DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

DOUGLASS COMMUNITY SERVICES, INCORPORATED

000672955

(573) 735-6243

102 BERKLEY ST
MONROE CITY
MO  63456-1711

DOUGLASS COMMUNITY SERVICES, INCORPORATED



 

MOSS, AMY FAYE

monroecm@douglassonline.org

Incorporated

AMY MITCHELL

6 WEEKS - 35 MONTHS

8

GROUP HOME AND CENTER

8 CHILDREN UNDER 24 MONTHS
 
Inspection Information

05/04/2026

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2512527452


DocumentDocument-Date
ANNUAL DECLARATION 05/01/2026
FIRE/SAFETY INSPECTION 01/08/2026
SANITATION INSPECTION 02/19/2026
APPLICATION 11/20/2024
CHILD CARE PRACTICES 03/11/2025
DAILY SCHEDULE 03/11/2025
DIAGRAM/INDOOR 03/11/2025
DIAGRAM/OUTDOOR 03/11/2025
EQUIPMENT LIST 04/30/2026
LINES OF ADMINISTRATIVE AUTHORITY 03/11/2025
SAMPLE WEEKLY MENU 03/11/2025
SAFE SLEEP POLICY 03/11/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/30/2026
DIRECTOR'S QUALIFICATIONS 03/11/2025
DISASTER AND EMERGENCY PREPAREDNESS PLAN 03/11/2025
DISCIPLINE POLICIES 03/11/2025
JOB RESPONSIBILITIES 03/11/2025
POLICIES 03/11/2025
SAMPLE FORMS 03/11/2025
LOCAL ZONING APPROVAL 04/01/2025




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
Compliance
5 CSR 25-500.052 Annual Requirements
Violation
 Provider Comments
Violation
The Annual Declaration was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, revised 2021 and incorporated by reference in this rule. As published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms, indicating the licensee’s intent to continue operating a licensed group child care home or child care center and agreement to comply with all statutes and department licensing rules.
Correction Required
The facility shall submit the Annual Declaration as required.

Correction Verification
Submit Documentation

Compliance Date
5/1/2026
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
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