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

909 BROADWAY
HANNIBAL
MO  63401-4249

CAPP, ANNA LEE

EHSCLINIC@DOUGLASSONLINE.ORG

Incorporated

BETHANY CARREL DUCKWORTH

6 WEEKS - 35 MONTHS

16

GROUP HOME AND CENTER

 
Inspection Information

04/18/2023

12:33 PM

12:56 PM

UNANNOUNCED

COMPLIANCE MONITORING

2445478342


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 10/03/2022
CERTIFICATE OF GOOD STANDING 10/21/2021
SANITATION INSPECTION 06/01/2022




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 1
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 4
Total Children 9
StaffChildClass AgeNote
1 3 INFANTS AND TODDLERS Staff: Alexis Keesey. Age range 6 months through 2 years. Two 2 year old children.
3 6 MIXED Staff: Mary Brown, Sharea Salmon, and Jamie Conrad. Age range 8 weeks through 2 years. Three 2 year old children.

 
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
Violation
 Provider Comments
Violation
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 4 inches to 7 inches. Various places at the bottom of the chain link fence. Fence is able to be pulled up and lifted.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard.

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