PURPOSE: This rule defines admission policies and procedures for children in care.

PUBLISHER’S NOTE: The publication of the full text of the material that the adopting agency has incorporated by reference in this rule would be unduly cumbersome or expensive. Therefore, the full text of that material will be made available to any interested person at both the Office of the Secretary of State and the office of the adopting agency, pursuant to section 536.031.4, RSMo. Such material will be provided at the cost established by state law.

1. (1) The provider shall establish written policies pertaining to the program goals, admission, care and discharge of children and shall provide a copy to the parent(s) at the time of enrollment.
2. (2) The provider shall have available a copy of the Licensing Rules for Group Day Care Homes and Child Day Care Centers in Missouri and shall advise the parent(s) at the time of enrollment of his/her child of the availability of the rules for review.
3. (3) Only children two (2) years of age and older shall be accepted for care unless the facility has been specifically licensed to include infant/toddler care.

4. (4) If infant/toddler care is provided in a unit auxiliary to a licensed facility for older children, the following shall apply:

   1. (A) Placement of a two (2) year old in either the infant/toddler unit or the unit for older children shall be determined in consultation with the parent(s); and
   2. (B) The infant/toddler unit shall not care for children older than two (2) years unless the total number of children in attendance at the time is four (4) or fewer.
5. (5) A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
6. (6) The provider shall assess his/her ability to provide care for the special needs child while also meeting the needs of the other children.

7. (7) The provider shall develop and implement a procedure for admitting children which shall include:

   1. (A) A personal interview with the parent(s) and child to exchange information and arrive at a mutual decision about admitting a child;
   2. (B) A plan for continuing communication between the child care provider and the parent(s);
   3. (C) Discussion of the plan for providing for the care of the ill child as required by 19 CSR 40-62.192 Health Care;
   4. (D) Discussion of the parental plan for providing for the care of the school-age child on scheduled days of school closings; and

   5. (E) Completion by the parent(s) of the following written information, which shall be on file before the child is accepted for care:

      1. 1. All information required by 19 CSR

40-62.222 Records and Reports;

1. 2. Information regarding a child’s per-

sonal development, behavior patterns, habits and individual needs;

1. 3. A diet plan for each infant/toddler

signed by the parent(s);

1. 4. Instructions for action to be taken if

the parent(s) or physician designated by the parent(s) cannot be reached in an emergency and permission for emergency medical care;

1. 5. Information indicating that the child

has completed age-appropriate immunizations, is in the process of completing immunizations or is exempt from immunization requirements as defined by 19 CSR 40- 62.192 Health Care;

1. 6. Permission for field trips, transporta-

tion to and from school and other transportation;

1. 7. Permission for school-age children to

leave the facility to participate in classes, clubs or other activities, naming the activity, time of leaving and returning and the method of transportation to and from the activity (Permission for regular activities such as scouting may be given for the entire school term.); and

1. 8. Acknowledgement by the parent(s)

that—

1. A. They have received a copy of the

provider’s policies pertaining to the admission, care and discharge of children;

1. B. They have been informed that the

Licensing Rules for Group Day Care Homes and Child Day Care Centers in Missouri are available in the facility for their review;

1. C. They and the provider have agreed

on a plan for continuing communication regarding the child’s development, behavior and individual needs; and

1. D. They understand and agree that the

child may not be accepted for care when ill.

1. (8) If care is provided for children related to the center owner(s) or group day care home provider, the parent(s) shall complete and sign a form which is supplied by the department (see 19 CSR 40-61.135). The form shall be on file at the facility before children related to the center owner(s) or group day care home provider are accepted for care, and shall contain the following identifying information:

   1. (A) Each child’s name, address, birthdate and date of admission;
   2. (B) Each child’s relationship to the center owner(s) or group day care home provider; and
   3. (C) The parent’s(s’) name(s), address(es) and telephone number(s).
2. (9) If a provider enrolls children for irregular or intermittent care, all procedures for admitting children shall be followed. Children enrolled on an irregular or intermittent basis shall be accepted only by appointment and shall not cause the facility to exceed its licensed capacity.
3. (10) After attempts have been made to meet a child's individual needs, any child who demonstrates an inability to benefit from the care offered by the child care provider or whose presence is detrimental to other children may be discharged from the facility.
4. (11) Care of a child may be discontinued if the provider and the parent(s) cannot establish a mutually satisfactory working relationship.
5. (12) Parents shall have access to the facility at any time during child care hours.

AUTHORITY: section 210.221.1(3), RSMo Supp. 1993.* This rule previously filed as 13 CSR 40-62.120, 13 CSR 40-62.132 and 19 CSR 40-62.132. Original rule filed March 29, 1991, effective Oct. 31, 1991. Changed to 19 CSR 40-62.132, effective Dec. 9, 1993. Emergency amendment filed Aug. 18, 1993, effective Aug. 28, 1993, expired Dec. 25, 1993. Emergency amendment filed Jan. 4, 1994, effective Jan. 14, 1994, expired May 13, 1994. Amended: Filed Aug. 18, 1993, effective April 9, 1994. Changed to 19 CSR 30-62.132 July 30, 1998. *Original authority 1949, amended 1955, 1987, 1993.