La Petite Academy, Inc.

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due January 20, 2026

The annual fire safety inspection was not approved.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 21, 2025

The ceilings located in pre-k room was/were not clean as evidenced by stained tile.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 21, 2025

The facility's outdoor space was not safe for children's activities as evidenced by hole around drain on 2-year-old playground.

Required correction: The outdoor play area shall be clean, safe and well-maintained 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 hole around drain on 2-year-old playground.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due September 9, 2025

Outdoor equipment, balls and hula hoop, in 2 -year-old playground was not in good condition as evidenced by flat, peeling, and bent.

Required correction: Outdoor play equipment shall be safe and in good repair.

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

The ceilings located in pre-k room was/were not clean as evidenced by stained tile.

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

5 CSR 25-500.052 (2) (A) · Annual Requirements

The annual fire safety inspection was not approved.

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

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

The walls located in toddlers was/were not clean as evidenced by sticky residue .

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

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 6, 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 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located in toddlers was/were not clean as evidenced by sticky residue .

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

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 25-500.192 (3) (I) · Health Care · Correction due September 17, 2024

The requirements for administering medication were not met as follows: medication was given to a child but not recorded promptly after administration.

Required correction: All medication shall be administered and recorded as required.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 12, 2024

The ceilings located in preschool and pre-k rooms was/were not clean as evidenced by dusty vents.

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

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 12, 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 25-500.192 (3) (I) · Health Care

The requirements for administering medication were not met as follows: medication was given to a child but not recorded promptly after administration.

Required correction: All medication shall be administered and recorded as required.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 15, 2024

The walls located in the toddler room was/were not in good condition as evidenced by missing baseboard due to flooding.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due February 15, 2024

Furniture/equipment, stool, in preschool room was not in good condition as evidenced by chipping paint.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 11, 2024

The floors located in pre-K room was/were not in good condition as evidenced by torn mat under sensory table.

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

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

The walls located in the toddler room was/were not in good condition as evidenced by missing baseboard due to flooding.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due January 11, 2024

Furniture/equipment, toy couch and chair , in two year old room was not in good condition as evidenced by leather torn .

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.052 (1) (C) · Annual Requirements · Correction due December 18, 2023

The equipment list was not submitted.

Required correction: The facility shall submit an equipment list as required.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 18, 2023

The ceilings located in all rooms was/were not clean as evidenced by dusty vents and stained ceiling tiles (preschool).

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

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 18, 2023

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 fence was not in good condition in that broken boards and chipping paint (around air-conditioners).

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

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

The floors located in pre-K room was/were not in good condition as evidenced by torn mat under sensory table.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials

Furniture/equipment, toy couch and chair , in two year old room was not in good condition as evidenced by leather torn .

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due December 18, 2023

Outdoor equipment, climbing equipment, in eps playground was not in good condition as evidenced by chipping paint.

Required correction: Outdoor play equipment shall be safe and in good repair.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due December 18, 2023

Outdoor equipment, trikes, in in pre-K playground was not in good condition as evidenced by missing handle bar covers and broken seats.

Required correction: Outdoor play equipment shall be safe and in good repair.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due December 18, 2023

Medical examination report(s) was/were not on file for A.H., A.H., C.K., M.T., K.W. 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 25-500.122 · Medical Examination Reports (1) (B) . · Correction due December 18, 2023

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., A.H., A.H., C.K., M.T., K.W., A.N., E.S.

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

5 CSR 25-500.052 (1) (C) · Annual Requirements

The equipment list was not submitted.

Required correction: The facility shall submit an equipment list as required.

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due November 15, 2023

The annual fire safety inspection was not approved.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 20, 2023

The walls located in several rooms was/were not in good condition as evidenced by paint peeling and sticky residue, crack in infant door.

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

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

The ceilings located in all rooms was/were not clean as evidenced by dusty vents and stained ceiling tiles (preschool).

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

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers

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 fence was not in good condition in that broken boards and chipping paint (around air-conditioners).

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 November 20, 2023

The facility's outdoor space was not safe for children's activities as evidenced by splintering wood/exposed nail near fence on pre-k playground.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due November 20, 2023

Furniture/equipment, play steps, shelves, cribs, in toddler, eps, and infant rooms was not in good condition as evidenced by sticky residue.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, climbing equipment, in eps playground was not in good condition as evidenced by chipping paint.

