 25-500.162 Overlap Care of Children
Compliance
5 CSR 25-500.172 Emergency School Closings
Compliance
5 CSR 25-500.182 Child Care Program
Compliance
5 CSR 25-500.192 Health Care
Compliance
5 CSR 25-500.202 Nutrition and Food Service
Compliance
5 CSR 25-500.212 Transportation and Field Trips
Compliance
5 CSR 25-500.222 Records and Reports
Compliance
5 CSR 25-600.020 General Requirements
Compliance
5 CSR 25-600.040 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