AA Academy LLC

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due April 8, 2026

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: A.B. (2nd page missing of TB Risk Assessment).

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) .

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: A.B. (2nd page missing of TB Risk Assessment).

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

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 25, 2025

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 10, 2025

The floors located in the 2s was/were not clean as evidenced by one rug had dirt spot on it.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.202 (1) (A) · Nutrition and Food Service · Correction due April 4, 2025

The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by parents provided food for some children instead of provider providing food. .

Required correction: Nourishing food shall be provided as required.

5 CSR 25-500.202 (1) (E) · Nutrition and Food Service · Correction due April 4, 2025

One serving of fluid milk was not served with each meal.

Required correction: Milk shall be served as required.

5 CSR 25-500.222 (2) (C) · Records and Reports · Correction due April 3, 2025

1 child(ren) records did not include address of another individual who might be reached in an emergency.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The floors located in the 2s was/were not clean as evidenced by one rug had dirt spot on it.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D. · Correction due April 2, 2025

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a non-fitted sheet was used.

Required correction: Sleeping equipment shall meet safety and sanitation requirements.

5 CSR 25-500.202 (1) (A) · Nutrition and Food Service

The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by parents provided food for some children instead of provider providing food. .

Required correction: Nourishing food shall be provided as required.

5 CSR 25-500.202 (1) (E) · Nutrition and Food Service

One serving of fluid milk was not served with each meal.

Required correction: Milk shall be served as required.

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due April 2, 2025

3 child(ren) records did not include employers' address of parent(s), guardian or legal custodian.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-500.222 (2) (C) · Records and Reports

1 child(ren) records did not include address of another individual who might be reached in an emergency.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 23, 2024

The facility's outdoor space was not safe for children's activities as evidenced by exposed landscaping material observed posing tripping hazard.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 23, 2024

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due August 23, 2024

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

Required correction: Medical reports shall be on file as required.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility's outdoor space was not safe for children's activities as evidenced by exposed landscaping material observed posing tripping hazard.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 2, 2024

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that 3 outlets were missing covers.

Required correction: The facility shall use outlet covers or twist-lock outlets as required.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports

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

Required correction: Medical reports shall be on file as required.

5 CSR 25-500.042 (5) · Licensing Process · Correction due May 9, 2024

The fire safety inspection was not approved.

Required correction: The facility shall submit evidence of compliance with fire safety requirements.

5 CSR 25-500.042 (4) (L) · Licensing Process · Correction due May 9, 2024

The facility had no evidence of compliance with local building and zoning requirements.

Required correction: The facility shall submit evidence of compliance with local building and zoning.

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 9, 2024

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the outdoor play area was not fenced.

Required correction: The outdoor play area shall be accessible without hazard.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 10, 2024

The facility's outdoor space was not safe for children's activities as evidenced by preschool playground on the south side has poor drainage with standing water.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-500.082 (1) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 9, 2024

The premises were not safe and suitable as evidenced by the fence on the north side of the playground needs additional barriers to prevent cars from accidentally entering the playground. The fence on the southeast side needs additional barriers to prevent cars from accidentally entering the playground.

Required correction: The premises shall be safe and suitable for the care of children.

5 CSR 25-500.102 (4) (A) 2. · Personnel · Correction due May 9, 2024

Jenna Geib (no longer employed at this time) did not complete safe sleep training prior to licensure.

Required correction: Prior to receiving a license, department-approved safe sleep training shall be completed.

5 CSR 25-500.102 (1) (P) · Personnel · Correction due May 2, 2024

The facility did not conduct a Family Care Safety Registry screening for Aleyna Batson, Carrie Collier, Jenna Geib (no longer employed), Taylor Hartwig (no longer employed), Aleksandra Simpson, Miranda Smith, Ashley Van Acker, Mary Webb, Ashton Whitton, who was hired on prior to official licensure.

Required correction: Required results of the Family Care Safety Registry screening shall be on file.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due May 9, 2024

Medical examination report(s) was/were not on file for T.H. (no longer employed at this time) as evidenced by a medical examination was not on file at the facility at the time of initial licensure.

Required correction: Medical reports shall be on file as required.

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due May 3, 2024

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: M.W.

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