DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

DOUGLASS COMMUNITY SERVICES, INCORPORATED

001707228

(573) 231-0754

2181 JOHNSON ST
HANNIBAL
MO  63401-5843

DOUGLASS COMMUNITY SERVICES, INCORPORATED

909 BROADWAY
HANNIBAL
MO  63401-4249

THOMAS, LISA MARIE

HANNIBALCM@DOUGLASSONLINE.ORG

Incorporated

BETHANY CARREL DUCKWORTH

24 MONTHS - 5 YEARS

108

GROUP HOME AND CENTER

 
Inspection Information

01/02/2025

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2485044122


DocumentDocument-Date
DAILY SCHEDULE 06/15/2015
ARTICLES OF INCORPORATION 06/15/2015
DISASTER AND EMERGENCY PREPAREDNESS PLAN 02/24/2012
LINES OF ADMINISTRATIVE AUTHORITY 08/26/2009
JOB RESPONSIBILITIES 08/24/2006
CHILD CARE PRACTICES 08/24/2006
DISCIPLINE POLICIES 08/24/2006
POLICIES 08/24/2006
DIAGRAM/INDOOR 10/07/2002
DIAGRAM/OUTDOOR 10/07/2002
APPLICATION 05/30/2019
CERTIFICATE OF GOOD STANDING 05/30/2019
STAFF SHEET 08/29/2019
DIRECTOR'S QUALIFICATIONS 09/15/2008
LOCAL ZONING APPROVAL 09/19/2002
SAMPLE WEEKLY MENU 09/10/2002
EQUIPMENT LIST 08/07/2024
ANNUAL DECLARATION 08/07/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 08/07/2024
FIRE/SAFETY INSPECTION 06/20/2024
SANITATION INSPECTION 06/05/2024




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.

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
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Faith Carr, Cynthia Johnson, Mary Gibbons, Lisa Thomas, Brittney Watts, Cheryl Watts, Chelsea Wilkerson, Emily Heibel, Caroline Wolfemeyer, Nancy Franklin, Marley Tate, Carly Dungan, Alexis Keesey, Tina Gamble, Melissa Sims, Shirley Black and Karen Edwards within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date
10/11/2024
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 older than five (5) years for Faith Carr.
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
10/11/2024
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