reglab/statecodes huggingface dataset:
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 61 - Licensing Rules for Family Child Care Homes › Section 19 CSR 30-61.015 - Exemption of Day Care Facilities

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule defines the basis on which a
				  family day care home may qualify for exemption from licensure.
(1) A day care facility does not qualify for
				exemption from licensure unless it is under the exclusive control of an entity
				qualifying for exemption under section
				210.211,
				RSMo.
(2) When a nonreligious
				organization having as its principal purpose the provision of child care
				services enters into an arrangement with a well-known religious order to
				provide continuing assistance in the maintenance or operation of a day care
				facility, the facility is not under the exclusive control of the well-known
				religious order and does not qualify for exemption from licensure under section
				210.211(5),
				RSMo.
(3) If the person(s)
				operating the facility claims exemption from licensure, s/he shall file all
				information requested by the department to make a determination of exemption
				prior to opening. Facilities may waive the right to apply for exemption and
				request voluntary licensure. These facilities shall comply with all licensing
				rules.
*Original authority: 210.221.1(3), RSMo 1949, amended 1955,
					 1987, 1993.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 61 - Licensing Rules for Family Child Care Homes › Section 19 CSR 30-61.025 - Organization and Administration

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment specifies that policies and
				  procedures are to be written, changes references of Child Care Licensing Unit
				  to the department, and includes language to accommodate legal entities. This
				  amendment also removes child abuse and neglect language in an effort to not
				  conflict with section
				  210.1080, RSMo Supp.
				  2018.
(1) Each family day
				care home shall be organized according to written policies and procedures which
				clearly establish job responsibilities and lines of administrative
				authority.
(2) If a family day care
				home is owned by a legal entity, the legal entity shall designate a person to
				be responsible for the daily operation of the facility and to meet the
				requirements of the child care provider. The department shall be notified in
				writing immediately if there is a change of the person designated to be
				responsible for the daily operation of the facility and to meet the
				requirements of the child care provider.
(3) The person(s) or legal entity who owns a
				family day care home shall be responsible for meeting all debts and obligations
				incurred by the facility and for maintaining compliance with all licensing
				rules for family day care homes.
(4) When the responsibility for the operation
				of a family day care home rests with a board of directors, the department shall
				be notified in writing immediately if there is a change of the board president
				or chairperson.
*Original authority: 210.221.1(3), RSMo 1949, amended 1955,
					 1987, 1993.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 61 - Licensing Rules for Family Child Care Homes › Section 19 CSR 30-61.055 - Annual Requirements

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: The amendment replaces the license renewal
				  process with a similar annual compliance process. The amendment adds the new
				  Annual Declaration for Licensed Facilities form.
PUBLISHER'S NOTE: The secretary of state has
				  determined that the publication of the entire text of the material which is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. This material as incorporated by reference in this rule shall be
				  maintained by the agency at its headquarters and shall be made available to the
				  public for inspection and copying at no more than the actual cost of
				  reproduction. This note applies only to the reference material. The entire text
				  of the rule is printed here.
(1) The provider shall submit the following
				to the department on an annual basis, at least thirty (30) calendar days prior
				to the anniversary date as printed on the license:
(A) An Annual Declaration for Licensed
				Facility form, promulgated as of August 2020 and incorporated by reference in
				this rule. As published by the Missouri Department of Health and Senior
				Services, PO Box 570, Jefferson City, MO 65102-0570 and available by the
				department at
https://health.mo.gov/safety/childcare/forms.php
indicating the licensee's intent to continue operating a licensed family child
				care home and agreement to comply with all statutes and department licensing
				rules;
(B) A current list of
				available equipment;
(C) A listing
				of household members and assistant(s); and
(D) A completed safety plan if a sex offender
				resides within one thousand feet (1,000') of the facility. If the provider has
				an existing safety plan, a new plan is not required.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 61 - Licensing Rules for Family Child Care Homes › Section 19 CSR 30-61.085 - Physical Requirements of the Family Day Care Home

