PURPOSE: The purpose of this rule is to define the requirements for child care providers licensed by the Department of Health and Senior Services, section for Child Care Regulations, who wish to contract with the division to receive state or federal funds for providing child care services.

1. (1) Requirements to Contract. To receive a contract from the department to receive state or federal funds, a licensed child care provider and staff shall meet the following requirements:

   1. (A) The child care provider shall be fully licensed and in good standing with the Department of Health and Senior Services, section for Child Care Regulations;
   2. (B) The licensed child care provider and all staff shall be legally allowed in the presence of children;
   3. (C) The department shall not pay for any costs associated with the requirements of licensure or requirements to contract with the department;

   4. (D) The licensed child care provider and all staff shall register with Opportunities in a Professional Education Network (OPEN) and secure a Missouri Professional Development Identifier (MOPD-ID) to track and complete trainings. The licensed child care provider and all staff shall complete the following training prior to a contract being issued, which includes, but is not limited to:

      1. 1. First Aid and Cardiopulmonary

Resuscitation (CPR);

1. 2. Prevention of Sudden Infant Death

Syndrome and Safe Sleeping, if serving children two (2) years old or younger;

1. 3. Prevention of Shaken Baby Syndrome

and Abusive Head Trauma, if serving children two (2) years old or younger;

1. 4. Emergency Disaster Response and

Planning;

1. 5. Mandatory Child Abuse and Neglect 13 CSR 35-32

(CA/N) Reporting;

1. 6. Prevention and Control of Infectious

Diseases (including immunizations);

1. 7. Administration of Medication, consis-

tent with standards for parental consent;

1. 8. Prevention and Response to Food

Allergy Emergencies;

1. 9. Building and Physical Premises Safe-

ty; including identification of and protection from hazards that can cause bodily injury;

1. 10. Handling and Storage of Hazardous

Materials and the Appropriate Disposal of Bio-Contaminants; and

1. 11. Transportation of Children, if pro-

viding transportation as part of child care services.

1. (E) If a licensed child care provider seeking to contract with the division has an outstanding debt owed to the state due to a previous child care overpayment, the licensed child care provider must participate in a repayment plan pursuant to 13 CSR 35- 32.110 to become contracted with the division;
2. (F) A licensed child care provider shall require all staff to meet all requirements listed in section (1) within ninety (90) days of becoming employed or volunteering. A staff member shall not provide direct supervision of children until the staff member has met the eligibility criteria set forth in section (1). A licensed child care provider may not be eligible for a contract if the licensed child care provider was denied a contract, or a previous contract was terminated for cause, and the underlying issues causing denial or termination of the contract have not been resolved;
3. (G) A licensed child care provider may not be eligible for a contract if the owner, director, board member, officer, shareholder, agent, agent registered with the secretary of state’s office, or any other person with decision making authority over the facility, was denied a contract, or a previous contract was terminated for cause, and previous owner, director, board member, officer, shareholder, agent, agent registered with the secretary of state’s office, or any other person with decision making authority over the facility remains in a position to make decisions on behalf of the facility.

1. (2) Contract.

   1. (A) Upon receipt of a request to contract, the division shall make a determination as to whether the licensed child care provider is eligible to enter into a contract with the department for state or federal funds for child care services.

   2. (B) If the division determines the licensed child care provider meets all eligibility requirements, the division may issue a contract to the licensed child care provider. The licensed child care provider shall sign a contract, agreeing to all terms including, but not limited to:

      1. 1. Child care provider and staff shall not

be engaged in other employment while providing child care services;

1. 2. Child care provider shall maintain

records pursuant to 13 CSR 35-32.130;

1. 3. Child care provider shall notify all

custodial parents and legal guardians of the child care provider’s—

1. A. Phone number;
2. B. Discipline policy; and
3. C. Emergency preparedness and

response plan;

1. 4. Child care provider shall ensure cus-

todial parents and legal guardians have access to their child(ren);

1. 5. Child care provider shall report child

deaths and serious injuries to the division within twenty-four (24) hours of the incident, using a form provided by the division. This includes, but is not limited to:

1. A. The death of a child if the child

died while at the child care provider;

1. B. The death of a child enrolled at the

child care provider if the child died of a contagious disease; or

1. C. A serious injury to a child that

occurs while the child is at the child care provider or away from the child care provider’s facility, but still in the care of the child care provider, which results in the child being treated by a medical professional or admitted to a hospital;

1. 6. Child care provider shall cooperate

with any investigations, audits, or other requests of the division;

1. 7. Child care provider shall follow all

statutes, regulations, and policies of the division;

1. 8. Child care providers must report the

following changes to the division in writing within ten business (10) days: physical address, mailing address, telephone number, email address, or any other circumstance, incident, or occurrence which would alter any information provided in the child care provider’s original application for contract;

1. 9. Child care provider shall not utilize

physical or corporal punishment including, but not limited to, spanking, slapping, shaking, biting, or pulling hair;

1. 10. Child care provider shall submit to

monitoring by division or its designee for compliance with contractual or regulatory obligations. Such monitoring may include, but is not limited to:

1. A. Providing attendance records at

the request of the division or its designee;

1. B. Submitting to unannounced or

announced on-site inspections; or

1. C. Other monitoring as determined

necessary by the division;

1. 11. Child care provider shall attend

annual training as approved by the division and provide documentation of the successful completion of all training to the division through the Opportunities in a Professional Education Network (OPEN).

1. (C) If the division determines the licensed child care provider fails to meet all requirements to contract, the division shall provide written notice of the denial to contract with the licensed child care provider. The notice shall—

   1. 1. Inform the child care facility of the

nature of the decision;

1. 2. State generally the factual and legal

basis for the division’s decision, if applicable; and

1. 3. Notify the child care facility of the

right to seek administrative review.

1. (D) Corrective Action. The division may require the licensed child care provider to submit and implement a corrective action plan to resolve any health or safety concerns, regulatory violations, or contractual violations. The division shall provide written notification to the licensed child care provider of the requirement to submit and implement a corrective action plan, identifying the specific performance, regulatory requirements, or contractual requirements not being met and the expected corrective resolution.

   1. 1. The licensed child care provider shall

submit a written corrective action plan to the division within ten (10) days of notice.

1. 2. The corrective action plan must

include the actions the licensed child care provider proposes to take to remedy concerns, time frames for achieving such, the staff responsible for the necessary action, the improvement that is expected, a description of how progress will be measured, and a description of the actions to be taken to prevent the situation from recurring.

1. 3. The division shall notify the licensed

child care provider in writing if the corrective action plan is approved or if modifications are required. In the event the division requires changes to the corrective action plan, the licensed child care provider shall submit a revised corrective action plan within ten (10) days of notice that changes are required.

1. (E) Termination of Contract. The division may immediately terminate a licensed child care provider’s contract upon written notice if—

   1. 1. The licensed child care provider

allows staff to work within the child care facility who have a substantiated CA/N report;

1. 2. The licensed child care provider com-

mitted an intentional violation;

1. 3. The licensed child care provider

failed to report child abuse and neglect;

1. 4. The licensed child care provider

employs individuals or allows volunteers who are not mentally, emotionally, or physically fit to care for children as determined by a medical professional or mental health professional;

1. 5. The licensed child care provider

employs individuals or allows volunteers who are not legally allowed in the presence of children;

1. 6. The licensed child care provider

failed to cooperate in a Welfare Investigative Unit investigation, Child Abuse and Neglect investigation or assessment, compliance review, or audit; or

1. 7. The Department of Health and Senior

Services, section for Child Care Regulations, takes action to immediately suspend or revoke licensed child care provider’s license;

1. 8. If a condition exists that negatively

impacts the health and/or safety of the children and the child care provider fails to rectify the issues in a timely manner;

1. 9. The licensed child care provider fails

to successfully submit or complete the requirements of a corrective action plan within the time period specified in the plan; or

1. 10. The licensed child care provider is

non-compliant with contractual requirements.

1. 11. The division shall provide written

notice of the termination. The notice shall—

1. A. Inform the child care facility of the

nature of the termination of the contract; and

1. B. State generally the factual and legal

basis for the division’s decision; and

1. C. Notify the child care provider of

his/her right to seek administrative review.

1. (3) Administrative Review.

   1. (A) The licensed child care provider may request an administrative review of the decision to deny a contract by providing a written request for an administrative review within ten (10) days of the notification. The licensed child care provider may submit additional documentation for consideration with the request for an administrative review. Documentation received after the request may not be considered by the division.
   2. (B) The licensed child care provider may request the opportunity to present additional information by telephone conference call by making such a request in writing with the request for administrative review. If the licensed child care provider timely requests a telephone conference call, the division shall notify the licensed child care provider in writing of the date, time, and telephone number at which the licensed child care provider may present information. In such circumstances, the licensed child care provider is responsible for ensuring that he/she is able to present information via telephone on the date/time provided, and that he/she has a working telephone and stable connection. The division shall not be responsible for any technical difficulties the licensed child care provider may experience.

   3. (C) The division shall—

      1. 1. Review the denial/termination of con-

tract and any written materials provided by the licensed child care provider;

1. 2. Conduct a telephone conference call,

if timely requested by the licensed child care provider; and

1. 3. Upon completion of the administra-

tive review, the division shall notify the licensed child care provider of the results of the administrative review in writing. This decision shall be the final decision of the agency.

AUTHORITY: sections 207.020, 210.025, and 210.027, RSMo 2016,* 42 U.S.C. section 9858, et. seq., Executive Order 03-03. Original rule filed Jan. 3, 2017, effective Aug. 30, 2017. *Original authority: 207.020, RSMo 1945, amended 1961, 1965, 1977, 1981, 1982, 1986, 1993, 2014; 210.025, RSMo 1999, amended 2004; and 210.027, RSMo 1999, amended 2014.