Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2197 - Board of Therapeutic Massage › Chapter 5 - Massage Therapy Business Requirements › Section 20 CSR 2197-5.010 - Massage Therapy Business-Survey Inspections

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule specifies the requirements to
				  operate a massage therapy business.
(1) A massage therapy business shall-
(A) Employ or permit to practice on the
				premises a licensed or provisionally licensed massage therapist (hereinafter
				referred to as licensee or licensees) to perform massage therapy as defined in
				section
				324.240(7),
				RSMo;
(B) Ensure that no licensee
				practices beyond their scope and expertise; direct or require a licensee to
				practice beyond their scope and expertise; or allow any unlicensed employees,
				staff, or independent contractors to provide massage pursuant to section
				324.240(7),
				RSMo, for which a license is
				required;
(C) Maintain a copy of
				the professional liability insurance of the licensee as required in 20 CSR
				2197-3.020(4)(A);
(D) Display, in a
				conspicuous place, the massage therapy business license;
(E) Display, in a conspicuous place, an
				original massage therapist license, to include a photograph of the massage
				therapist taken within the last two (2) years;
(F) Maintain accurate client records. Records
				must be stored for at least three (3) years from the last date of service and
				in a manner that secures client confidentiality.
1. The licensed massage therapist providing
				massage therapy must sign each client record.
2. Unless waived in writing and signed by the
				client, and prior to providing massage therapy, the client record shall
				include:
A. Purpose for visit to include
				presence of pain;
B. Allergies,
				preexisting conditions, recent surgeries, and current medication;
C. If the client is currently under the care
				of any health or mental healthcare professional;
D. Date, type, and length of massage therapy
				service(s);
E. Outcome
				assessment;
F. Consent for
				treatment that is signed and dated by client;
(G) Maintain current general liability
				insurance and provide proof that the massage therapy business has general
				liability insurance upon request or during the course of an
				inspection;
(H) Provide safe and
				unobstructed passage in the public areas of the business;
(I) Provide rest room facilities, including
				at least one (1) water-flushed toilet. A massage therapy business located in a
				building housing multiple businesses under one (1) roof such as arcades,
				shopping malls, terminals, and hotels may substitute centralized restroom
				facilities; and
(J) Maintain a sink
				for hand cleansing within a reasonable distance from where massage therapy is
				provided. The sink must be clean and in good working condition.
(K) Provide for safe and unobstructed human
				passage in the public areas of the premises;
(L) Ensure compliance with the regulations of
				other entities which include but are not limited to the Americans with
				Disabilities Act (ADA), Occupational Safety and Health Administration (OSHA)
				and the Environmental Protection Agency (EPA);
(M) Provide for the removal of garbage and
				refuse in a sanitary manner; and
(N) Provide for safe storage or removal of
				flammable materials.