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
000708630

Phone
(660) 385-5318

Physical Address
1307 MAFFRY AVE
MACON
MO 63552-1989

Owner
DOUGLASS COMMUNITY SERVICES, INCORPORATED

Mailing Address

Provider/Director
REYNOLDS, ELIZABETH ANN

E-mail Address
maconcm@douglassonline.org

Incorporated
Incorporated

Child Care Specialist
BETHANY C DUCKWORTH

Age Range
36 MONTHS - 5 YEARS

Capacity
60

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
10/20/2022

Arrival Time
9:05 AM

Departure Time
10:07 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2433528955

Document	Document-Date
SAMPLE WEEKLY MENU	08/30/1995
SAMPLE FORMS	07/24/2007
POLICIES	07/14/2009
LOCAL ZONING APPROVAL	09/14/1995
ARTICLES OF INCORPORATION	08/30/1995
LINES OF ADMINISTRATIVE AUTHORITY	01/24/2005
DISCIPLINE POLICIES	07/14/2009
DAILY SCHEDULE	07/24/2007
CHILD CARE PRACTICES	12/12/1995
DISASTER AND EMERGENCY PREPAREDNESS PLAN	10/03/2018
JOB RESPONSIBILITIES	04/08/2019
APPLICATION	02/11/2019
STAFF SHEET	04/08/2019
LOCAL FIRE DEPARTMENT NOTIFICATION	04/08/2019
DIAGRAM/OUTDOOR	10/05/2018
DIAGRAM/INDOOR	10/05/2018
CERTIFICATE OF GOOD STANDING	03/31/2021
DIRECTOR'S QUALIFICATIONS	09/23/2020
FIRE/SAFETY INSPECTION	03/08/2022
SANITATION INSPECTION	02/28/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/04/2022
EQUIPMENT LIST	04/20/2022
ANNUAL DECLARATION	04/12/2022

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 11

Total Children 35

Staff	Child	Class Age	Note
2	16	MIXED	Staff: N.J., and E.J. Age range 3 years through 5 years.
3	11	MIXED	Staff: J.D., A.A., and W.M. Age range 3 years through 5 years.
5	0	NO CHILDREN IN ATTENDANCE	Staff: E.R., L.H., M.K., E.I. and K.R. Staff not counted in Child/Staff ratio.
1	8	PRESCHOOL	Staff: T.P Age range 3 years through 4 years.


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 25-500.162 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