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.
Missouri Pre-Inspection Checklist
Based on DHSS Child Care Center Licensing Rules (19 CSR 30-62) requirements • 50 items • Generated from bloomily.app
Center Name: _________________________________ Date: _____________
Licensing
License posted in visible location
Ref: 19 CSR 30-62.022
License capacity not exceeded
Ref: 19 CSR 30-62.022
Operational policies current and available
Ref: 19 CSR 30-62.032
Parent handbook distributed to all families
Ref: 19 CSR 30-62.032
DHSS inspection reports available to parents
Ref: 19 CSR 30-62.022
Physical Environment
Indoor space meets minimum (35 sq ft per child)
Ref: 19 CSR 30-62.072
Outdoor play area meets minimum (50 sq ft per child)
Ref: 19 CSR 30-62.072
Temperature maintained 68-78°F
Ref: 19 CSR 30-62.072
Adequate lighting and ventilation
Ref: 19 CSR 30-62.072
Toilets clean and child-accessible
Ref: 19 CSR 30-62.072
Handwashing sinks accessible to children
Ref: 19 CSR 30-62.072
Drinking water readily available
Ref: 19 CSR 30-62.072
Napping equipment clean and appropriate
Ref: 19 CSR 30-62.092
Health & Safety
First aid kit fully stocked and accessible
Ref: 19 CSR 30-62.082
Medications stored in locked cabinet
Ref: 19 CSR 30-62.102
Emergency medications readily accessible
Ref: 19 CSR 30-62.102
Cleaning supplies stored out of reach
Ref: 19 CSR 30-62.072
Hazardous materials secured from children
Ref: 19 CSR 30-62.072
Emergency evacuation plan posted
Ref: 19 CSR 30-62.082
Fire drill log current (monthly drills)
Ref: 19 CSR 30-62.082
Tornado drill log current (monthly during season)
Ref: 19 CSR 30-62.082
Lockdown drill log current (semi-annual)
Ref: 19 CSR 30-62.082
Fire extinguishers charged and accessible
Ref: 19 CSR 30-62.082
Outdoor equipment safe and age-appropriate
Ref: 19 CSR 30-62.072
Safe sleep practices followed (infants)
Ref: 19 CSR 30-62.092
Staff Requirements
FCSR background screening current for all staff
Ref: 19 CSR 30-62.042
FBI fingerprint check completed
Ref: 19 CSR 30-62.042
Director meets qualification requirements
Ref: 19 CSR 30-62.052
Group leaders meet qualifications
Ref: 19 CSR 30-62.052
All staff have current CPR certification
Ref: 19 CSR 30-62.052
All staff have current First Aid certification
Ref: 19 CSR 30-62.052
Annual clock hour training (12 hours) documented
Ref: 19 CSR 30-62.052
Child abuse/neglect recognition training
Ref: 19 CSR 30-62.052
Safe sleep training (infant caregivers)
Ref: 19 CSR 30-62.092
Provider orientation completed
Ref: 19 CSR 30-62.052
Staff health assessments on file
Ref: 19 CSR 30-62.052
Ratios
Infant ratio maintained (1:4, max group 8)
Ref: 19 CSR 30-62.092
Toddler ratio maintained (1:4, max group 8)
Ref: 19 CSR 30-62.092
Two year old ratio maintained (1:8, max group 16)
Ref: 19 CSR 30-62.092
Preschool ratio maintained (1:10, max group 20)
Ref: 19 CSR 30-62.092
School-age ratio maintained (1:16, max group 32)
Ref: 19 CSR 30-62.092
Child Records
Emergency contact forms complete for all children
Ref: 19 CSR 30-62.102
Immunization records current (ShowMeVax or provider)
Ref: 19 CSR 30-62.102
Medical exam within 30 days of enrollment
Ref: 19 CSR 30-62.102
Allergy information documented and accessible
Ref: 19 CSR 30-62.102
Medication authorization forms on file
Ref: 19 CSR 30-62.102
Pickup authorization documented
Ref: 19 CSR 30-62.102
Operations
Daily attendance records maintained
Ref: 19 CSR 30-62.102
Children supervised at all times
Ref: 19 CSR 30-62.092
Sign-in/out procedures followed
Ref: 19 CSR 30-62.102
This checklist is provided for reference only. Always verify requirements with your state licensing agency.
