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.

1. (A) The facility shall develop, implement, and maintain policies and procedures for responding to a disaster emergency, including a written plan for:

   1. 1. Medical and non-medical emergen-

cies 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;

1. 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;

1. 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

1. 4. Evacuation from a vehicle used to

transport children.

1. (B) When developing disaster and emergency plans, the facility shall consider—

   1. 1. The age and physical and mental abil-

ities of the children;

1. 2. The types of services offered, includ-

ing whether the facility provides care for nonambulatory children or overnight care;

1. 3. The types of disasters or emergencies

likely to affect the area;

1. 4. The requirements of the Division of

Fire Safety and the Department of Health and Senior Services’ The ABC’s of Emergency Preparedness Ready in 3 Program (2006), which is incorporated by reference and is published by the Department of Health and Senior Services, Center for Emergency Response and Terrorism, PO Box 570, Jefferson City, MO 65102-0570, telephone number 573-526-4768, and is available at www.health.mo.gov, and advice from the Red Cross or other health and emergency professionals. This rule does not include any later amendments or additions; and

1. 5. The need for ongoing communication

and data sharing with other types of agencies providing services to children and with state and local disaster emergency management agencies.

1. (C) At a minimum, a disaster and emergency plan shall identify the staff members responsible for implementing the plan and ensuring the safety of the children and shall include:

   1. 1. The location of the child’s attendance

record and emergency information and emergency supplies;

1. 2. Diagrams that identify exit routes

from each area of the facility used for child care to a safe location out of the facility and to a safe location within the facility where children and staff members can stay until the threat of danger passes;

1. 3. A list of emergency contacts as set out

in subsection (2)(B) below;

1. 4. The disaster drill and emergency pro-

cedures to be followed, which include but are not limited to the following:

1. A. Use of alarms to warn other build-

ing occupants and summon staff;

1. B. Emergency telephone call to the

fire department;

1. C. Response to alarms;
2. D. Isolation of a fire, including con-

finement by closing doors to the fire area;

1. E. Evacuation of the immediate area;
2. F. Two (2) off-site locations identified

as meeting places in case of evacuation;

1. G. Relocation of building occupants

as detailed in the emergency plan, including individuals with special needs, such as nonambulatory children and children who sleep overnight, if applicable; and

1. H. System of contact for parents of

children and notification of parents of the plan to assist in re-unification; and

1. 5. Lock-down procedures shall include:

   1. A. An announcement of the lock-

down by the director or designee. The alert may be made using a pre-selected code word;

1. B. In a lock-down situation, staff shall

keep children in their rooms or other designated location that are away from the danger; and

1. C. Staff is responsible for accounting

for children and ensuring that no one leaves the room or safe area until “all clear” is announced.

1. (2) Access to Emergency Information. The licensee shall ensure that—

   1. (A) At all times, a copy of the facility’s disaster and emergency plan is readily available in the office area and in each room used for care of children; and

   2. (B) The following information is posted in each room used for child care and beside each telephone in the facility:

      1. 1. Contact information, including the

following:

1. A. The name, address, and telephone

number of the facility;

1. B. A list of emergency numbers,

including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station;

1. C. When a facility operates at more

than one (1) site, the name and telephone number of the facility’s principal place of business; and

1. D. When a facility occupies space it

does not own, the name and telephone number of the owner of the building or the building manager;

1. 2. A diagram of evacuation routes from

the room; and

1. 3. Any special instructions for infants

and non-ambulatory children;

1. (3) Disaster Emergency Response Drills for Staff and Children.

   1. (A) The licensee shall ensure that the facility has on file documentation that, at least every three (3) months, all staff and children at the facility have participated in a disaster or emergency drill based on the facility’s disaster and emergency plan.

   2. (B) In addition to fire safety requirements found in 19 CSR 30-62.087, a review of the following disaster drill procedures with the staff and children shall be conducted:

      1. 1. Staff duties and responsibilities in the

event of an emergency;

1. 2. Disaster drill procedures such as fire

drill, tornado drill, carbon monoxide exposure, power failure, bomb threat, chemical spill, intruder training, and CPR or other medical procedures;

1. 3. The use of and response to fire

alarms; and

1. 4. The use of fire extinguishers.

AUTHORITY: section 210.221, RSMo 2000.* This rule originally filed as 19 CSR 30- 62.090. Original rule filed April 29, 2011, effective Oct. 30, 2011. Moved to 5 CSR 25- 500.090, effective Aug. 30, 2021. *Original authority: 210.221, RSMo 1949, amended 1955, 1987, 1993, 1995, 1999.