PURPOSE: This rule sets forth the general, educational, and training requirements for staff.

PUBLISHER’S NOTE: The secretary of state has determined that publication of the entire text of the material that 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) General Staff Requirements.

1. (A) Child care personnel shall be of good character and intent and shall be qualified to provide care conducive to the welfare of children.
2. (B) Child care personnel shall cooperate with the department.

3. (C) Caregivers eighteen (18) years of age or older shall be counted in meeting the required staff/child ratios. In addition, a Junior Aide as defined in 5 CSR 25-500.010 shall be counted in meeting the required staff/child ratios if the following requirements are met:

   1. 1. A Junior Aide—

      1. A. May count in staff/child ratio only if under the direct

supervision of an adult caregiver within the same group of children;

1. B. Shall not have the direct responsibility for a group of

children as the sole caregiver;

1. C. Shall not count towards infant/toddler staffing

ratios; and

1. D. Shall not be the sole caregiver on the premises of

a child care facility.

1. (D) Caregivers shall be capable of carrying out assigned responsibilities and shall be willing and able to accept training and supervision.
2. (E) Caregivers shall have knowledge of the needs of children and shall be sensitive to the capabilities, interests, and problems of children in care.
3. (F) Caregivers shall be capable of handling emergencies promptly and intelligently.
4. (G) Caregivers, directors, other personnel, or volunteers shall not be under the influence of alcohol or illegal drugs, while on the premises or in any vehicles used by the program. These individuals shall not be in a state of impaired ability due to use of medication while on the premises.
5. (H) The provider shall have available a copy of the Licensing Rules for Group Child Care Homes and Child Care Centers in Missouri. All caregivers and volunteers working directly with children shall be required to review and be knowledgeable of the rules at the time they begin work and shall be able to understand and apply those rules which relate to their respective responsibilities.
6. (I) Caregivers shall not be engaged in major housekeeping, cleaning, or maintenance activities during the hours of child care, but may do routine cleanup to maintain order and sanitation in the facility.
7. (J) All staff shall acquaint themselves with the child abuse and neglect law and shall make a report of any suspected child abuse or neglect to the Children’s Division at the toll-free number 1-800-392-3738 or online at https://apps.dss.mo.gov/ OnlineCanReporting/default.aspx.
8. (K) The child care provider shall ensure that within seven

1. (7) days of employment or volunteering, and before being left alone with children, that caregivers employed on or after August 30, 2019, receive a facility orientation. The facility orientation shall include—

   1. 1. A tour of the facility, indoors and outdoors; and

   2. 2. A review of the following:

      1. A. Licensing rules;
      2. B. The facility’s license and its limitations, if any;
      3. C. The facility’s written child care practices, including

procedures for medication administration, child illness, discipline, and guidance policies;

1. D. The daily schedule;
2. E. The assigned duties and responsibilities of staff;
3. F. The names and ages of the children for whom the

staff member will be responsible, including any special health, nutritional, or developmental needs;

1. G. The location of children’s records;
2. H. The facility’s safe sleep policy, if applicable;
3. I. The facility’s disaster emergency plan and the location

of emergency information; and

1. J. The mandated responsibility to report any suspected

child abuse or neglect to the Children’s Division.

1. (L) The child care provider shall ensure that documentation of caregiver completion of the facility orientation is maintained and on file for review by the department.
2. (M) The provider shall request the results of a criminal background check for child care staff members as required by 5 CSR 25-600.020 General Requirements.
3. (N) Child care staff members shall have qualifying background screening results on file as required by 5 CSR 25- 600.020 General Requirements.
4. (O) Child care staff members with disqualifying background screenings results, as defined in 5 CSR 25-600.040 Background Screening Findings, shall be prohibited from being present on the premises of the facility.
5. (P) The child care provider shall conduct a Family Care Safety Registry screening prior to employment for any newly hired child care staff member who has a qualifying criminal background check result.
6. (Q) Background screening information received by the provider shall be retained in the individual’s file in a confidential manner and available for review.
7. (R) Any person present at the facility during the hours in which child care is provided shall not present a threat to the health, safety, or welfare of the children.
8. (S) If an employee reports licensing deficiencies in the facility, the child care provider shall not take any action against the employee because of the report that would adversely affect his/her employment or terms or conditions of employment.
9. (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 and be approved by the department.
10. (U) Staff and volunteers shall not fall within the same age range as the age of children specified on the license.

1. (2) Center Director or Group Child Care Home Provider.

   1. (A) General Requirements.

      1. 1. An approved certificated group child care home

provider or center director shall be an adult who is responsible for planning, monitoring, and managing the facility’s daily program.

1. A. A Center Director/Group Child Care Home Provider

Certification Request form shall be submitted to the department. See Center Director/Group Child Care Home Provider Certification Request form, revised 2022 and incorporated by reference in this rule as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese. mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions.