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment specifies that smoking is
				  prohibited in areas where children are cared for in a child care home as
				  recommended by the American Academy of Pediatrics Task Force on Sudden Infant
				  Death Syndrome for a safe infant sleeping environment.
(1) General Requirements.
(A) The premises shall be safe and suitable
				for the care of children.
(B) The
				premises shall conform to the fire and safety requirements of the State Fire
				Marshal or his/her designee.
(C) It
				shall be the responsibility of the child care provider to determine any
				applicable local zoning regulations.
(D) Water supply and sewage disposal systems
				shall conform to state or local requirements, or both.
(E) Children shall have no access to areas
				not approved for child care.
(F)
				Stairways in approved child care space shall be well-lighted and free of
				obstructions. Stairways in approved child care space having more than three (3)
				steps shall have a handrail the children can reach.
(G) Porches, decks, stairwells or other areas
				in approved child care space having a drop-off of more than twenty-four inches
				(24") from which children might fall and be injured shall have an approved
				railing or approved barrier. The railing or barrier shall be constructed to
				prevent the child from crawling or falling through, or becoming
				entrapped.
(H) Approved safety
				gates at stairways and doors shall be provided and used as needed.
(I) Heaters, floor furnaces, radiators, hot
				water heaters or other equipment which poses a threat to children shall meet
				the requirements of
				19 CSR 30-61.086 Fire
				Safety.
(J) All flammable liquids,
				matches, cleaning supplies, poisonous materials, medicines, alcoholic
				beverages, hazardous personal care items or other hazardous items shall be
				inaccessible to children.
(K)
				Ammunition, guns, hunting knives, bows and arrows or other weapons shall be
				stored in a locked cabinet or locked closet.
(L) No person shall smoke or otherwise use
				tobacco products in any area of the child care facility during the period of
				time when children cared for under the license are present.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 61 - Licensing Rules for Family Child Care Homes › Section 19 CSR 30-61.090 - Disaster and Emergency Preparedness

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule requires family child care homes
				  to prepare and respond to disasters and emergencies.
PUBLISHER'S NOTE: The secretary of state has
				  determined that the publication of the entire text of the material which is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. This material as incorporated by reference in this rule shall be
				  maintained by the agency at its headquarters and shall be made available to the
				  public for inspection and copying at no more than the actual cost of
				  reproduction. This note applies only to the reference material. The entire text
				  of the rule is printed here.
(1) Disaster Emergency Plan.
(A) The facility shall develop, implement,
				and maintain policies and procedures for responding to a disaster emergency,
				including a written plan for:
1. Medical and
				non-medical emergencies and disaster situations that could pose a hazard to
				staff and children, such as a fire, tornado, flood, chemical spill, exposure to
				carbon monoxide, power failure, bomb threat, person coming to the facility
				whose health or behavior may be harmful to a child or staff member, or
				kidnapping;
2. Evacuation from the
				facility in the event of a disaster emergency that could cause damage to the
				facility or pose a hazard to the staff and children;
3. Lock-down procedures in a situation that
				may result in harm to persons inside the facility such as a shooting, hostage
				incident, intruder, trespassing, or disturbance or to be used at the discretion
				of the director, designee, or public safety personnel; and
4. Evacuation from a vehicle used to
				transport children.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 61 - Licensing Rules for Family Child Care Homes › Section 19 CSR 30-61.095 - Furniture, Equipment, and Materials

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates the rule to reflect
				  new federal safety guidelines for cribs and adds language to implement safe
				  sleep recommendations from the American Academy of Pediatrics (AAP) as required
				  by section
				  210.223,
				  RSMo.
PUBLISHER'S NOTE: The secretary of state has
				  determined that the publication of the entire text of the material which is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. This material as incorporated by reference in this rule shall be
				  maintained by the agency at its headquarters and shall be made available to the
				  public for inspection and copying at no more than the actual cost of
				  reproduction. This note applies only to the reference material. The entire text
				  of the rule is printed here.
(1) Indoor Furniture and Equipment.
(A) General Requirements.
1. All furniture and equipment shall be
				constructed safely, in good condition and free of sharp, loose or pointed
				parts. Only lead-free paint shall be used.
2. Furniture and equipment shall be arranged
				to provide a clear passage to all exits.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 61 - Licensing Rules for Family Child Care Homes › Section 19 CSR 30-61.115 - Day Care Family and Household

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule contains the requirements for
				  family members and others sharing the home with day care
				  children.
(1) Relationships
				between members of the day care household shall provide a positive environment
				for children. There shall be agreement among the adult members of the household
				for sharing their home with the day care children.
(2) The financial resources of the family
				shall be sufficient to maintain minimum standards of care as set forth by the
				department.
(3) If an individual(s)
				requiring extensive care due to illness or handicapping conditions is present
				in the home during the hours of child care, another adult shall be available in
				the home on a full-time basis who shall be responsible for caring for the
				individual(s) requiring extensive care.
(4) The provider shall notify the department
				of any new household members.
(5)
				Any household member or any person present at the home during hours in which
				child care is provided shall not present a threat to the health, safety or
				welfare of the children.
*Original authority: 210.221.1(3), RSMo 1949, amended 1955,
					 1987, 1993.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 61 - Licensing Rules for Family Child Care Homes › Section 19 CSR 30-61.135 - Admission Policies and Procedures

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment requires family child care
				  home providers to implement and maintain written policies pertaining to safe
				  sleep for children less than one (1) year of age in accordance with the
				  American Academy of Pediatrics (AAP) recommendations, and provides minimum
				  requirements for the provider's safe sleep policy.
(1) The provider shall establish, implement,
				and maintain written policies pertaining to the program goals, admission, safe
				sleep practices for children less than one (1) year of age, care and discharge
				of children, and shall provide a copy to the parent(s) at the time of
				enrollment.
(2) The provider's
				infant safe sleep policy shall comply with section
				210.223,
				RSMo, and shall include, but not be limited to:
(A) The following safe sleep practices:
1. The policy shall list the licensee's
				expectations regarding how and when caregivers are to be trained on safe
				sleep;
2. A requirement that
				children less than one (1) year of age be placed on their backs to
				sleep;
3. A requirement that the
				facility shall receive a written statement from the infant's licensed health
				care provider stating that the infant requires alternative sleep positions or
				special sleeping arrangements that differ from those set forth in
				19 CSR
				30-61.175(2)(C) prior to allowing the
				infant to be placed in a sleep position that is not on his or her back;
				and
4. Supervision of infants
				during nap/sleep times, to include:
A.
				Positioning of staff;
B. Lighting
				in the nap room;
C. Physical checks
				of the child to ensure he or she is not overheated or in distress;
				and
D. Prohibitions against the use
				of any equipment such as a sound machine that may interfere with the
				caregiver's ability to see or hear a child who may be distressed; and
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 61 - Licensing Rules for Family Child Care Homes › Section 19 CSR 30-61.145 - Nighttime Care

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule sets forth requirements for
				  facilities providing nighttime care for children.
(1) If nighttime care is to be offered on a
				regular basis, rules shall be met as set forth for nighttime care and the home
				shall be specifically licensed to include nighttime care.
(2) Family day care homes licensed for
				nighttime care shall meet the requirements of the following additional rules:
(A) Special effort shall be made by the child
				care provider to individualize care at children's bedtime and awakening. The
				parent(s) shall be consulted concerning his/her child's particular behavior
				patterns at bedtime and awakening;
(B) As parents will be calling for children
				at various hours during nighttime care, room arrangements shall take into
				consideration the child's need for undisturbed sleep;
(C) Combs, brushes, toothbrushes or other
				personal items shall be individually marked with the child's name;
(D) Night-lights shall be located in areas as
				required by individual children's needs;
(E) Separate sleeping and dressing areas
				shall be provided for school-age boys and girls; and
(F) During sleeping hours, the provider or
				assistant(s) shall be in close proximity to sleeping areas in order to respond
				to children needing attention. Close proximity means that the provider shall be
				close enough to the children to be able to hear any sounds they might make that
				would indicate a need for assistance.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 61 - Licensing Rules for Family Child Care Homes › Section 19 CSR 30-61.155 - Overlap Care of Children

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule defines overlap care and sets
				  forth the requirements of overlap care.
(1) There may be situations (for example, to
				accommodate parents' work shifts or before-and after-school care) when the
				number of children in care over two (2) years of age may exceed the licensed
				capacity of the home. The number in care shall never be more than one-third
				(1/3) over the licensed capacity of the home at the time of overlap. The
				overlap period(s) shall not exceed two (2) hours total in any twenty-four
				(24)-hour child-care day. The two (2) hours of available overlap time may be
				utilized in smaller time periods.
(2) Overlap care of children under two (2)
				years of age shall not be permitted.
(3) Overlap care shall not be provided until
				an overlap request has been submitted, including the hours overlap care will be
				provided, and written approval has been received from the department. Any
				changes in the hours of overlap care shall require that a new overlap request
				form be submitted and approved.
(4)
				All procedures for admitting children shall be followed if a provider chooses
				to enroll children for overlap care.
*Original authority: 210.221.1(3), RSMo 1949, amended 1955,
					 1987, 1993.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 61 - Licensing Rules for Family Child Care Homes › Section 19 CSR 30-61.165 - Emergency School Closings

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule allows one-third additional
				  attendance of school-age children on unscheduled days of school
				  closing.
(1) On days when
				schools are closed due to emergencies such as inclement weather or physical
				plant failure, the home may accommodate enrolled school-age children who need
				care. The provider shall be permitted to exceed for the day the licensed
				capacity of the home by one-third (1/3). The one-third (1/3) excess attendance
				shall not be in addition to the one-third (1/3) excess attendance allowed for
				overlap care. At no time may the total number in care be more than one-third
				(1/3) over the licensed capacity of the home.
(2) The provider shall maintain a written
				record including the date of the emergency school closing, the reason for the
				closing and the number of children in care on that date.
(3) Emergency school closing overlap shall
				not be permitted for scheduled days of school closing.
*Original authority: 210.221.1(3), RSMo 1949, amended 1955,
					 1987, 1993.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 61 - Licensing Rules for Family Child Care Homes › Section 19 CSR 30-61.175 - Child Care Program

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment implements safe sleep
				  recommendations from the American Academy of Pediatrics (AAP) Task Force on
				  Sudden Infant Death Syndrome for a safe infant sleeping environment and section
				  210.223,
				  RSMo.
(1) Care of the Child.
(A) General Requirements.
1. Child care providers shall not leave any
				child without competent adult supervision.
2. The provider or an assistant personally
				shall admit each child upon arrival and personally shall dismiss each child
				upon departure. Children shall be dismissed only to the parent(s), guardian,
				legal custodian, or to the individual(s) approved by the parent(s), guardian,
				or legal custodian.
3. Caregivers
				shall provide frequent, direct contact so children are not routinely left
				unobserved on the premises.
4.
				Children under three (3) shall be supervised and assisted while in the
				bathroom.
5. Caregivers shall check
				on the children frequently during napping or sleeping and shall remain in close
				enough proximity to the children to be able to hear them if they have
				difficulty during napping or when they awaken. Home monitors or commercial
				devices marketed to reduce the risk of Sudden Infant Death Syndrome (SIDS)
				shall not be used in place of supervision while children are napping or
				sleeping.
6. If children are napped
				with no caregiver in the room, the door to the room cannot be closed.
7. All children shall nap on the same floor
				and a caregiver shall remain on the floor where children are napping at all
				times.
8. Preschool children who do
				not sleep shall rest on sleeping equipment at least thirty (30) minutes, but
				shall not be forced to remain on the sleeping equipment longer than one (1)
				hour. They shall then be permitted to leave the napping area to engage in quiet
				play.
9. The provider shall ensure
				that special attention is given on an individual basis to new children having
				problems adjusting, distressed children, etc. Children shall be encouraged, but
				not forced, to participate in group activities.
10. Children shall not be subjected to child
				abuse/neglect as defined by section
				210.110,
				RSMo.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 61 - Licensing Rules for Family Child Care Homes › Section 19 CSR 30-61.200 - Transportation and Field Trips

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule sets forth the requirements of a
				  day care provider when transporting children and on field
				  trips.
(1) General
				Requirements.
(A) The provider shall be
				responsible for the care, safety and supervision of children on field trips or
				at any time they transport children away from the family day care
				home.
(B) Written parental consent
				shall be on file at the home for field trips and transportation.
(C) Parents shall be informed when field
				trips are planned.
(D) Short,
				unscheduled walks may be taken without parental notification. These unscheduled
				outings shall be discussed with the parent(s) at the time of
				enrollment.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 61 - Licensing Rules for Family Child Care Homes › Section 19 CSR 30-61.210 - Records and Reports

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment changes references of
				  rescinded 19 CSR 40 to current 19 CSR 30 and removes obsolete and duplicate
				  rules. This amendment also adds background screening record retention
				  requirements to comply with section
				  210.1080, RSMo.
(1) The child care provider shall maintain
				accurate records to meet administrative requirements and to ensure knowledge of
				the individual needs of children and their families.
(2) An individual file shall be kept to
				identify each child and to enable the provider to communicate with the
				parent(s), guardian or legal custodian of the child in an emergency. Records
				shall include:
(A) The child's full name,
				address, birth-date and the date care begins and ends;
(B) Full name of the parent(s), guardian or
				legal custodian, home address, employers' name and address, work schedule and
				home and work telephone numbers;
(C) 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;
(D) Name and phone number of the family
				physician, or hospital, or both, to be used in an emergency;
(E) Name of the individual(s) authorized to
				take the child from the home; and
(F) Field trip and transportation
				authorization.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 61 - Licensing Rules for Family Child Care Homes › Section 19 CSR 30-61.220 - Variance Request

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule explains how a provider may
				  request a variance from the rules of this chapter.
(1) Any provider may request a variance from
				a rule. The request for a variance shall be written to the Child Care Unit and
				shall include the item(s) for which a variance is requested and the reason(s)
				the provider requests the variance. Local inspectors may request a variance on
				behalf of the provider.
(2) If a
				variance request is not approved by the Child Care Unit, the provider shall be
				advised in writing of the basis for the denial. The provider may request a
				review of the decision by the director within thirty (30) days of receipt. The
				director or designee shall have fifteen (15) days to make the final
				determination on the variance request. That determination is subject to Chapter
				536, RSMo review for licensed facilities.
*Original authority: 210.221.1(3), RSMo 1949, amended 1955,
					 1987, 1993.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 62 - Licensing Rules for Group Child Care Homes and Child Care Centers › Section 19 CSR 30-62.010 - Definitions

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates the existing
				  definitions and terms used in the licensing rules for group child care homes
				  and child care centers and adds new definitions for child care facility, child
				  care staff member, group size, homeless children and youths, hourly care
				  facility, legal entity, licensee, and Montessori school. This amendment also
				  deletes the terms "review board" and "related," places the definitions in
				  correct alphabetical order, and updates the term "day care" to "child care" in
				  the chapter name and across several definitions.
(1) Adult is any individual eighteen (18)
				years of age or older.
(2)
				Caregiver is the child care provider or other child care staff
				member.
(3) A child care center or
				center, whether owned by a sole proprietor or other legal entity, is a child
				care program conducted in a location other than the provider's permanent
				residence, or separate from the provider's living quarters, where care is
				provided for children for any part of the twenty-four- (24-) hour
				day.
(4) A child care facility or
				facility is a family child care home, group child care home, or child care
				center.
(5) Child care provider,
				group child care home provider or provider is the person(s) licensed or
				required to be licensed under section
				210.211,
				RSMo in order to establish, conduct, or maintain a child care facility. This
				person(s) shall have the following rights and responsibilities as determined by
				the division:
(A) Ultimate responsibility for
				making and implementing decisions regarding the operation of the facility;
				and
(B) Ultimate financial control
				of the operation of the facility.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 62 - Licensing Rules for Group Child Care Homes and Child Care Centers › Section 19 CSR 30-62.022 - Exemption of Day Care Facilities

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule defines the basis on which a group
				  day care home or a child day care center may qualify for exemption from
				  licensure.
(1) A day care
				facility does not qualify for exemption from licensure unless it is under the
				exclusive control of an entity qualifying for exemption under section
				210.211,
				RSMo.
(2) When a nonreligious
				organization, having as its principal purpose the provision of child care
				services, enters into an arrangement with a well-known religious order to
				provide continuing assistance in the maintenance or operation of a child care
				facility, the facility is not under the exclusive control of the well-known
				religious order and does not qualify for exemption from licensure under section
				210.211(5),
				RSMo.
(3) If the person(s)
				operating the facility claims exemption from licensure, s/he shall file all
				information requested by the department to make a determination of exemption
				prior to opening. Facilities may waive the right to apply for exemption and
				request voluntary licensure. These facilities shall comply with all licensing
				rules.
*Original authority: 210.211.1(3), RSMo 1949, amended 1955,
					 1987, 1993.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 62 - Licensing Rules for Group Child Care Homes and Child Care Centers › Section 19 CSR 30-62.032 - Organization and Administration

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment changes references of Child
				  Care Licensing Unit to the department and includes language to accommodate
				  legal entities. This amendment also removes child abuse and neglect language in
				  an effort to not conflict with section
				  210.1080, RSMo.
(1) Each day care facility shall be organized
				according to written policies and procedures which clearly establish job
				responsibilities and lines of administrative authority.
(2) If a group day care home is owned by a
				legal entity, the legal entity shall designate a person to be responsible for
				the daily operation of the facility and to meet the requirements of the group
				day care home provider. The department shall be notified in writing immediately
				if there is a change of the person designated to be responsible for the daily
				operation of the facility and to meet the requirements of the group day care
				home provider.
(3) When the
				responsibility for the operation of a facility rests with a board of directors,
				the department shall be notified in writing immediately if there is a change of
				the board president or chairperson.
(4) The person(s) or legal entity who owns a
				day care facility shall be responsible for meeting all debts and obligations
				incurred by the facility and for maintaining compliance with all licensing
				rules for group day care homes and day care centers.
*Original authority: 210.221.1(3), RSMo 1949, amended 1955,
					 1987, 1993.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 62 - Licensing Rules for Group Child Care Homes and Child Care Centers › Section 19 CSR 30-62.052 - Annual Requirements

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: The amendment removes the license renewal
				  process to comply with section
				  210.221.1, RSMo 2020 and adds
				  annual requirements for group child care homes and child care
				  centers.
PUBLISHER'S NOTE: The secretary of state has
				  determined that the publication of the entire text of the material which is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. This material as incorporated by reference in this rule shall be
				  maintained by the agency at its headquarters and shall be made available to the
				  public for inspection and copying at no more than the actual cost of
				  reproduction. This note applies only to the reference material. The entire text
				  of the rule is printed here.
(1) The provider shall submit the following
				to the department on an annual basis, at least thirty (30) calendar days prior
				to the anniversary date as printed on the license:
(A) An Annual Declaration for Licensed
				Facility form, promulgated as of August 2020 and incorporated by reference in
				this rule. As published by the Missouri Department of Health and Senior
				Services, PO Box 570, Jefferson City, MO 65102-0570 and available by the
				department at
https://health.mo.gov/safety/childcare/forms.php
indicating the licensee's intent to continue operating a licensed group child
				care home or child care center and agreement to comply with all statutes and
				department licensing rules;
(B)
				Evidence of compliance with local building and zoning requirements, if
				applicable;
(C) A current list of
				available equipment; and
(D) A
				current staff sheet.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 62 - Licensing Rules for Group Child Care Homes and Child Care Centers › Section 19 CSR 30-62.082 - Physical Requirements of Group Day Care Homes and Day Care Centers

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment specifies that smoking is
				  prohibited in areas where children are cared for in a group child care home or
				  child care center as recommended by the American Academy of Pediatrics Task
				  Force on Sudden Infant Death Syndrome for a safe infant sleeping
				  environment.
(1) General
				Requirements.
(A) The premises shall be safe
				and suitable for the care of children.
(B) The premises shall conform to the fire
				and safety requirements of the State Fire Marshal or his/her designee and
				requirements for state or local zoning, building and sanitation.
(C) Children shall have no access to areas
				not approved for child care.
(D)
				Stairways in approved child care space shall be well-lighted and free of
				obstructions. Stairways in approved child care space having more than three (3)
				steps shall have a handrail the children can reach.
(E) Porches, decks, stairwells or other areas
				in approved child care space having a drop-off of more than twenty-four inches
				(24") from which children might fall and be injured shall have an approved
				railing or approved barrier. The railing or barrier shall be constructed to
				prevent the child from crawling or falling through or becoming
				entrapped.
(F) Approved safety
				gates at stairways and doors shall be provided and used as needed.
(G) Protective outlet covers or twist-lock
				outlets shall be used in areas accessible to the children.
(H) Heaters, floor furnaces, radiators, hot
				water heaters or other equipment which pose a threat to children shall meet the
				requirements of
				19 CSR 30-62.087 Fire
				Safety.
(I) All flammable liquids,
				matches, cleaning supplies, poisonous materials, medicines, alcoholic
				beverages, hazardous personal care items or other hazardous items shall be
				inaccessible to children.
(J)
				Ammunition, guns, hunting knives, bows and arrows or other weapons shall be
				stored in a locked cabinet or locked closet.
(K) No person shall smoke or otherwise use
				tobacco products in any area of the child care facility during the period of
				time when children cared for under the license are present.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 62 - Licensing Rules for Group Child Care Homes and Child Care Centers › Section 19 CSR 30-62.090 - Disaster and Emergency Preparedness

