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On April 3, 2025, the Office of Childhood (OOC) received a report alleging that Child A's mom never had to give immunizations or do a medical examination report for Child A to attend this facility. After conducting the investigation, Compliance Inspector (CI) Cole Eddins finds the allegation is substantiated. This conclusion is based on the following evidence of licensing rule violations which occurred at the facility:
5 CSR 25-500.122(2)(A) which states: "The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission. The provider may use the department's medical assessment form, or the provider may use its own form if it contains all the information on the department's form. The Child Medical Examination Report (Infant/Toddler/Pre-School) form, revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions."
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5 CSR 25-500.192(4)(A) which states: "No child shall be permitted to enroll in or attend any day care facility caring for ten or more children unless the child has been immunized adequately against vaccine-preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP) . The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration."
On April 8, 2025, CI Eddins interviewed Parent A, who stated that after she started looking for new daycare options for Child A, she realized that Talented Tots did not ask her for immunization records or a medical examination report for Child A to attend this facility.
On April 8, 2025, Compliance Inspector (CI) Cole Eddins completed an unannounced inspection and interviewed Director Garret Osgood. Child A was enrolled in early to mid-February 2025 and was disenrolled at the beginning of April 2025. When Parent A enrolled Child A, he requested immunization records, as well as an updated medical examination report for Child A to attend this facility. He admitted that he did not follow up on requesting both records from Parent A. Child A did not have an updated medical form or record of immunizations on file.
On April 8, 2025, CI Eddins conducted a walkthrough of the facility and observed Child A's file. CI Eddins did not observe a medical form or immunization records in Child A's file.
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