Required correction: Outdoor play equipment shall be safe and in good repair.

5 CSR 25-500.102 · Personnel (1) (K) . · Correction due November 20, 2023

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: A.B., A.H., O.H., C.K., E.L., M.T., K.W.

Required correction: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

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

Medical examination report(s) was/were not on file for A.H., A.H., C.K., M.T., K.W. 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 25-500.122 · 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., A.H., A.H., C.K., M.T., K.W., A.N., E.S.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. B. · Correction due November 20, 2023

The provider did not have parental acknowledgement on file indicating the parent has been informed that Licensing Rules for Group Day Care Homes and Child Day Care Centers in Missouri are available for review.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. C. · Correction due November 20, 2023

The provider did not have parental acknowledgement on file indicating the parent and provider have agreed on a plan for continuing communication.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. F. · Correction due November 20, 2023

The facility did not meet requirements for child enrollment and health information on file as evidenced by 9 child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility.

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

5 CSR 25-500.132 (8) (B) · Admission Policies and Procedures · Correction due November 20, 2023

The facility does not have a plan for continued communication with the parent(s).

Required correction: The provider's admission procedure shall include plans for communication with parents.

5 CSR 25-500.222 (2) (C) · Records and Reports · Correction due November 20, 2023

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 25-500.222 (2) (D) · Records and Reports · Correction due November 20, 2023

2 child(ren) records did not include telephone number of family physician or hospital.

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

5 CSR 25-500.222 (2) (D) · Records and Reports · Correction due November 20, 2023

2 child(ren) records did not include name of family physician or hospital.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due November 20, 2023

Criminal background check results were not on file for M.H.

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

5 CSR 25-500.052 (1) (C) · Annual Requirements

The equipment list was not submitted.

Required correction: The facility shall submit an equipment list as required.

5 CSR 25-500.052 (2) (A) · Annual Requirements

The annual fire safety inspection was not approved.

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

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

The walls located in several rooms was/were not in good condition as evidenced by paint peeling and sticky residue, crack in infant door.

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

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

The ceilings located in all rooms was/were not clean as evidenced by dusty vents and stained ceiling tiles (preschool).

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

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers

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 fence was not in good condition in that broken boards and chipping paint (around air-conditioners).

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

The facility's outdoor space was not safe for children's activities as evidenced by splintering wood/exposed nail near fence on pre-k playground.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due October 19, 2023

Furniture/equipment, high chair, in infant room was not in good condition as evidenced by covering peeling off tray and wood wearing on legs.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials

Furniture/equipment, play steps, shelves, cribs, in toddler, eps, and infant rooms was not in good condition as evidenced by sticky residue.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, climbing equipment, in eps playground was not in good condition as evidenced by chipping paint.

Required correction: Outdoor play equipment shall be safe and in good repair.

5 CSR 25-500.102 · Personnel (1) (K) .

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: A.B., A.H., O.H., C.K., E.L., M.T., K.W.

Required correction: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

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

Medical examination report(s) was/were not on file for A.H., A.H., C.K., M.T., K.W. 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 25-500.122 · 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., A.H., A.H., C.K., M.T., K.W., A.N., E.S.

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

5 CSR 25-500.132 (8) (E) 3. · Admission Policies and Procedures · Correction due October 19, 2023

A diet plan for each infant/toddler was not signed by the parent(s).

Required correction: Caregivers shall follow each infant's feeding instructions as required.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. B.

The provider did not have parental acknowledgement on file indicating the parent has been informed that Licensing Rules for Group Day Care Homes and Child Day Care Centers in Missouri are available for review.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. C.

The provider did not have parental acknowledgement on file indicating the parent and provider have agreed on a plan for continuing communication.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. E. · Correction due October 19, 2023

The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 child(s) file did not have the parental acknowledgement they have received a copy of the provider's safe sleep policy.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. F.

The facility did not meet requirements for child enrollment and health information on file as evidenced by 9 child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility.

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

5 CSR 25-500.132 (8) (B) · Admission Policies and Procedures

The facility does not have a plan for continued communication with the parent(s).

Required correction: The provider's admission procedure shall include plans for communication with parents.

