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
001707228

Phone
(573) 231-0754

Physical Address
2181 JOHNSON ST
HANNIBAL
MO 63401-5843

Owner
DOUGLASS COMMUNITY SERVICES, INCORPORATED

Mailing Address
711 GRAND AVE DCS HEAD START
HANNIBAL
MO 63401-3179

Provider/Director
THOMAS, LISA MARIE

E-mail Address
HANNIBALCM@DOUGLASSONLINE.ORG

Incorporated
Incorporated

Child Care Specialist
BETHANY C DUCKWORTH

Age Range
24 MONTHS - 5 YEARS

Capacity
108

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
04/11/2022

Arrival Time
10:53 AM

Departure Time
12:03 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2421420866

Document	Document-Date
DAILY SCHEDULE	06/15/2015
ARTICLES OF INCORPORATION	06/15/2015
DISASTER AND EMERGENCY PREPAREDNESS PLAN	02/24/2012
LINES OF ADMINISTRATIVE AUTHORITY	08/26/2009
JOB RESPONSIBILITIES	08/24/2006
CHILD CARE PRACTICES	08/24/2006
DISCIPLINE POLICIES	08/24/2006
POLICIES	08/24/2006
DIAGRAM/INDOOR	10/07/2002
DIAGRAM/OUTDOOR	10/07/2002
APPLICATION	05/30/2019
EQUIPMENT LIST	08/31/2021
FIRE/SAFETY INSPECTION	10/20/2021
CERTIFICATE OF GOOD STANDING	05/30/2019
SANITATION INSPECTION	06/01/2021
STAFF SHEET	08/29/2019
DIRECTOR'S QUALIFICATIONS	09/15/2008
LOCAL ZONING APPROVAL	09/19/2002
SAMPLE WEEKLY MENU	09/10/2002
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	08/31/2021
ANNUAL DECLARATION	08/31/2021

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 18

Total Children 58

Staff	Child	Class Age	Note
4	14	MIXED	Staff: Dondi Lyng, Carly Dungan, and Melissa Sims. Also volunteer Shirley Black. Age range 3 years to 5 years.
1	3	MIXED	Staff: Stephanie Vaughn. Age range 4 years through 5 years.
2	11	MIXED	Staff: Caitlyn Reynolds and Keith Kerns. Age range 4 through 5 years.
2	15	MIXED	Staff: Marley Tate and Nancy Franklin. Age range 3 years through 5 years.
3	11	MIXED	Staff: Pam Lankford, Agnes Jane Kidd, and Carrie Wolfemeyer. Age range 3 years through 5 years.
4	0	NO CHILDREN IN ATTENDANCE	Staff: Lisa Thomas, Brittney Watts, Lori Grimes, and Chery Watts (cook)
2	4	TWO YEAR OLDS	Staff: Chelsea Wilkerson and Lexi Johnson. All children 2 years old.