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
000710501

Phone
(573) 769-2305

Physical Address
405 E OLIVE ST
PALMYRA
MO 63461-1732

Owner
DOUGLASS COMMUNITY SERVICES, INCORPORATED

Mailing Address
711 GRAND AVE
HANNIBAL
MO 63401-3179

Provider/Director
CATRON, SHEILA RAE

E-mail Address
palmyra@douglassonline.org

Incorporated
Incorporated

Child Care Specialist
BETHANY C DUCKWORTH

Age Range
36 MONTHS - 5 YEARS

Capacity
18

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
03/03/2022

Arrival Time
10:44 AM

Departure Time
11:34 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2419092748

Document	Document-Date
APPLICATION	02/11/2019
FIRE/SAFETY INSPECTION	01/04/2022
EQUIPMENT LIST	02/01/2022
STAFF SHEET	04/04/2019
DIAGRAM/INDOOR	09/19/2016
DIAGRAM/OUTDOOR	09/19/2016
CHILD CARE PRACTICES	03/22/2011
DISCIPLINE POLICIES	03/22/2011
POLICIES	03/22/2011
CERTIFICATE OF GOOD STANDING	02/01/2022
ARTICLES OF INCORPORATION	09/02/2008
JOB RESPONSIBILITIES	04/19/2007
DAILY SCHEDULE	01/24/2007
LINES OF ADMINISTRATIVE AUTHORITY	04/06/2005
LOCAL ZONING APPROVAL	09/05/1995
LOCAL BUILDING APPROVAL	09/08/1995
SAMPLE WEEKLY MENU	08/27/2007
DIRECTOR'S QUALIFICATIONS	04/24/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN	10/18/2019
SANITATION INSPECTION	11/01/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	02/01/2022
ANNUAL DECLARATION	02/01/2022

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 4

Total Children 7

Staff	Child	Class Age	Note
2	7	MIXED	Staff: Brittany Deters and Luchea Thomas. Age range 3 years through 5 years.
2	0	NO CHILDREN IN ATTENDANCE	Staff: Sheila Catron, Director and Vicki Riechert, cook. Not counted in child/staff ratio


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 Compliance
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