DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

DOUGLASS COMMUNITY SERVICES, INCORPORATED

001584914

(573) 324-0167

1903 W LOCUST ST
BOWLING GREEN
MO  63334-1027

DOUGLASS COMMUNITY SERVICES, INCORPORATED

711 GRAND AVE
HANNIBAL
MO  63401-3179

ANDERSON, CHRISTINA MARIE

bgcm@douglassonline.org

Incorporated

SUSAN MARIE DOUGLAS

BIRTH - 5 YEARS

56

GROUP HOME AND CENTER

16 CHILDREN IN THE INFANT/TODDLER UNIT
 
Inspection Information

05/26/2022

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2424381620


DocumentDocument-Date
LOCAL ZONING APPROVAL 01/14/2001
LOCAL BUILDING APPROVAL 01/14/2001
SAMPLE FORMS 03/22/2005
LINES OF ADMINISTRATIVE AUTHORITY 04/18/2007
ARTICLES OF INCORPORATION 04/02/2008
SAMPLE WEEKLY MENU 04/24/2001
JOB RESPONSIBILITIES 03/26/2007
DISCIPLINE POLICIES 03/17/2009
DIRECTOR'S QUALIFICATIONS 10/28/2008
DIAGRAM/OUTDOOR 09/22/2005
DIAGRAM/INDOOR 08/21/2008
DAILY SCHEDULE 03/21/2007
CHILD CARE PRACTICES 03/17/2009
CERTIFICATE OF GOOD STANDING 04/01/2022
STAFF SHEET 03/13/2019
APPLICATION 02/11/2019
ANNUAL DECLARATION 04/12/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/01/2022
EQUIPMENT LIST 04/01/2022
FIRE/SAFETY INSPECTION 02/15/2022
SANITATION INSPECTION 05/24/2022
POLICIES 03/17/2009
DISASTER AND EMERGENCY PREPAREDNESS PLAN 05/17/2022
SAFE SLEEP POLICY 05/17/2022




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.

 
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Violation
 Provider Comments
Violation
The annual sanitation inspection was not conducted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements.
Correction Required
The facility shall submit evidence of compliance with annual sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date
5/24/2022
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
5/18/2022
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