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule requires group homes and child
				  care facilities to prepare and respond to disasters and
				  emergencies.
PUBLISHER'S NOTE: The secretary of state has
				  determined that the publication of the entire text of the material which is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. This material as incorporated by reference in this rule shall be
				  maintained by the agency at its headquarters and shall be made available to the
				  public for inspection and copying at no more than the actual cost of
				  reproduction. This note applies only to the reference material. The entire text
				  of the rule is printed here.
(1) Disaster and Emergency Plan.
(A) The facility shall develop, implement,
				and maintain policies and procedures for responding to a disaster emergency,
				including a written plan for:
1. Medical and
				non-medical emergencies and disaster situations that could pose a hazard to
				staff and children, such as a fire, tornado, flood, chemical spill, exposure to
				carbon monoxide, power failure, bomb threat, person coming to the facility
				whose health or behavior may be harmful to a child or staff member, or
				kidnapping or missing child;
2.
				Evacuation from the facility in the event of a disaster or an emergency that
				could cause damage to the facility or pose a hazard to the staff and
				children;
3. Lock-down procedures
				in situations that may result in harm to persons inside the facility such as a
				shooting, hostage incident, intruder, trespassing, or disturbance or to be used
				at the discretion of the director, designee, or public safety personnel;
				and
4. Evacuation from a vehicle
				used to transport children.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 62 - Licensing Rules for Group Child Care Homes and Child Care Centers › Section 19 CSR 30-62.092 - Furniture, Equipment, and Materials

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates the rule to reflect
				  new federal safety guidelines for cribs and adds language to implement safe
				  sleep recommendations from the American Academy of Pediatrics (AAP) as required
				  by section
				  210.223,
				  RSMo.
PUBLISHER'S NOTE: The secretary of state has
				  determined that the publication of the entire text of the material which is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. This material as incorporated by reference in this rule shall be
				  maintained by the agency at its headquarters and shall be made available to the
				  public for inspection and copying at no more than the actual cost of
				  reproduction. This note applies only to the reference material. The entire text
				  of the rule is printed here.
(1) Indoor Furniture and Equipment.
(A) General Requirements.
1. All furniture and equipment shall be
				constructed safely, in good condition and free of sharp, loose or pointed
				parts. Only lead-free paint shall be used.
2. Furniture and equipment shall be arranged
				to provide a clear passage to all exits.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 62 - Licensing Rules for Group Child Care Homes and Child Care Centers › Section 19 CSR 30-62.112 - Staff/Child Ratios

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule provides the number of staff
				  required for specific ages and numbers of children in care.
(1) The following staff/child ratios shall be
				maintained on the premises at all times:
(A)
				Birth Through Two (2) Years. Groups composed of mixed ages through two (2)
				years shall have no less than one (1) adult to four (4) children, with no more
				than eight (8) children in a group;
(B) Age Two (2) Years. Groups composed solely
				of two (2) year olds shall have no less than one (1) adult to eight (8)
				children, with no more than sixteen (16) children in a group;
(C) Ages Three Through Four (3-4) Years.
				Groups composed solely of three (3)- and four (4) year olds shall have no less
				than one (1) adult to ten (10) children;
(D) Ages Five (5) and Up. Groups composed
				solely of five (5) year olds and older shall have no less than one (1) adult to
				every sixteen (16) children; and
(E) Mixed Age Groups Two Years (2) and Up.
				Groups composed of mixed ages of children two (2) years of age and older shall
				have no less than one (1) adult to ten (10) children with a maximum of four (4)
				two (2) year olds. When there are more than four (4) two (2) year olds in a
				mixed group, the staff/child ratio shall be no less than one (1) adult to eight
				(8) children.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 62 - Licensing Rules for Group Child Care Homes and Child Care Centers › Section 19 CSR 30-62.132 - Admission Policies and Procedures

