Prescribed Pediatric Extended Care Facilities Definitions

PURPOSE: This rule defines terms as set forth in this chapter and sections 192.2550 through 192.2560, RSMo. (1) An allowed practitioner is a physician or advanced practice registered nurse licensed in the state of Missouri. (2) The center director is an adult who is responsible for planning, monitoring, and managing the licensed child care facility’s daily program. (3) A child is an individual who is under the age of seventeen (17). (4) Child care staff member shall have the same meaning as defined in 5 CSR 25-500.010. (5) Clinical records are medical records maintained in accordance with accepted professional standards and practices. (6) Department is the Missouri Department of Health and Senior Services. (7) DESE is the Missouri Department of Elementary and Secondary Education. (8) Direct care personnel is a Certified Nursing Assistant or Certified Medical Technician certified by the department under section 198.082, RSMo. (9) The director of nursing is a registered nurse, approved by the department, responsible for the medical oversight of eligible children admitted to the facility. (10) An eligible child is an individual who is under the age of six (6) years admitted to a prescribed pediatric extended care facility that has complex medical needs requiring continuous skilled nursing intervention of at least four (4) hours per day, as ordered by a physician. (11) A licensed practical nurse (LPN) is a person licensed under Chapter 335, RSMo, to engage in the practice of practical nursing. (12) Life support equipment is equipment which if stopped could result in loss of human life or serious injury. (13) A multidisciplinary group is a group with a representative from each of the healthcare disciplines provided to the eligible child. (14) NFPA 99 is the NFPA 99, Health Care Facilities Code (2024), published October 2024. (15) An occupational therapist is a person licensed under Chapter 324, RSMo, to practice occupational therapy. (16) A person is any individual, firm, corporation, partnership, association, agency, incorporated or unincorporated organization, or other legal entity, regardless of the name used. (17) A physician is a person licensed by the State Board of Registration for the Healing Arts pursuant to Chapter 334, RSMo, to practice in this state as a physician and surgeon. (18) A physical therapist is a person who is licensed to practice physical therapy under Chapter 334, RSMo. (19) A plan of care is a comprehensive plan approved by a physician to direct prescribed pediatric extended care (PPEC) staff members in care and treatment of eligible children that contains nutrition orders, medication orders, treatment orders, equipment orders, and interventions for developmental goals. (20) A PPEC staff member is a child care staff member who has medical training and credentials as required by this chapter and is assigned to care for eligible children. (21) A prescribed pediatric extended care facility (PPEC or facility or PPEC facility) is a facility providing medically necessary multidisciplinary services to eligible children no more than twelve (12) hours within a twenty-four- (24-) hour period. The facility must be licensed by DESE under Chapter 210, RSMo. The facility must offer multidisciplinary services to include skilled nursing and personal care and speech, physical, and occupational therapy services, as ordered by a physician. (22) A prescribed pediatric extended care provider (provider) is the person or persons licensed or required to be licensed under sections 192.2550 to 192.2560, RSMo, to establish, conduct, or maintain a PPEC facility. (23) A registered nurse (RN) is a person licensed under Chapter 335, RSMo, to engage in the practice of professional nursing. (24) Skilled nursing includes those services which are required to be provided by a registered nurse or a licensed practical nurse. (25) Speech therapy is therapy provided by a person licensed under section 345.075, RSMo, as a speech-language pathologist. AUTHORITY: section 192.2554, RSMo Supp. 2024.* Original rule filed Dec. 31, 2024, effective July 30, 2025. *Original authority: 192.2554, RSMo 2024.