DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

DOUGLASS COMMUNITY SERVICES, INCORPORATED

000708630

(660) 385-5318

1307 MAFFRY AVE
MACON
MO  63552-1989

DOUGLASS COMMUNITY SERVICES, INCORPORATED

909 BROADWAY
HANNIBAL
MO  63401-4249

REYNOLDS, ELIZABETH ANN

maconcm@douglassonline.org

Incorporated

BETHANY CARREL DUCKWORTH

36 MONTHS - 5 YEARS

60

GROUP HOME AND CENTER

 
Inspection Information

09/07/2023

2:54 PM

2:54 PM

UNANNOUNCED

SUPPLEMENTAL

2454041618


DocumentDocument-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 03/10/2023
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 01/03/2023
SANITATION INSPECTION 04/13/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 03/16/2023
EQUIPMENT LIST 05/18/2023
ANNUAL DECLARATION 03/16/2023




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.

 
5 CSR 25-500.032 Organization and Administration
Not Observed
5 CSR 25-500.042 Licensing Process
Not Observed
5 CSR 25-500.052 Annual Requirements
Not Observed
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Not Observed
5 CSR 25-500.087 Fire Safety
Not Observed
5 CSR 25-500.090 Disaster and Emergency Preparedness
Not Observed
5 CSR 25-500.092 Furniture, Equipment and Materials
Not Observed
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
The facility does not have an approved director on staff.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff.
Correction Required
The facility shall have an approved director/group home provider.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.112 Staff/Child Ratios
Not Observed
5 CSR 25-500.122 Medical Examination Reports
Not Observed
5 CSR 25-500.132 Admission Policies and Procedures
Not Observed
5 CSR 25-500.142 Nighttime Care
Not Observed
5 CSR 25-500.162 Overlap Care of Children
Not Observed
5 CSR 25-500.172 Emergency School Closings
Not Observed
5 CSR 25-500.182 Child Care Program
Not Observed
5 CSR 25-500.192 Health Care
Not Observed
5 CSR 25-500.202 Nutrition and Food Service
Not Observed
5 CSR 25-500.212 Transportation and Field Trips
Not Observed
5 CSR 25-500.222 Records and Reports
Not Observed
5 CSR 25-600.020 General Requirements
Not Observed
5 CSR 25-600.040 Background Screening Findings
Not Observed
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. —
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed