PIGLET TREEHOUSE

5 CSR 25-400.125 — The provider shall require, within thirty (30) days following the admission of each infant, toddler or preschool child, a medical examination report signed by a licensed physician or registered nurse who is under the supervision of lice

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 1/19/26. Correction required: Child medical requirements shall be completed and on file as required. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.125 — The provider shall require, within thirty (30) days following the admission of each infant, toddler or preschool child, a medical examination report signed by a licensed physician or registered nurse who is under the supervision of lice

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 1/19/26. Correction required: Child medical requirements shall be completed and on file as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.210 — Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached.

2 child(ren) records did not include address of another individual who might be reached in an emergency. Correction required: Child enrollment information shall be completed and on file as required. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.210 — Full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

2 child(ren) records did not include home address of parent(s), guardian or legal custodian. Correction required: Child enrollment information shall be completed and on file as required. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.210 — Full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

2 child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian. Correction required: Child enrollment information shall be completed and on file as required. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.210 — The child’s full name, address, birth date and the date care begins and ends.

2 child(ren) records did not include child's address. Correction required: Child enrollment information shall be completed and on file as required. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.185 — No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been adequately immunized against vaccine preventable childhood illnesses specified by the department in

Requirements for immunization reports on file were not met as evidenced by Child A immunization record(s) was/were not on file . Correction required: Child immunization requirements shall be completed and on file as required. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.125 — The provider shall require, within thirty (30) days following the admission of each infant, toddler or preschool child, a medical examination report signed by a licensed physician or registered nurse who is under the supervision of lice

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 06/02.2025 for one preschool age child. Correction required: Child medical requirements shall be completed and on file as required. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.125 — The parent(s) of a school-age child shall provide a report at the time of enrollment indicating the child's health history, any current health problems, and any restrictions necessary for the child's care.

A school-age child's health report was not on file at the time of enrollment as evidenced by one school age child -enrollment date 06/02/2025. Correction required: Child medical requirements shall be completed and on file as required. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.125 — Medical examination reports shall not apply to any child if the parent(s) files a signed statement of objection based on religious beliefs.

A medical examination report was not on file within 30 days of admission and there was no parent's signed religious objection. Correction required: Child medical requirements shall be completed and on file as required. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.085 — All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.

Hazardous items as follows were accessible to children: 12 bottles of hand sanitizer. The item(s) was/were located on the bottom shelf of the open front cabinet in the downstairs bathroom. Correction required: Hazardous items shall be inaccessible to children. Inspection type: POST LICENSING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.125 — Medical examination reports shall not apply to any child if the parent(s) files a signed statement of objection based on religious beliefs.

A medical examination report was not on file within 30 days of admission and there was no parent's signed religious objection. Correction required: Child medical requirements shall be completed and on file as required. Inspection type: POST LICENSING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.125 — The parent(s) of a school-age child shall provide a report at the time of enrollment indicating the child's health history, any current health problems, and any restrictions necessary for the child's care.

A school-age child's health report was not on file at the time of enrollment as evidenced by one school age child -enrollment date 06/02/2025. Correction required: Child medical requirements shall be completed and on file as required. Inspection type: POST LICENSING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.125 — The provider shall require, within thirty (30) days following the admission of each infant, toddler or preschool child, a medical examination report signed by a licensed physician or registered nurse who is under the supervision of lice

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 06/02.2025 for one preschool age child. Correction required: Child medical requirements shall be completed and on file as required. Inspection type: POST LICENSING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.185 — No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been adequately immunized against vaccine preventable childhood illnesses specified by the department in

Requirements for immunization reports on file were not met as evidenced by Child A immunization record(s) was/were not on file . Correction required: Child immunization requirements shall be completed and on file as required. Inspection type: POST LICENSING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.210 — The child’s full name, address, birth date and the date care begins and ends.

2 child(ren) records did not include child's address. Correction required: Child enrollment information shall be completed and on file as required. Inspection type: POST LICENSING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.210 — Full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

2 child(ren) records did not include home address of parent(s), guardian or legal custodian. Correction required: Child enrollment information shall be completed and on file as required. Inspection type: POST LICENSING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.210 — Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached.

2 child(ren) records did not include address of another individual who might be reached in an emergency. Correction required: Child enrollment information shall be completed and on file as required. Inspection type: POST LICENSING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.210 — Full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

2 child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian. Correction required: Child enrollment information shall be completed and on file as required. Inspection type: POST LICENSING. Source: Missouri Child Care Search (DESE Office of Childhood).