MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
DOUGLASS COMMUNITY SERVICES, INCORPORATED

Facility DVN
000708596

Phone
(573) 754-5471

Physical Address
130 MEMORIAL DR
LOUISIANA
MO 63353-2418

Owner
DOUGLASS COMMUNITY SERVICES, INCORPORATED

Mailing Address
909 BROADWAY
HANNIBAL
MO 63401-4249

Provider/Director
HOUSE, CHERYL LYNN

E-mail Address
louhs1@douglassonline.org

Incorporated
Incorporated

Child Care Specialist
SUSAN MARIE DOUGLAS

Age Range
6 WEEKS - 5 YEARS

Capacity
55

Facility Type
GROUP HOME AND CENTER

Limitations
8 CHILDREN UNDER 12 MONTHS; 20 CHILDREN UNDER 24 MONTHS

Inspection Information

Date
06/10/2024

Arrival Time
10:00 AM

Departure Time
11:33 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2472407445

Document	Document-Date
POLICIES	06/10/2024
LOCAL ZONING APPROVAL	04/30/2009
LOCAL BUILDING APPROVAL	04/30/2009
SAMPLE FORMS	07/20/2005
LINES OF ADMINISTRATIVE AUTHORITY	06/25/2007
JOB RESPONSIBILITIES	07/20/2005
SAMPLE WEEKLY MENU	04/22/2009
DISCIPLINE POLICIES	06/10/2024
DIRECTOR'S QUALIFICATIONS	09/15/2022
DAILY SCHEDULE	03/15/2010
CHILD CARE PRACTICES	06/10/2024
CERTIFICATE OF GOOD STANDING	04/09/2024
DIAGRAM/INDOOR	09/03/2015
DIAGRAM/OUTDOOR	09/08/2015
APPLICATION	02/11/2019
STAFF SHEET	04/05/2019
ARTICLES OF INCORPORATION	09/02/2008
FIRE/SAFETY INSPECTION	04/01/2024
SANITATION INSPECTION	02/15/2024
ANNUAL DECLARATION	04/09/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/09/2024
EQUIPMENT LIST	04/09/2024
SAFE SLEEP POLICY	06/14/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN	12/19/2022

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 8

Total Children 14

Staff	Child	Class Age	Note
2	7	INFANTS AND TODDLERS	Willa Lewis , staff and Jennifer Rue, staff were present with 7 children ages 2 months to 35 months.
3	7	INFANTS AND TODDLERS	Miranda Blair staff, Lakin Shealor staff and Kaylee Miller staff were present with 7 children ages 8 months to 34 months
3	0	NO CHILDREN IN ATTENDANCE	Bailey Laferty cook, Cheryl House , director and Kenna Colbert FRA

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

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

Violation

	Provider Comments
Violation Criminal background check results were not on file for Willa Lewis. Licensing Rule Reference 5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department. 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