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CHILD CARE CENTER ✓ Licensed

Douglass Community Services, Incorporated

Hannibal, MO · Marion County
2161 JOHNSON ST, Hannibal, MO 63401
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Quick Facts

Capacity
24 children
Age Range
6 WEEKS - 35 MONTHS
Subsidized Program
Participates

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✓ Licensed CHILD CARE CENTER
Active License
License Number
001584898
License Holder
DOUGLASS COMMUNITY SERVICES, INCORPORATED
Licensed Since
2001
License Issued
Aug 28, 2021
Issued By
Missouri Department of Health and Senior Services
Licensor
BETHANY DUCKWORTH

Reviews

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About the Provider

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Head Start is a nationwide program that serves expectant families and children age birth to five who meet income guidelines. These families experience activities that help them grow mentally, socially, emotionally, and physically. Families leave Head Start excited about learning and ready to succeed in all future settings. Our educational program is based on a hands-on exploration style of learning. Each child will be challenged to work at the edge of his or her abilities in classrooms that are individualized, child initiated/teacher supported, non-biased, and safe for all children. Children are encouraged to make their own choices and solve their own problems through engaging in conversations, and exchanging ideas. Families are encouraged to participate in the planning of their child's Head Start experience. In our home based options, parents learn to plan these activities for their children.

Hours of Operation

  • Monday6:00 AM- 9:00 PM
  • Tuesday6:00 AM- 9:00 PM
  • Wednesday6:00 AM- 9:00 PM
  • Thursday6:00 AM- 9:00 PM
  • Friday6:00 AM- 9:00 PM
  • Saturday Closed
  • Sunday Closed

Inspection/Report History

Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.

Report Date Report Type Violations
2026-05-14 COMPLIANCE VERIFICATION 3 violations cited
Findings:

5 CSR 25-500.122 Medical Examination Reports

Violation: The medical examination report and/or the school-age health report form(s) used was not supplied by the department or did not contain all the required information as evidenced by the well-exam report did not contain the departments required information for the medical examination form for the child.

Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (2) (E) states: The medical examination report form and the health history report for school-age children shall be supplied by the department or the facility may use its own form if it contains all the information on the department’s form. The School-Age Child Health Report form, revised 2021, is 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 athttps://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions.

Correction Required: Child medical requirements shall be completed and on file as required.

Correction Verification: Submit Documentation

Compliance Date: 5/7/2026

5 CSR 25-500.122 Medical Examination Reports

Violation: A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Lydia Voepal.

Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.

Correction Required: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

Correction Verification: Submit Documentation

Compliance Date: 5/7/2026

5 CSR 25-500.122 Medical Examination Reports

Violation: Medical examination report(s) was/were not on file for Lydia Voepal as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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: 5/4/2026

2026-04-09 COMPLIANCE MONITORING 4 violations cited
Findings:

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers

Violation: Hazardous items as follows were accessible to children: staff members purse. The item(s) was/were located in the teachers corner the room. The safety gate around the small desk area where personal items are kept was open and the purse was on the floor accessible to the children.

Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.

Correction Required: Hazardous items shall be inaccessible to children.

Correction Verification: Corrected on Site

Compliance Date: 4/9/2026

5 CSR 25-500.122 Medical Examination Reports

Violation: Medical examination report(s) was/were not on file for Lydia Voepal as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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

5 CSR 25-500.122 Medical Examination Reports

Violation: A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Lydia Voepal.

Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.

Correction Required: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

Correction Verification: Submit Documentation

5 CSR 25-500.122 Medical Examination Reports

Violation: The medical examination report and/or the school-age health report form(s) used was not supplied by the department or did not contain all the required information as evidenced by the well-exam report did not contain the departments required information for the medical examination form for the child.

Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (2) (E) states: The medical examination report form and the health history report for school-age children shall be supplied by the department or the facility may use its own form if it contains all the information on the department’s form. The School-Age Child Health Report form, revised 2021, is 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 athttps://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions.

Correction Required: Child medical requirements shall be completed and on file as required.

Correction Verification: Submit Documentation

2025-12-01 COMPLIANCE VERIFICATION 1 violation cited
Findings:

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers

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 in the bathroom facing the wall. CI Duckworth observed the diapering tables to be located in the bathroom which is centrally located and connects 2 classrooms. When staff are changing diapers, they are actually inside a bathroom which prevents vision of any children in the designated play areas.

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: 11/25/2025

2025-10-09 COMPLIANCE MONITORING 1 violation cited
Findings:

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers

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 in the bathroom facing the wall. CI Duckworth observed the diapering tables to be located in the bathroom which is centrally located and connects 2 classrooms. When staff are changing diapers, they are actually inside a bathroom which prevents vision of any children in the designated play areas.

