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

10/19/2023

10:58 AM

11:43 AM

UNANNOUNCED

COMPLIANCE MONITORING

2457020370


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: 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 8
Total Children 31
StaffChildClass AgeNote
2 14 MIXED Staff: Becca Lampkin and Becky Kircher. Age range 3 years through 5 years.
2 17 MIXED Staff: Jennifer Dawson and Amelia Albright. Age range 3 years through 5 years.
4 0 NO CHILDREN IN ATTENDANCE Staff: Wendy Myers, Crystal Graham, Jane Kohrs, and Lori Harrington. Not counted in child/staff ratio.

 
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 fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by the resilient material used is unapproved in that they are black mats that are no longer soft and impact-absorbing. They are hard with no cushioning.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 5. states: The fall-zone area under and around outdoor equipment where children might fall and be injured shall be covered with impact absorbing materials which will effectively cushion the fall of a child. This material may include sand, pea gravel, tanbark, shredded tires, wood chips, rubber matting or other approved resilient material.
Correction Required
The facility shall maintain approved resilient material in all fall-zone areas.

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
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
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