Clever Kids Preschool and Childcare Center

5 CSR 25-500.052 Annual Requirements

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers

5 CSR 25-500.092 Furniture, Equipment and Materials

5 CSR 25-500.102 Personnel

5 CSR 25-500.192 Health Care

5 CSR 25-500.222 Records and Reports

5 CSR 25-600.020 General Requirements

5 CSR 25-500.090 Disaster and Emergency Preparedness

5 CSR 25-500.102 Personnel

5 CSR 25-500.122 Medical Examination Reports

5 CSR 25-500.092(1)(B)2.G. Cribs, portable cribs, and playpens shall be free of soft objects, loose bedding, or any object that can increase the risk of entrapment, suffocation, or strangulation. Examples include bumper pads, pillows, quilts, comforters, sleep positioning devices, sheepskins, blankets, flat sheets, cloth diapers, bibs, pillow-like toys, wedges, infant positioners, special mattresses, special sleep surfaces, and other similar items.

5 CSR 25-500.202(2)(D) Until infants can hold a bottle comfortably, they shall be held by a caregiver during bottle feeding. Bottles shall not be propped.

5 CSR 25-500.082(3)(A)4. Paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance.

5 CSR 25-600.020 (1) Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.

5 CSR 25-500.122(1)(A) All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.

5 CSR 25-500.122(1)(B) Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.

5 CSR 25-500.102(1)(T) The licensee shall have documentation on file at the facility of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training for a sufficient number of child care staff to ensure that there is one (1) caregiver at the facility for every twenty (20) children in the licensed capacity. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification, include an in-person skills assessment, and be approved by the department.

5 CSR 25-500.102(2)(A)3. The licensee is required to maintain an approved certificated group child care home provider or center director on staff.

5 CSR 25-500.102(2)(A)6. The center owner(s), or the board president or chairperson, shall notify the department immediately when there is a change of directors and shall have a qualifying criminal background check on file as required by 5 CSR 25-600.020 General Requirements.

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers

5 CSR 25-500.090 Disaster and Emergency Preparedness

5 CSR 25-500.102 Personnel

5 CSR 25-500.122 Medical Examination Reports

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers

5 CSR 25-500.090 Disaster and Emergency Preparedness

5 CSR 25-500.092 Furniture, Equipment and Materials

5 CSR 25-500.102 Personnel

5 CSR 25-500.122 Medical Examination Reports

5 CSR 25-500.192 Health Care

5 CSR 25-600.020 General Requirements

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers

5 CSR 25-500.090 Disaster and Emergency Preparedness

5 CSR 25-500.092 Furniture, Equipment and Materials

5 CSR 25-500.102 Personnel

5 CSR 25-500.122 Medical Examination Reports

5 CSR 25-500.192 Health Care

5 CSR 25-600.020 General Requirements