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

2025-04-09 COMPLIANCE MONITORING 4 violations cited
Findings:

5 CSR 25-500.102 Personnel

Violation: Background screening information was not kept confidential for Alexis Keesey and Caroline Wolfemeyer as their staff file was not available for review.

Rule Reference: 5 CSR 25-500.102 Personnel (1) (Q) states: Background screening information received by the provider shall be retained in the individual’s file in a confidential manner and available for review.

Correction Required: Background screening information shall be kept confidential.

Correction Verification: Corrected on Site

Compliance Date: 4/9/2025

5 CSR 25-500.122 Medical Examination Reports

Violation: Medical examination report(s) was/were not on file for Alexis Keesey and Caroline Wolfemeyer as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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: Corrected on Site

Compliance Date: 4/9/2025

5 CSR 25-500.122 Medical Examination Reports

Violation: A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Alexis Keesey and Caroline Wolfemeyer. The staff files were not available of premise for review.

Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.

Correction Required: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

Correction Verification: Corrected on Site

Compliance Date: 4/9/2025

5 CSR 25-600.020 General Requirements

Violation: Criminal background check results were not on file for Alexis Keesey and Caroline Wolfemeyer Alexis' and Caroline's file were not avialable for review.

Rule Reference: 5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.

Correction Required: Required results of criminal background checks shall be on file.

Correction Verification: Corrected on Site

Compliance Date: 4/9/2025

2024-11-06 COMPLIANCE MONITORING No violations cited
2024-04-30 COMPLIANCE VERIFICATION 2 violations cited
Findings:

5 CSR 25-500.182 Child Care Program

Violation: Caregiver used a discipline technique that was humiliating, threatening or frightening to children as evidenced by CI Duckworth observed Jamie Conrad grab a one year old child by both arms and roughly lay her back down on the cot after the child was trying to get up to observe CI Duckworth in the room. Jamie also did the same thing to another one year old child that was on the other side of her on a cot. Jamie was sitting between the two children on the floor while the children were laying on their cots for nap time. Jamie used a harsh voice when saying to the children that they were "safe" and that CI Duckworth was not going to bother them which was not soothing or comforting to the children.

Rule Reference: 5 CSR 25-500.182 Child Care Program (1) (C) 8. states: No discipline technique which is humiliating, threatening, or frightening to children shall be used. Children shall not be shamed, ridiculed, or spoken to harshly, abusively, or with profanity.

Correction Required: Constructive, age-appropriate discipline shall be used; no physical punishment is permitted.

Correction Verification: Submit Documentation

Compliance Date: 4/23/2024

5 CSR 25-600.020 General Requirements

Violation: Criminal background check results were older than five (5) years for Anna Capp, Sarah Blake, Laura Keesey, and Mary Brown.

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: 4/30/2024

2024-04-09 COMPLIANCE MONITORING 2 violations cited
Findings:

5 CSR 25-500.182 Child Care Program

Violation: Caregiver used a discipline technique that was humiliating, threatening or frightening to children as evidenced by CI Duckworth observed Jamie Conrad grab a one year old child by both arms and roughly lay her back down on the cot after the child was trying to get up to observe CI Duckworth in the room. Jamie also did the same thing to another one year old child that was on the other side of her on a cot. Jamie was sitting between the two children on the floor while the children were laying on their cots for nap time. Jamie used a harsh voice when saying to the children that they were "safe" and that CI Duckworth was not going to bother them which was not soothing or comforting to the children.

Rule Reference: 5 CSR 25-500.182 Child Care Program (1) (C) 8. states: No discipline technique which is humiliating, threatening, or frightening to children shall be used. Children shall not be shamed, ridiculed, or spoken to harshly, abusively, or with profanity.

Correction Required: Constructive, age-appropriate discipline shall be used; no physical punishment is permitted.

Correction Verification: Submit Documentation

5 CSR 25-600.020 General Requirements

Violation: Criminal background check results were older than five (5) years for Anna Capp, Sarah Blake, Laura Keesey, and Mary Brown.

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

2023-10-11 COMPLIANCE MONITORING No violations cited
2023-04-12 COMPLIANCE MONITORING
2022-11-16 COMPLIANCE MONITORING
2022-04-12 COMPLIANCE VERIFICATION
2022-04-11 COMPLIANCE MONITORING

If you are a provider and believe any information is incorrect, please contact us. We will research your concern and make corrections accordingly.

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