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 DUCKWORTH

24 MONTHS - 5 YEARS

108

GROUP HOME AND CENTER

 
Inspection Information

08/26/2025

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2499254148


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
FIRE/SAFETY INSPECTION 07/23/2025
SANITATION INSPECTION 06/02/2025
ANNUAL DECLARATION 08/07/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 08/07/2024
SAFE SLEEP POLICY 08/08/2025




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
Violation
 Provider Comments
Violation
The equipment list was not submitted.
Licensing Rule Reference
5 CSR 25-500.042 Licensing Process (4) (F) states: An itemized list of available materials and equipment to be used by children;
Correction Required
The licensee shall submit an equipment list that ensures the facility has the required amount of equipment.

Correction Verification
Submit Documentation

Compliance Date
8/11/2025
5 CSR 25-500.052 Annual Requirements
Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located facing and against the wall.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times.
Correction Required
The facility shall provide a safe and clean diapering table as required.

Correction Verification
Submit Documentation

Compliance Date
8/14/2025
Violation
The facility's outdoor play space is used at the same time by children from the infant/toddler unit and preschool/school-age children as evidenced by at this time, daily schedules haven't been made for Infant/Toddlers to show that they do not have same outdoor play times as older children. Also there is not a seperate place for the Infants/Toddlers to play.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (B) 1. states: Outdoor play space for infants and toddlers shall be separate from that used for older children or the same space shall be used at different times. (This rule does not apply to group day care homes with a maximum of four (4) infant/toddlers or to day care centers licensed for a maximum of twenty (20) children, including no more than four (4) infant/toddlers.)
Correction Required
The facility shall provide separate play space or separate outdoor play times as required.

Correction Verification
Submit Documentation

Compliance Date
8/14/2025
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
Violation
 Provider Comments
Violation
Medical examination report(s) was/were not on file for Summer Clark as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
8/11/2025
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
Compliance
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