The Academy At Osage Hills

5 CSR 25-300.050 Health Requirements

Violation: Medical examination reports, including TB testing, were not on file for LaDonna Beckmeyer , Jackie Zimmerman 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 25-300.050 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: 3/30/2026

5 CSR 25-300.050 Health Requirements

Violation: Medical examination reports, including TB testing, were not on file for LaDonna Beckmeyer, Jackie Zimmerman as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.

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: 3/30/2026

5 CSR 25-300.050 Health Requirements

Violation: Medical examination reports, including TB testing, were not on file for LaDonna Beckmeyer, Jackie Zimmerman as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.

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

5 CSR 25-300.050 Health Requirements

Violation: Medical examination reports, including TB testing, were not on file for LaDonna Beckmeyer , Jackie Zimmerman 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 25-300.050 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

5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment

Violation: Equipment in the outdoor play area, the airplane, was not free of sharp, loose or pointed parts as evidenced by a plastic part on the front of an airplane had crocks with sharp edges , presenting possible scratching, pinching hazards to the children. It was fixed during the inspection. Children were not present on the playground during the inspection.

Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (G) states: Outdoor equipment shall be safely constructed, in good condition, and free of sharp, loose or pointed parts. Stationary equipment such as swings, slides and climbers shall be anchored securely.

Correction Required: Play equipment shall be well maintained, safely constructed, free of sharp, loose or pointed parts; stationary equipment shall be anchored.

Correction Verification: Corrected on Site

Compliance Date: 3/3/2026

5 CSR 25-300.050 Health Requirements

Violation: Medical examination reports, including TB testing, were not on file for Carol Patrick as evidenced by the medical examination was not signed by the required medical source.

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: 3/11/2025

5 CSR 25-300.050 Health Requirements

Violation: TB reports on file were older than 24 months for one staff member Karla Mc Duffey.

Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) 3. states: After the initial physical assessment, all caregivers working in a facility during child care hours shall be tested for tuberculosis at least every two (2) years. Caregivers with previously positive tuberculin tests shall be under the management of a physician.

Correction Required: Medical/TB reports shall be on file as required.

Correction Verification: Submit Documentation

Compliance Date: 3/28/2025

5 CSR 25-300.070 Fire Safety Requirements

Violation: Requirements of 19 CSR 30-60.080 Fire Safety were not met as evidenced by tornado drills were not held at least one time every three months.

Rule Reference: 5 CSR 25-300.070 Fire Safety Requirements (5) states: Fire and tornado drills shall be conducted at least every three (3) months and shall include all children in care. Unscheduled drills shall be held at the discretion of the state fire marshal or department. Each fire drill shall include a complete evacuation of all persons from the building.

Correction Required: Fire and tornado drills shall be completed and recorded as required.

Correction Verification: Submit Documentation

Compliance Date: 3/7/2025

5 CSR 25-300.110 Admission Procedures and Required Reports and Records

Violation: The facility's admitting procedure did not include an individualized special care plan for a child with special needs to ensure that those needs were being met as evidenced by one child with a special medical condition was not having a form in her file.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 1 states: The facility director shall have an admitting procedure for each child in care that includes a plan for caring for the child if s/he becomes ill or needs emergency medical treatment. The director shall maintain an individual file on each child in order to communicate with the parent(s), guardian or legal custodian. The director shall have a plan for any child with special health needs, identified through a physical assessment by a licensed physician or an advance practice nurse, to ensure that those needs are met during care.

Correction Required: The facility shall have an admitting procedure for each child in care which includes a plan for ill children, emergency medical care, and special health needs.

Correction Verification: Submit Documentation

Compliance Date: 3/11/2025

RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.

Violation: Requirements for fire safety inspection were not met as evidenced by the inspection was not approved.

Rule Reference: RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. states: All buildings and premises used by a child-care facility to care for more than six children except those exempted from the licensing provisions of the department of elementary and secondary education pursuant to subdivisions (1) to (15) of subsection 1 of section 210.211, shall be inspected annually for fire and safety by the state fire marshal, the marshal's designee or officials of a local fire district and for health and sanitation by the department of elementary and secondary education or the department's designee, including officials of the department of health and senior services, or officials of the local health department. Evidence of compliance with the inspections required by this section shall be kept on file and available to parents of children enrolling in the child-care facility.

Correction Required: An approved sanitation and fire/safety inspection shall be kept on file and be available as required.

Correction Verification: Submit Documentation

Compliance Date: 3/17/2025

5 CSR 25-300.050 Health Requirements

Violation: Medical examination reports, including TB testing, were not on file for Carol Patrick as evidenced by the medical examination was not signed by the required medical source.

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

5 CSR 25-300.050 Health Requirements

Violation: TB reports on file were older than 24 months for one staff member Karla Mc Duffey.

Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) 3. states: After the initial physical assessment, all caregivers working in a facility during child care hours shall be tested for tuberculosis at least every two (2) years. Caregivers with previously positive tuberculin tests shall be under the management of a physician.

Correction Required: Medical/TB reports shall be on file as required.

Correction Verification: Submit Documentation

5 CSR 25-300.070 Fire Safety Requirements

Violation: Requirements of 19 CSR 30-60.080 Fire Safety were not met as evidenced by tornado drills were not held at least one time every three months.

