DHSS Child Care Center Licensing Rules (19 CSR 30-62) Compliant

Missouri ChildcareLicensing Requirements

Stay compliant with Missouri DHSS Child Care Center Licensing Rules (19 CSR 30-62) regulations. Bloomily helps Missouri childcare centers manage staff ratios, certifications, and emergency drills — all in one platform.

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Pre-Inspection Checklist

50 items based on Missouri DHSS Child Care Center Licensing Rules (19 CSR 30-62) requirements

Licensing(5)Physical Environment(8)Health & Safety(12)Staff Requirements(11)Ratios(5)Child Records(6)Operations(3)

License posted in visible location

Ref: 19 CSR 30-62.022

Licensing

License capacity not exceeded

Ref: 19 CSR 30-62.022

Licensing

Operational policies current and available

Ref: 19 CSR 30-62.032

Licensing

Parent handbook distributed to all families

Ref: 19 CSR 30-62.032

Licensing

DHSS inspection reports available to parents

Ref: 19 CSR 30-62.022

Licensing

Indoor space meets minimum (35 sq ft per child)

Ref: 19 CSR 30-62.072

Physical Environment

Outdoor play area meets minimum (50 sq ft per child)

Ref: 19 CSR 30-62.072

Physical Environment

Temperature maintained 68-78°F

Ref: 19 CSR 30-62.072

Physical Environment

Adequate lighting and ventilation

Ref: 19 CSR 30-62.072

Physical Environment

Toilets clean and child-accessible

Ref: 19 CSR 30-62.072

Physical Environment

Handwashing sinks accessible to children

Ref: 19 CSR 30-62.072

Physical Environment

Drinking water readily available

Ref: 19 CSR 30-62.072

Physical Environment

Napping equipment clean and appropriate

Ref: 19 CSR 30-62.092

Physical Environment

First aid kit fully stocked and accessible

Ref: 19 CSR 30-62.082

Health & Safety

Medications stored in locked cabinet

Ref: 19 CSR 30-62.102

Health & Safety

Emergency medications readily accessible

Ref: 19 CSR 30-62.102

Health & Safety

Cleaning supplies stored out of reach

Ref: 19 CSR 30-62.072

Health & Safety

Hazardous materials secured from children

Ref: 19 CSR 30-62.072

Health & Safety

Emergency evacuation plan posted

Ref: 19 CSR 30-62.082

Health & Safety

Fire drill log current (monthly drills)

Ref: 19 CSR 30-62.082

Health & Safety

Tornado drill log current (monthly during season)

Ref: 19 CSR 30-62.082

Health & Safety

Lockdown drill log current (semi-annual)

Ref: 19 CSR 30-62.082

Health & Safety

Fire extinguishers charged and accessible

Ref: 19 CSR 30-62.082

Health & Safety

Outdoor equipment safe and age-appropriate

Ref: 19 CSR 30-62.072

Health & Safety

Safe sleep practices followed (infants)

Ref: 19 CSR 30-62.092

Health & Safety

FCSR background screening current for all staff

Ref: 19 CSR 30-62.042

Staff Requirements

FBI fingerprint check completed

Ref: 19 CSR 30-62.042

Staff Requirements

Director meets qualification requirements

Ref: 19 CSR 30-62.052

Staff Requirements

Group leaders meet qualifications

Ref: 19 CSR 30-62.052

Staff Requirements

All staff have current CPR certification

Ref: 19 CSR 30-62.052

Staff Requirements

All staff have current First Aid certification

Ref: 19 CSR 30-62.052

Staff Requirements

Annual clock hour training (12 hours) documented

Ref: 19 CSR 30-62.052

Staff Requirements

Child abuse/neglect recognition training

Ref: 19 CSR 30-62.052

Staff Requirements

Safe sleep training (infant caregivers)

Ref: 19 CSR 30-62.092

Staff Requirements

Provider orientation completed

Ref: 19 CSR 30-62.052

Staff Requirements

Staff health assessments on file

Ref: 19 CSR 30-62.052

Staff Requirements

Infant ratio maintained (1:4, max group 8)

Ref: 19 CSR 30-62.092

Ratios

Toddler ratio maintained (1:4, max group 8)

Ref: 19 CSR 30-62.092

Ratios

Two year old ratio maintained (1:8, max group 16)

Ref: 19 CSR 30-62.092

Ratios

Preschool ratio maintained (1:10, max group 20)

Ref: 19 CSR 30-62.092

Ratios

School-age ratio maintained (1:16, max group 32)

Ref: 19 CSR 30-62.092

Ratios

Emergency contact forms complete for all children

Ref: 19 CSR 30-62.102

Child Records

Immunization records current (ShowMeVax or provider)

Ref: 19 CSR 30-62.102

Child Records

Medical exam within 30 days of enrollment

Ref: 19 CSR 30-62.102

Child Records

Allergy information documented and accessible

Ref: 19 CSR 30-62.102

Child Records

Medication authorization forms on file

Ref: 19 CSR 30-62.102

Child Records

Pickup authorization documented

Ref: 19 CSR 30-62.102

Child Records

Daily attendance records maintained

Ref: 19 CSR 30-62.102

Operations

Children supervised at all times

Ref: 19 CSR 30-62.092

Operations

Sign-in/out procedures followed

Ref: 19 CSR 30-62.102

Operations

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Nearby State Requirements

Requirements vary by state. Click to view specific licensing requirements.

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