DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

DOUGLASS COMMUNITY SERVICES, INCORPORATED

001584898

(573) 406-5574

2161 JOHNSON ST
HANNIBAL
MO  63401-5843

DOUGLASS COMMUNITY SERVICES, INCORPORATED

909 BROADWAY
HANNIBAL
MO  63401-4249

CAPP, ANNA LEE

EHSCM@DOUGLASSONLINE.ORG

Incorporated

BETHANY CARREL DUCKWORTH

6 WEEKS - 35 MONTHS

24

GROUP HOME AND CENTER

 
Inspection Information

04/09/2024

11:35 AM

1:09 PM

UNANNOUNCED

COMPLIANCE MONITORING

2468030654


DocumentDocument-Date
APPLICATION 02/22/2019
STAFF SHEET 04/04/2019
DIAGRAM/INDOOR 05/06/2010
DIAGRAM/OUTDOOR 05/06/2010
SAFE SLEEP POLICY 01/07/2016
DISCIPLINE POLICIES 02/26/2010
CHILD CARE PRACTICES 02/26/2010
POLICIES 02/26/2010
ARTICLES OF INCORPORATION 05/24/1993
JOB RESPONSIBILITIES 08/10/2006
LINES OF ADMINISTRATIVE AUTHORITY 08/17/2004
DAILY SCHEDULE 09/05/2002
SAMPLE WEEKLY MENU 09/10/2002
LOCAL BUILDING APPROVAL 09/05/2008
DISASTER AND EMERGENCY PREPAREDNESS PLAN 03/02/2021
DIRECTOR'S QUALIFICATIONS 09/18/2020
CERTIFICATE OF GOOD STANDING 02/26/2021
LOCAL ZONING APPROVAL 02/26/2021
FIRE/SAFETY INSPECTION 11/29/2023
EQUIPMENT LIST 02/20/2024
SANITATION INSPECTION 12/11/2023
ANNUAL DECLARATION 02/20/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 02/20/2024




Inspection determined facility to be in compliance with licensing rules.
Compliance 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 6
Total Children 12
StaffChildClass AgeNote
2 5 MIXED Staff: Laura Keesey and Sharea Salmon. Age range 4 months through 2 years. One 2 year old child.
2 7 MIXED Staff: Jamie Conrad and Lorri Grimes. Age range 7 months through 2 years. One 2 year old child.
2 0 NO CHILDREN IN ATTENDANCE Staff: Anna Capp and Sarah Blake. Not counted in staff/child ratio at time of inspection.

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
Violation
 Provider Comments
Violation
Caregiver used a discipline technique that was humiliating, threatening or frightening to children as evidenced by CI Duckworth observed Jamie Conrad grab a one year old child by both arms and roughly lay her back down on the cot after the child was trying to get up to observe CI Duckworth in the room. Jamie also did the same thing to another one year old child that was on the other side of her on a cot. Jamie was sitting between the two children on the floor while the children were laying on their cots for nap time. Jamie used a harsh voice when saying to the children that they were "safe" and that CI Duckworth was not going to bother them which was not soothing or comforting to the children.
Licensing Rule Reference
5 CSR 25-500.182 Child Care Program (1) (C) 8. states: No discipline technique which is humiliating, threatening, or frightening to children shall be used. Children shall not be shamed, ridiculed, or spoken to harshly, abusively, or with profanity.
Correction Required
Constructive, age-appropriate discipline shall be used; no physical punishment is permitted.

Correction Verification
Submit Documentation

Compliance Date

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
 Provider Comments
Violation
Criminal background check results were older than five (5) years for Anna Capp, Sarah Blake, Laura Keesey, and Mary Brown.
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (5) states: Criminal background checks shall be completed for each child care staff member every five (5) years.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

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