Rule Reference: 5 CSR 25-300.070 Fire Safety Requirements (5) states: Fire and tornado drills shall be conducted at least every three (3) months and shall include all children in care. Unscheduled drills shall be held at the discretion of the state fire marshal or department. Each fire drill shall include a complete evacuation of all persons from the building.

Correction Required: Fire and tornado drills shall be completed and recorded as required.

Correction Verification: Submit Documentation

5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment

Violation: Hazardous items as follows were accessible to children: Clorox Wipes and Hand Sanitizer . The item(s) was/were located in the basket on the table of the sink within children's reach. .

Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials.

Correction Required: Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.

Correction Verification: Corrected on Site

Compliance Date: 3/5/2025

5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment

Violation: Hazardous items as follows were accessible to children: two large fans with a long extension cords , presenting possible strangulation hazards to children. The item(s) was/were located in the gym .

Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials.

Correction Required: Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.

Correction Verification: Corrected on Site

Compliance Date: 3/5/2025

5 CSR 25-300.110 Admission Procedures and Required Reports and Records

Violation: The facility's admitting procedure did not include an individualized special care plan for a child with special needs to ensure that those needs were being met as evidenced by one child with a special medical condition was not having a form in her file.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 1 states: The facility director shall have an admitting procedure for each child in care that includes a plan for caring for the child if s/he becomes ill or needs emergency medical treatment. The director shall maintain an individual file on each child in order to communicate with the parent(s), guardian or legal custodian. The director shall have a plan for any child with special health needs, identified through a physical assessment by a licensed physician or an advance practice nurse, to ensure that those needs are met during care.

Correction Required: The facility shall have an admitting procedure for each child in care which includes a plan for ill children, emergency medical care, and special health needs.

Correction Verification: Submit Documentation

RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.

Violation: Requirements for fire safety inspection were not met as evidenced by the inspection was not approved.

Rule Reference: RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. states: All buildings and premises used by a child-care facility to care for more than six children except those exempted from the licensing provisions of the department of elementary and secondary education pursuant to subdivisions (1) to (15) of subsection 1 of section 210.211, shall be inspected annually for fire and safety by the state fire marshal, the marshal's designee or officials of a local fire district and for health and sanitation by the department of elementary and secondary education or the department's designee, including officials of the department of health and senior services, or officials of the local health department. Evidence of compliance with the inspections required by this section shall be kept on file and available to parents of children enrolling in the child-care facility.

Correction Required: An approved sanitation and fire/safety inspection shall be kept on file and be available as required.

Correction Verification: Submit Documentation

5 CSR 25-300.070 Fire Safety Requirements

Violation: The facility's evacuation/emergency plan is not posted.

Rule Reference: 5 CSR 25-300.070 Fire Safety Requirements (5) (A) states: An emergency plan for fires and tornadoes shall be posted conspicuously and shall include the route for the drills and special instructions for nonambulatory infants and children.

Correction Required: Evacuation/emergency plan must be posted/complete as required.

Correction Verification: Submit Documentation

Compliance Date: 3/6/2024

RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually.

Violation: Staff/child ratios did not meet those set forth in the Notice of Parental Responsibility.

Rule Reference: RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually. 2. (3) states: The staff/child ratios for enrolled children under two years of age, for children ages two to four and for those five years of age and older as required by the department of elementary and secondary education regulations in licensed facilities, the standard ratio of staff to number of children for each age level maintained in the exempt facility, and the total number of children to be enrolled by the facility.

Correction Required: The staff/child ratio for each age level must be maintained as stated in the Notice of Parental Responsibility.

Correction Verification: Return Inspection

Compliance Date: 3/14/2024

5 CSR 25-300.070 Fire Safety Requirements

Violation: The facility's evacuation/emergency plan is not posted.

Rule Reference: 5 CSR 25-300.070 Fire Safety Requirements (5) (A) states: An emergency plan for fires and tornadoes shall be posted conspicuously and shall include the route for the drills and special instructions for nonambulatory infants and children.

Correction Required: Evacuation/emergency plan must be posted/complete as required.

Correction Verification: Submit Documentation

5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment

Violation: Hazardous items as follows were accessible to children: one paint can. The item(s) was/were located on a low shelf in a hallway used by children.

Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials.

Correction Required: Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.

Correction Verification: Corrected on Site

Compliance Date: 3/4/2024

5 CSR 25-300.110 Admission Procedures and Required Reports and Records

Violation: The facility did not meet requirements for child enrollment and health information on file as evidenced by one child files did not have the name, address and telephone number of another individual (friend or relative) who might be reached in an emergency.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (C) states: Full name, address and phone number of a friend or relative who might be reached in an emergency when a parent, guardian or legal custodian cannot be reached.

Correction Required: An individual file with required information for each child shall be maintained.

Correction Verification: Corrected on Site

Compliance Date: 3/4/2024

RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually.

Violation: Staff/child ratios did not meet those set forth in the Notice of Parental Responsibility.

Rule Reference: RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually. 2. (3) states: The staff/child ratios for enrolled children under two years of age, for children ages two to four and for those five years of age and older as required by the department of elementary and secondary education regulations in licensed facilities, the standard ratio of staff to number of children for each age level maintained in the exempt facility, and the total number of children to be enrolled by the facility.

Correction Required: The staff/child ratio for each age level must be maintained as stated in the Notice of Parental Responsibility.

Correction Verification: Return Inspection