DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

CALIFORNIA UNITED METHODIST PLAYSCHOOL

001407203

(573) 796-2792

201 S OAK ST
CALIFORNIA
MO  65018

UNITED METHODIST CHURCH



 

PORTER, LINDSEY

lindseyporter519@gmail.com


LACEY BERENDZEN

24 MONTHS - 4 YEARS

25

LICENSE EXEMPT PROGRAM

 
Inspection Information

03/02/2023

8:30 AM

9:30 AM

ANNOUNCED

ANNUAL

2442309918


DocumentDocument-Date
FIRE/SAFETY INSPECTION 02/28/2023
NOTICE OF PARENTAL RESPONSIBILITY 08/02/2022
SANITATION INSPECTION 01/19/2023




Inspection determined facility to be in compliance with rules.
Compliance Licensing Rules
Open Violations: 2
Attendance at Time of Inspection
Total Staff 2
Total Children 17
StaffChildClass AgeNote
2 17 PRESCHOOL Lindsey Porter and Emma Heather with 17 children, children are age 3 and 4 years old.

Compliance List
5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Violation
 Provider Comments
Violation
An approved Notice of Parental Responsibility was not on file for 1 child(ren).
Licensing Rule Reference
5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures (6) (C) states: A child care facility operated by a religious organization shall provide the parent or guardian enrolling the child two (2) copies of the Notice of Parental Responsibility form for the enrolling parent to acknowledge, by signature, having read and accepted the information. One (1) copy shall be kept by the parent or guardian and the other copy shall be retained in the child's record at the facility.
Correction Required
The Notice of Parental Responsibility shall be provided to the parent or guardian upon enrollment, on file, and signed by the parent or guardian as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-300.040 Staffing Requirements
Compliance
5 CSR 25-300.050 Health Requirements
Compliance
5 CSR 25-300.060 Responsibilities of Caregivers
Compliance
5 CSR 25-300.070 Fire Safety Requirements
Compliance
5 CSR 25-300.080 Sanitation Requirements
Compliance
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment
Compliance
5 CSR 25-300.110 Admission Procedures and Required Reports and Records
Violation
 Provider Comments
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address.
Correction Required
An individual file with required information for each child shall be maintained.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-600.020 General Requirements
Compliance
5 CSR 25-600.040 Background Screening Findings
Compliance
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
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.
Compliance
RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually.
Compliance
RSMo 210.255 Religious organizations operating facility in violation, procedure - noncompliance after notice, prosecutor may act or attorney general.
Compliance
RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance