DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

DOUGLASS COMMUNITY SERVICES, INCORPORATED

000659630

(660) 263-7421

707 SINNOCK
MOBERLY
MO  65270

DOUGLASS COMMUNITY SERVICES, INCORPORATED

909 BROADWAY
HANNIBAL
MO  63401-4249

BOSS, SUSAN MARIE

moberlycm@douglassonline.org

Incorporated

SUSAN MARIE DOUGLAS

36 MONTHS - 5 YEARS

60

GROUP HOME AND CENTER

 
Inspection Information

10/02/2024

3:00 PM

3:38 PM

UNANNOUNCED

COMPLIANCE MONITORING

2479422642


DocumentDocument-Date
SAMPLE FORMS 04/13/2022
POLICIES 04/26/2024
LINES OF ADMINISTRATIVE AUTHORITY 10/06/2004
DISCIPLINE POLICIES 04/26/2024
JOB RESPONSIBILITIES 10/06/2004
DIRECTOR'S QUALIFICATIONS 10/06/2004
ARTICLES OF INCORPORATION 10/06/2004
CHILD CARE PRACTICES 04/26/2024
DAILY SCHEDULE 10/06/2004
DIAGRAM/OUTDOOR 10/06/2004
DIAGRAM/INDOOR 10/06/2004
LOCAL ZONING APPROVAL 10/06/2004
LOCAL BUILDING APPROVAL 10/06/2004
APPLICATION 04/24/2020
STAFF SHEET 07/01/2020
CERTIFICATE OF GOOD STANDING 02/22/2024
EQUIPMENT LIST 02/13/2024
SANITATION INSPECTION 02/28/2024
ANNUAL DECLARATION 02/13/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 02/22/2024
SAMPLE WEEKLY MENU 10/06/1994
FIRE/SAFETY INSPECTION 11/13/2023
DISASTER AND EMERGENCY PREPAREDNESS PLAN 04/13/2022




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: NA
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
5 14 MIXED Susan Boss director, Velma Ferguson, Esther Daves, Shameacke Bryant, Sativa Colten were present with 14 children ages 3 years to 5 years .

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
Not Observed
5 CSR 25-500.112 Staff/Child Ratios
Compliance
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
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
Not Observed
5 CSR 25-500.212 Transportation and Field Trips
Compliance
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.
Compliance