1. B. Once the center director or group child care home

provider is certificated by the department, the Center Director/ Group Child Care Home Provider Approval Request form shall be submitted to the department and maintained on file at the facility. See Center Director/Group Child Care Home Provider Approval Request form, revised 2021 and incorporated by reference in this rule as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions.

1. 2. Center directors and group child care home providers

routinely shall be on duty during the hours of highest attendance a minimum of forty (40) hours per week. If the facility operates less than forty (40) hours per week, the center director or group child care home provider shall be on duty at least fifty percent (50%) of the operating hours.

1. 3. The licensee is required to maintain an approved

certificated group child care home provider or center director on staff.

1. 4. The duties and responsibilities of the center director

or group child care home provider shall be defined clearly in writing.

1. 5. In the absence of the center director or group child

care home provider, another responsible individual shall be designated to be in charge of the facility.

1. 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.

1. (B) Education and Experience Requirements.

   1. 1. General requirements.

      1. A. A Child Development Associate (CDA) or Youth

Development Credential (YDC) shall be considered the equivalent of twelve (12) months experience and six (6) college semester hours in child-related courses toward meeting the educational and experience requirements for director of any size facility.

1. B. All experience must have been responsible,

supervised, full-time (a minimum of thirty-five (35) hours per week) paid experience in working with children in a child care setting. Part-time experience, which is less than thirty-five (35) hours per week, may be prorated.

1. C. Each month of full-time experience may be substituted

for two (2) college semester hours in unspecified courses, but not for the required child-related courses.

1. D. All college semester hours must have been received

from an accredited college or university.

1. E. The required courses may include child-related courses

in early childhood education, elementary education, child development, child psychology, nutrition, first aid, recreation, nursing, health, marriage and family, social work, sociology, or other related areas as approved by the department.

1. F. Official verification of the education and experience of

the group child care home provider or center director shall be on file with the department prior to beginning employment as the group child care home provider or facility director.

1. G. Any college transcript used for verification of

education must be an official transcript bearing the seal of the college or university.

1. 2. Group child care home provider. The group child care

home provider shall have at least thirty (30) college semester hours, with six (6) of the thirty (30) hours in child-related courses; or twelve (12) months experience and six (6) college semester hours in child-related courses, a CDA, or a YDC.

1. 3. Center director.

   1. A. Any individual approved as a qualified center director

under the previous licensing rules and employed in a center in that position as of the effective date of these rules shall be exempt from these requirements for continued employment in the same center, or for employment in another center of the same or smaller licensed capacity category. If the same individual is to be employed in another center in a larger licensed capacity category, s/he shall meet the educational and experience requirements of that category.

1. B. Child care center directors employed after the

effective date of these rules shall meet the following education or experience requirements, or both, as determined by the licensed capacity of the center in which they are to serve: Licensed Capacity of the Center _________________ Up to 20 Children

21—60 Children

61—99 Children

100 or More Children Education and Experience Requirements for Center Director ________________________________ Thirty (30) college semester hours, with six (6) of the thirty (30) hours in child-related courses; or twelve (12) months experience with six (6) college semester hours in child-related courses, a CDA, or a YDC.

Sixty (60) college semester hours. Twelve (12) of the hours must be in child-related courses; or twenty-four (24) months experience and twelve (12) college semester hours in child-related courses.

Ninety (90) college semester hours. Eighteen (18) of the ninety (90) hours must be in child-related courses; or thirty-six (36) months experience and eighteen (18) college semester hours in childrelated courses.

One hundred twenty (120) college semester hours. Twenty-four (24) of the one hundred twenty (120) hours must be in child-related courses. Six (6) of the twenty-four (24) college semester hours may include courses in business or management; or four (4) years experience and twenty-four (24) college semester hours in child-related courses. Six (6) of the twenty-four (24) college semester hours may include courses in business or management. (3) Child Care Training.

1. (A) The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
2. (B) A clock hour shall be a minimum of one (1) hour.
3. (C) Caregivers who were employed after the first of the year shall obtain one (1) clock hour of training for each one (1) month of employment, regardless of the date employment began.
4. (D) Group child care homes and child care centers operating fewer than twelve (12) months of the year shall obtain at least twelve (12) annual clock hours. The number of training clock hours required is not prorated for any program, regardless of number of months per year or number of hours per week in operation.
5. (E) The clock hour training shall include one (1) or more of the department-approved content areas. The eight (8) content areas address child development, family-teacher partnerships, child observation, developmentally appropriate practice, early childhood curriculum, professionalism, health and safety, and leadership.

6. (F) Training shall be documented with the dates, the individual participant’s name, the number of hours of training completed, the title of the training, training approval identification code, and the name of the trainer(s).

