DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

DOUGLASS COMMUNITY SERVICES, INCORPORATED

000710501

(573) 769-2305

405 E OLIVE ST
PALMYRA
MO  63461-1732

DOUGLASS COMMUNITY SERVICES, INCORPORATED

909 BROADWAY
HANNIBAL
MO  63401-4249

CATRON, SHEILA RAE

palmyra@douglassonline.org

Incorporated

BETHANY CARRELL DUCKWORTH

36 MONTHS - 5 YEARS

18

GROUP HOME AND CENTER

 
Inspection Information

12/20/2022

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2437705558


DocumentDocument-Date
APPLICATION 02/11/2019
STAFF SHEET 04/04/2019
DIAGRAM/INDOOR 09/19/2016
DIAGRAM/OUTDOOR 09/19/2016
CHILD CARE PRACTICES 03/22/2011
DISCIPLINE POLICIES 03/22/2011
POLICIES 03/22/2011
ARTICLES OF INCORPORATION 09/02/2008
JOB RESPONSIBILITIES 04/19/2007
DAILY SCHEDULE 01/24/2007
LINES OF ADMINISTRATIVE AUTHORITY 04/06/2005
LOCAL ZONING APPROVAL 09/05/1995
LOCAL BUILDING APPROVAL 09/08/1995
SAMPLE WEEKLY MENU 08/27/2007
DIRECTOR'S QUALIFICATIONS 04/24/2018
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/18/2019
FIRE/SAFETY INSPECTION 12/06/2022
SANITATION INSPECTION 11/03/2022
EQUIPMENT LIST 02/01/2022
CERTIFICATE OF GOOD STANDING 02/01/2022
ANNUAL DECLARATION 02/01/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 02/01/2022




Inspection determined facility to be in compliance with licensing rules.
Compliance 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.

Compliance List
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
Violation
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