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
CYNTHIA D MADDOX

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
12/10/2024

Arrival Time
10:30 AM

Departure Time
11:24 AM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2483900800

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

Inspection determined facility to be in compliance with 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 10

Total Children 14

Staff	Child	Class Age	Note
3	6	INFANTS AND TODDLERS	Jennifer Rue, Robin Adams and Willa Jean Lewis were the staff with the children. Children ranged in age from 5 months to 2 years.
4	8	INFANTS AND TODDLERS	Jenascia Mayfield, Kaylee Miller, Miranda Blair and Lakin Shealor were the staff with the children. Children ranged in from 2 months to 2 years.
3	0	NO CHILDREN IN ATTENDANCE	Cheri House (director) Linda Holtsman (cook) and Kenna Colbert were all staff present at the facility during the 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 Not Observed
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 Not Observed
5 CSR 25-500.132 Admission Policies and Procedures Compliance
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 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 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. — Compliance
RSMo 210.211. License required - exceptions - written notice of licensure status, when. Compliance