DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

DOUGLASS COMMUNITY SERVICES, INCORPORATED

000672599

(573) 221-1540

661 CLINIC RD
HANNIBAL
MO  63401-3607

DOUGLASS COMMUNITY SERVICES, INCORPORATED

661 CLINIC RD
HANNIBAL
MO  63401-3607

CAPP, ANNA LEE

EHSCLINIC@DOUGLASSONLINE.ORG

Incorporated

BETHANY C DUCKWORTH

6 WEEKS - 35 MONTHS

16

GROUP HOME AND CENTER

 
Inspection Information

10/07/2022

10:10 AM

11:25 AM

UNANNOUNCED

COMPLIANCE MONITORING

2432309926


DocumentDocument-Date
ARTICLES OF INCORPORATION 06/02/2016
DIAGRAM/INDOOR 09/10/2002
DIAGRAM/OUTDOOR 09/10/2002
SAFE SLEEP POLICY 12/11/2015
LINES OF ADMINISTRATIVE AUTHORITY 04/27/2009
JOB RESPONSIBILITIES 06/15/2005
CHILD CARE PRACTICES 06/15/2005
POLICIES 06/15/2005
SAMPLE WEEKLY MENU 08/28/2001
SAMPLE FORMS 08/28/2001
DAILY SCHEDULE 08/28/2001
OWNER/PROVIDER REFERENCES 07/05/2001
DISCIPLINE POLICIES 03/03/2010
LLC ARTICLES OF ORGANIZATION 05/24/1993
DISASTER AND EMERGENCY PREPAREDNESS PLAN 08/06/2019
LOCAL ZONING APPROVAL 08/28/2008
DIRECTOR'S QUALIFICATIONS 01/30/2020
APPLICATION 08/25/2020
STAFF SHEET 08/27/2020
EQUIPMENT LIST 08/29/2022
ANNUAL DECLARATION 08/29/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 08/29/2022
FIRE/SAFETY INSPECTION 10/20/2021
CERTIFICATE OF GOOD STANDING 10/21/2021
SANITATION INSPECTION 06/01/2022




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 2
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 7
Total Children 12
StaffChildClass AgeNote
3 7 MIXED Staff: S.S., J.C., and M.B. Age range 11 months through 2 years. Three 2 year old children. Four children under 24 months.
2 5 MIXED Staff: A.K. and S.V. Age range 11 months through 2 years. Two 2 year old children. Three children under 24 months.
2 0 NO CHILDREN IN ATTENDANCE Staff: A.C. and K.C. Not counted in c/s 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
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for S.V. within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Corrected on Site

Compliance Date
10/7/2022
Violation
The annual fire safety inspection was not approved.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
Correction Required
The facility shall submit evidence of compliance with annual fire safety requirements.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located along the wall (the caregiver is facing the wall while changing a diaper) in Classroom B and the diaper changing table is in the bathroom in Classroom A where complete vision of all children is not visible if there is only one caregiver and that caregiver is changing a diaper.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times.
Correction Required
The facility shall provide a safe and clean diapering table as required.

Correction Verification
Submit Documentation

Compliance Date

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 25-500.162 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