   1. 1. Caregivers shall obtain a Missouri Professional

Development Identification (MOPD ID) number from the department.

1. 2. All clock hour training records shall be recorded in the

department’s professional development system. A summary of training from the professional development system will serve as documentation of training hours completed.

1. (G) Child-related college courses from an accredited college or university as identified by the U.S. Department of Education’s Office of Post-Secondary Education (http://ope.ed.gov/ accreditation/) may be counted as clock hour training. Childrelated college courses shall meet the following guidelines:

   1. 1. College coursework accepted for clock hours shall be

child-related;

1. 2. One (1) college credit is equal to fifteen (15) clock hours;
2. 3. College courses qualifying for director approval, as stated

in subparagraphs (2)(B)1.D. and E. of this rule, are approved to meet annual clock hour requirements;

1. 4. College coursework does not include clock hour

training or continuing education units (CEUs) taken from a college. Clock hour training provided through colleges, such as a continuing education program or an extension office, shall follow the procedures for clock hour training approval; and

1. 5. College coursework shall be documented by a transcript

from an accredited college.

1. (H) Earning a Child Development Associate (CDA) or Youth Development Credential (YDC) shall count for twelve (12) clock hours for the year the credential was awarded.
2. (I) Caregivers shall not receive clock hours for duplicate training completed within the same calendar year.
3. (J) Clock hours obtained in excess of the twelve (12) training clock hours for the current year shall not be carried over into the next training year.
4. (K) Clock hour training taken prior to beginning employment or to the facility becoming licensed may be counted if it occurred within that calendar year.
5. (L) High school coursework shall not be approved for clock hours.
6. (M) Trainers shall not be awarded clock hours for training sessions which they conduct.
7. (N) Caregivers shall not be counted in ratio when obtaining clock hour training.

1. (4) Safe Sleep Training.

   1. (A) Every three (3) years, the child care provider, group child care home provider, child care staff members, and volunteers in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Policy Statement on sleep-related infant deaths. The Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment, July 2022, is incorporated by reference in this rule, as published by the American Academy of Pediatrics and available at https://publications.aap.org/pediatrics/ article/150/1/e2022057990/188304/Sleep-Related-Infant-Deaths- Updated-2022 or as published in PEDIATRICS Volume 150, Issue 1, July 2022. A copy can also be obtained from the Department of Elementary and Secondary Education, Office of Childhood, 205 Jefferson Street, PO Box 480, Jefferson City, MO 65102- 0480 and at https://dese.mo.gov/governmental-affairs/deseadministrativerules/incorporated-reference-materials. This rule does not incorporate any subsequent amendments or additions.

      1. 1. The training shall be documented and maintained as

described in paragraph (3)(F)2. of this rule.

1. 2. The child care provider, group child care home provider,

child care staff members, and volunteers in a group child care home or child care center shall complete safe sleep training described in subsection (4)(A) of this rule prior to licensure.

1. 3. The child care provider, group child care home provider,

child care staff members, and volunteers shall complete safe sleep training described in subsection (4)(A) of this rule within thirty (30) days of employment or volunteering at the facility.

AUTHORITY: section 161.092, RSMo 2016, and sections 210.221, 210.223, and 210.1080, RSMo Supp. 2023*. This rule previously filed as 13 CSR 40-62.091, 13 CSR 40-62.102, and 19 CSR 40-62.102. Original rule filed March 29, 1991, effective Oct. 31, 1991. Changed to 19 CSR 40-62.102, 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 30-62.102 July 30, 1998. Amended: Filed Feb. 18, 1999, effective Sept. 30, 1999. Amended: Filed Jan. 28, 2011, effective July 30, 2011. Emergency amendment filed Nov. 10, 2015, effective Nov. 20, 2015, expired May 17, 2016. Amended: Filed Nov. 10, 2015, effective April 30, 2016. Emergency amendment filed Feb. 15, 2019, effective Feb. 25, 2019, expired Aug. 23, 2019. Amended: Filed Feb. 15, 2019, effective Aug. 30, 2019. Amended: Filed Aug. 31, 2020, effective Feb. 28, 2021. Moved to 5 CSR 25-500.102, effective Aug. 30, 2021. Amended: Filed Oct. 12, 2021, effective May 30, 2022. Amended: Filed Sept. 27, 2022, effective May 30, 2023. Amended: Filed June 14, 2023, effective Jan. 30, 2024. *Original authority: 161.092, RSMo 1963, amended 1973, 2002, 2003, 2013, 2014; 210.221, RSMo 1949, amended 1955, 1987, 1993, 1995, 1999, 2015, 2019, 2020, 2022; 210.223, RSMo 2015, 2022; and 210.1080, RSMo 2018, amended 2019, 2020, 2022.