DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

DOUGLASS COMMUNITY SERVICES, INCORPORATED

000672866

(573) 985-3500

209 CARSTARPHEN PL
NEW LONDON
MO  63459-4530

DOUGLASS COMMUNITY SERVICES, INCORPORATED

909 BROADWAY
HANNIBAL
MO  63401-4249

FREELS, JESSICA

RALLSCM@DOUGLASSONLINE.ORG

Incorporated

BETHANY CARREL DUCKWORTH

36 MONTHS - 5 YEARS

20

GROUP HOME AND CENTER

 
Inspection Information

05/03/2023

11:41 AM

12:49 PM

UNANNOUNCED

COMPLIANCE MONITORING

2446496985


DocumentDocument-Date
POLICIES 02/03/2003
LINES OF ADMINISTRATIVE AUTHORITY 02/03/2003
LLC ARTICLES OF ORGANIZATION 02/03/2003
JOB RESPONSIBILITIES 04/01/2003
DISCIPLINE POLICIES 03/30/2005
DIRECTOR'S QUALIFICATIONS 03/30/2005
SAMPLE WEEKLY MENU 11/08/2001
DAILY SCHEDULE 11/15/2010
CHILD CARE PRACTICES 11/15/2010
DIAGRAM/INDOOR 07/09/2005
DIAGRAM/OUTDOOR 07/09/2005
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/21/2019
APPLICATION 06/18/2020
ARTICLES OF INCORPORATION 05/23/2019
STAFF SHEET 07/09/2020
CERTIFICATE OF GOOD STANDING 03/17/2020
LICENSING ORIENTATION 11/02/2020
EQUIPMENT LIST 11/16/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 11/16/2022
ANNUAL DECLARATION 11/16/2022
SANITATION INSPECTION 08/10/2022
FIRE/SAFETY INSPECTION 08/11/2022




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 5
Total Children 14
StaffChildClass AgeNote
3 14 MIXED Staff: Keith Kerns, Jean Dunaway, and Michelle McMullen. Age range 3 years through 5 years.
2 0 NO CHILDREN IN ATTENDANCE Staff: Karen Edwards (cook) and Peggy Uppinghouse (volunteer)

 
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
Children were not restricted to approved space as evidenced by the children had access to the director's office and the teachers office.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.

Correction Verification
Submit Documentation

Compliance Date

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 in the bathroom against the wall.
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
Violation
 Provider Comments
Violation
Outdoor equipment, a small plastic tote, in the outdoor play yard used in a play house was not free of pointed parts as evidenced by the tote was broken, had multiple cracks in it leaving sharp edges and pointed parts.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor play equipment shall be safe and in good repair.

Correction Verification
Corrected on Site

Compliance Date
5/3/2023
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