DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

FIRST UNITED METHODIST CHURCH

001158849

(417) 257-2506

503 W MAIN ST
WEST PLAINS
MO  65775-2731

WEST PLAINS FIRST UNITED METHODIST CHURCH



 

HUSTON, CRYSTAL

crystal@fumcwestplains.com


ELAINE S COX

BIRTH - 6 YEARS

70

LICENSE EXEMPT PROGRAM

10 CHILDREN IN THE INFANT/TODDLER UNIT
 
Inspection Information

11/18/2025

10:33 AM

12:37 PM

ANNOUNCED

ANNUAL

2500378355


DocumentDocument-Date
NOTICE OF PARENTAL RESPONSIBILITY 08/21/2025
FIRE/SAFETY INSPECTION 10/08/2025
SANITATION INSPECTION 09/25/2025




Inspection determined facility to be in compliance with rules.
Compliance Licensing Rules
Open Violations: 5
Attendance at Time of Inspection
Total Staff 11
Total Children 37
StaffChildClass AgeNote
3 9 INFANTS AND TODDLERS Donna Tilson, Briana Hann and Kadance Marshel with 9 children ages 8 months to 23 months.
2 7 MIXED Julie Sidorovich and Jordyn Sigman with 7 children ages 2-years-old to 3-years-old. This included 6- 2-year-old children.
2 0 NO CHILDREN IN ATTENDANCE Crystal Huston and Emily Henry not counting in staff/child ratio.
2 10 PRESCHOOL Janae Collins and Ashly Myrick with 10 children ages 3-years-old to 4-years-old.
2 11 PRESCHOOL Cindy Roseman and Avery Johnson with 11 children ages 3-years-old to 4-years-old.

Compliance List
5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Compliance
5 CSR 25-300.040 Staffing Requirements
Compliance
5 CSR 25-300.050 Health Requirements
Violation
 Provider Comments
Violation
Medical examination reports including TB testing were not on file for caregivers as evidenced by the medical form did not contain all required information in that the conclusive statement was missing.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (1) (D) 2. states: The facility may use the department's physical assessment form, MO 580-1879 (6- 94), or the facility may use its own form if it contains all the information on the department's form.
Correction Required
Medical/TB reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Medical examination reports, including TB testing, were not on file for Briana Hann and Crystal Huston 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 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment.
Correction Required
Medical/TB reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
Requirements for indoor play equipment and materials were not met. Feeding equipment was not in good condition as evidenced by safety straps were missing on the feeding table.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 7 states: Indoor play equipment and materials shall be provided and shall be clean and in good condition with all parts intact. Infants and toddlers shall have safe toys. Toys, parts of toys or other materials small enough to be swallowed shall not be used.
Correction Required
The facility shall provide play equipment and materials as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility's outdoor space was not safe for children's activities as evidenced by the presence of the black plastic ground cover is exposed creating a tripping hazard.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (C) states: The play area shall be safe for children's activities. It shall be well-maintained and free of hazards such as poisonous plants, broken glass, barbed wire, open wells, rocks and other debris, and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Submit Documentation

Compliance Date

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 2 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 210.201. Definitions. — As used in sections 210.201 to 210.257, the following terms mean:
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