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due October 19, 2023

2 child(ren) records did not include work telephone number 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) (B) · Records and Reports · Correction due October 19, 2023

2 child(ren) records did not include work schedule 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) (B) · Records and Reports · Correction due October 19, 2023

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 25-500.222 (2) (D) · Records and Reports

2 child(ren) records did not include telephone number of family physician or hospital.

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

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

2 child(ren) records did not include name of family physician or hospital.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for M.H.

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

5 CSR 25-500.132 (8) (E) 3. · Admission Policies and Procedures · No longer displayed by the state

A diet plan for each infant/toddler was not signed by the parent(s).

Required correction: Caregivers shall follow each infant's feeding instructions as required.

5 CSR 25-500.052 (1) (C) · Annual Requirements · No longer displayed by the state

The equipment list was not submitted.

Required correction: The facility shall submit an equipment list as required.

5 CSR 25-500.052 (2) (A) · Annual Requirements · No longer displayed by the state

The annual fire safety inspection was not approved.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 20, 2023 · No longer displayed by the state

Hazardous items as follows were accessible to children: purses and Poo-pourri. The item(s) was/were located in unlocked cabinets.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · No longer displayed by the state

The ceilings located in all rooms was/were not clean as evidenced by dusty vents and stained ceiling tiles (preschool).

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

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · No longer displayed by the state

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 fence was not in good condition in that broken boards and chipping paint (around air-conditioners).

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 · No longer displayed by the state

The facility's outdoor space was not safe for children's activities as evidenced by splintering wood/exposed nail near fence on pre-k playground.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · No longer displayed by the state

The walls located in several rooms was/were not in good condition as evidenced by paint peeling and sticky residue, crack in infant door.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · No longer displayed by the state

Furniture/equipment, play steps, shelves, cribs, in toddler, eps, and infant rooms was not in good condition as evidenced by sticky residue.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · No longer displayed by the state

Outdoor equipment, climbing equipment, in eps playground was not in good condition as evidenced by chipping paint.

Required correction: Outdoor play equipment shall be safe and in good repair.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · No longer displayed by the state

Furniture/equipment, high chair, in infant room was not in good condition as evidenced by covering peeling off tray and wood wearing on legs.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.102 · Personnel (1) (K) . · No longer displayed by the state

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: A.B., A.H., O.H., C.K., E.L., M.T., K.W.

Required correction: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · No longer displayed by the state

Medical examination report(s) was/were not on file for A.H., A.H., C.K., M.T., K.W. 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 25-500.122 · Medical Examination Reports (1) (B) . · No longer displayed by the state

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., A.H., A.H., C.K., M.T., K.W., A.N., E.S.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. B. · No longer displayed by the state

The provider did not have parental acknowledgement on file indicating the parent has been informed that Licensing Rules for Group Day Care Homes and Child Day Care Centers in Missouri are available for review.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. C. · No longer displayed by the state

The provider did not have parental acknowledgement on file indicating the parent and provider have agreed on a plan for continuing communication.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. E. · No longer displayed by the state

The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 child(s) file did not have the parental acknowledgement they have received a copy of the provider's safe sleep policy.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. F. · No longer displayed by the state

The facility did not meet requirements for child enrollment and health information on file as evidenced by 9 child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility.

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

5 CSR 25-500.132 (8) (B) · Admission Policies and Procedures · No longer displayed by the state

The facility does not have a plan for continued communication with the parent(s).

Required correction: The provider's admission procedure shall include plans for communication with parents.

5 CSR 25-500.222 (2) (B) · Records and Reports · No longer displayed by the state

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 · No longer displayed by the state

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 25-500.222 (2) (D) · Records and Reports · No longer displayed by the state

2 child(ren) records did not include name of family physician or hospital.

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

5 CSR 25-500.222 (2) (D) · Records and Reports · No longer displayed by the state

2 child(ren) records did not include telephone number of family physician or hospital.

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

5 CSR 25-500.222 (2) (B) · Records and Reports · No longer displayed by the state

2 child(ren) records did not include work telephone number 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) (B) · Records and Reports · No longer displayed by the state

2 child(ren) records did not include work schedule of parent(s), guardian or legal custodian.

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

5 CSR 25-600.020 (1) · General Requirements · No longer displayed by the state

Criminal background check results were not on file for M.H.

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