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment requires group child care
				  homes and child care centers to implement and maintain written policies
				  pertaining to safe sleep for children less than one (1) year of age in
				  accordance with the American Academy of Pediatrics (AAP) recommendations and
				  provides minimum requirements for the provider's safe sleep
				  policy.
PUBLISHER'S NOTE: The secretary of state has
				  determined that the publication of the entire text of the material which is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. This material as incorporated by reference in this rule shall be
				  maintained by the agency at its headquarters and shall be made available to the
				  public for inspection and copying at no more than the actual cost of
				  reproduction. This note applies only to the reference material. The entire text
				  of the rule is printed here.
(1) The provider shall establish, implement,
				and maintain written policies pertaining to the program goals, admission, safe
				sleep practices for children less than one (1) year of age, care, and discharge
				of children, and shall provide a copy to the parent(s) at the time of
				enrollment.
(2) The provider's
				infant safe sleep policy shall comply with section
				210.223,
				RSMo, and shall include, but not be limited to:
(A) The following safe sleep practices:
1. The policy shall list the licensee's
				expectations regarding how and when caregivers are to be trained on safe
				sleep;
2. A requirement that
				children less than one (1) year of age be placed on their backs to
				sleep;
3. A requirement that the
				facility shall receive a written statement from the infant's licensed health
				care provider stating that the infant requires alternative sleep positions or
				special sleeping arrangements that differ from those set forth in
				19 CSR
				30-62.182(2)(C) prior to allowing the
				infant to be placed in a sleep position that is not on his or her back;
				and
4. Supervision of infants
				during nap/sleep times, to include:
A.
				Positioning of staff;
B. Lighting
				in the nap room;
C. Physical checks
				of the child to ensure he or she is not overheated or in distress;
				and
D. Prohibitions against the use
				of any equipment such as a sound machine that may interfere with the
				caregiver's ability to see or hear a child who may be distressed; and
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 62 - Licensing Rules for Group Child Care Homes and Child Care Centers › Section 19 CSR 30-62.142 - Nighttime Care

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule sets forth requirements for
				  facilities providing nighttime care for children.
(1) If nighttime care is to be offered on a
				regular basis, rules shall be met as set forth for nighttime care and the
				facility shall be specifically licensed to include nighttime care.
(2) Facilities licensed for nighttime care
				shall meet the requirements of the following additional rules:
(A) Special effort shall be made by
				care-givers to individualize care at children's bedtime and awakening. The
				parent(s) shall be consulted concerning his/her child's particular behavior
				patterns at bedtime and awakening;
(B) As parents will be calling for children
				at various hours during nighttime care, room arrangements shall take into
				consideration the child's need for undisturbed sleep;
(C) Combs, brushes, toothbrushes or other
				personal items shall be individually marked with the child's name;
(D) Night-lights shall be located in areas as
				required by individual children's needs;
(E) Separate sleeping and dressing areas
				shall be provided for school-age boys and girls;
(F) During sleeping hours, caregivers shall
				be in close proximity to sleeping areas in order to respond to children needing
				attention. Close proximity means that caregivers shall be close enough to the
				children to be able to hear any sounds they might make that would indicate a
				need for assistance. One (1) caregiver shall be awake at all times;
				and
(G) Adults on the premises
				shall be limited to staff, parents or authorized individuals.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 62 - Licensing Rules for Group Child Care Homes and Child Care Centers › Section 19 CSR 30-62.152 - Hourly Care Facilities

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule sets forth requirements for
				  facilities providing irregular, intermittent, hourly care for
				  children.
(1) An hourly care
				facility is a facility licensed exclusively for irregular, intermittent, hourly
				care.
(2) Hourly care shall be
				limited to a maximum of fifty (50) hours per month per child. If a child is in
				care more than fifty (50) hours per month, other child care arrangements shall
				be made.
(3) Hourly care facilities
				shall meet all licensing rules for group day care homes and day care centers
				with the following exceptions:
(A) An outdoor
				play area is not required;
(B)
				Children may bring sack lunches; and
(C) The children's medical examination report
				is not required.