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
000672866

Phone
(573) 985-3500

Physical Address
209 CARSTARPHEN PL
NEW LONDON
MO 63459-4530

Owner
DOUGLASS COMMUNITY SERVICES, INCORPORATED

Mailing Address
711 GRAND AVE
HANNIBAL
MO 63401-3179

Provider/Director
FREELS, JESSICA

E-mail Address
RALLSCM@DOUGLASSONLINE.ORG

Incorporated
Incorporated

Child Care Specialist
SUSAN MARIE DOUGLAS

Age Range
36 MONTHS - 5 YEARS

Capacity
20

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
04/28/2022

Arrival Time
11:45 AM

Departure Time
12:35 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2422696626

Document	Document-Date
ANNUAL DECLARATION	09/16/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	09/16/2021
DISASTER AND EMERGENCY PREPAREDNESS PLAN	10/21/2019
LICENSING ORIENTATION	11/02/2020
ARTICLES OF INCORPORATION	05/23/2019
APPLICATION	06/18/2020
STAFF SHEET	07/09/2020
EQUIPMENT LIST	09/16/2021
CERTIFICATE OF GOOD STANDING	03/17/2020
SANITATION INSPECTION	07/29/2021
POLICIES	02/03/2003
LINES OF ADMINISTRATIVE AUTHORITY	02/03/2003
LLC ARTICLES OF ORGANIZATION	02/03/2003
JOB RESPONSIBILITIES	04/01/2003
DISCIPLINE POLICIES	03/30/2005
DIRECTOR'S QUALIFICATIONS	03/30/2005
SAMPLE WEEKLY MENU	11/08/2001
DAILY SCHEDULE	11/15/2010
CHILD CARE PRACTICES	11/15/2010
DIAGRAM/INDOOR	07/09/2005
DIAGRAM/OUTDOOR	07/09/2005
FIRE/SAFETY INSPECTION	07/29/2021

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 3

Total Children 13

Staff	Child	Class Age	Note
3	13	MIXED	Jessica Freels, director, Kathy Taylor, teacher, and Karen Edwards cook manager were present with 13 children ages 3 to 5. Peggy Uppinghouse, foster grandparent was present at the inspection. Ms. Uppinghouse is not counted into the 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