Admission Procedures and Required Reports and Records

PURPOSE: This rule establishes admission procedures, records and reports facility directors are required to keep for children and caregivers. (1) The facility director shall have an admitting procedure for each child in care that includes a plan for caring for the child if s/he becomes ill or needs emergency medical treatment. The director shall maintain an individual file on each child in order to communicate with the parent(s), guardian or legal custodian. The director shall have a plan for any child with special health needs, identified through a physical assessment by a licensed physician or an advance practice nurse, to ensure that those needs are met during care. (2) The facility director shall obtain and file the following written information on each child: (A) The child’s full name, address, birthdate and the date care begins and ends; (B) The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer’s name and address; (C) Full name, address and phone number of a friend or relative who might be reached in an emergency when a parent, guardian or legal custodian can not be reached; (D) Name and phone number of a physician and preferred hospital to be used in an emergency; (E) The name of the individual(s) authorized to take the child from the premises; and (F) Information concerning any accident or injury to a child while in care or any emergency medical care given. (3) Individual records of a child shall be retained for one (1) year after the child discontinues attendance. (4) Facility directors, shall obtain and file the following acknowledgments by a parent of each child: (A) S/he has been informed of the required health and safety inspections and that the inspection forms are available for review; and (B) S/he understands and agrees that the child may not be accepted for care when ill. (5) A copy of the completed application for child abuse/neglect screening shall be on file in each employee’s record. (6) All enrollment records, physical assessment reports and attendance records shall be filed in a place known to caregivers and shall be accessible during normal visiting hours for inspection by the department. Records shall not be in a locked area or removed from the premises during operating hours. AUTHORITY: sections 210.221.1(3) and 210.252.5, RSMo Supp. 1999.* This rule was previously filed as 19 CSR 40-60.120. Original rule filed Dec. 1, 1994, effective July 30, 1995. Changed to 19 CSR 30-60.120 July 30, 1998. Emergency amendment filed March 1, 2000, effective March 11, 2000, expired Sept. 6, 2000. Amended: Filed March 1, 2000, effective Aug. 30, 2000. Moved to 5 CSR 25-300.110, effective Aug. 30, 2021. *Original authority: 210.221, RSMo 1949, amended 1955, 1987, 1993, 1995, 1999; 210.252, RSMo 1993, amended 1999.