© 2026 Bloomily • bloomily.app/childcare-licensing/mo
Pre-Inspection Checklist
50 items based on Missouri DHSS Child Care Center Licensing Rules (19 CSR 30-62) requirements
License posted in visible location
Ref: 19 CSR 30-62.022
License capacity not exceeded
Ref: 19 CSR 30-62.022
Operational policies current and available
Ref: 19 CSR 30-62.032
Parent handbook distributed to all families
Ref: 19 CSR 30-62.032
DHSS inspection reports available to parents
Ref: 19 CSR 30-62.022
Indoor space meets minimum (35 sq ft per child)
Ref: 19 CSR 30-62.072
Outdoor play area meets minimum (50 sq ft per child)
Ref: 19 CSR 30-62.072
Temperature maintained 68-78°F
Ref: 19 CSR 30-62.072
Adequate lighting and ventilation
Ref: 19 CSR 30-62.072
Toilets clean and child-accessible
Ref: 19 CSR 30-62.072
Handwashing sinks accessible to children
Ref: 19 CSR 30-62.072
Drinking water readily available
Ref: 19 CSR 30-62.072
Napping equipment clean and appropriate
Ref: 19 CSR 30-62.092
First aid kit fully stocked and accessible
Ref: 19 CSR 30-62.082
Medications stored in locked cabinet
Ref: 19 CSR 30-62.102
Emergency medications readily accessible
Ref: 19 CSR 30-62.102
Cleaning supplies stored out of reach
Ref: 19 CSR 30-62.072
Hazardous materials secured from children
Ref: 19 CSR 30-62.072
Emergency evacuation plan posted
Ref: 19 CSR 30-62.082
Fire drill log current (monthly drills)
Ref: 19 CSR 30-62.082
Tornado drill log current (monthly during season)
Ref: 19 CSR 30-62.082
Lockdown drill log current (semi-annual)
Ref: 19 CSR 30-62.082
Fire extinguishers charged and accessible
Ref: 19 CSR 30-62.082
Outdoor equipment safe and age-appropriate
Ref: 19 CSR 30-62.072
Safe sleep practices followed (infants)
Ref: 19 CSR 30-62.092
FCSR background screening current for all staff
Ref: 19 CSR 30-62.042
FBI fingerprint check completed
Ref: 19 CSR 30-62.042
Director meets qualification requirements
Ref: 19 CSR 30-62.052
Group leaders meet qualifications
Ref: 19 CSR 30-62.052
All staff have current CPR certification
Ref: 19 CSR 30-62.052
All staff have current First Aid certification
Ref: 19 CSR 30-62.052
Annual clock hour training (12 hours) documented
Ref: 19 CSR 30-62.052
Child abuse/neglect recognition training
Ref: 19 CSR 30-62.052
Safe sleep training (infant caregivers)
Ref: 19 CSR 30-62.092
Provider orientation completed
Ref: 19 CSR 30-62.052
Staff health assessments on file
Ref: 19 CSR 30-62.052
Infant ratio maintained (1:4, max group 8)
Ref: 19 CSR 30-62.092
Toddler ratio maintained (1:4, max group 8)
Ref: 19 CSR 30-62.092
Two year old ratio maintained (1:8, max group 16)
Ref: 19 CSR 30-62.092
Preschool ratio maintained (1:10, max group 20)
Ref: 19 CSR 30-62.092
School-age ratio maintained (1:16, max group 32)
Ref: 19 CSR 30-62.092
Emergency contact forms complete for all children
Ref: 19 CSR 30-62.102
Immunization records current (ShowMeVax or provider)
Ref: 19 CSR 30-62.102
Medical exam within 30 days of enrollment
Ref: 19 CSR 30-62.102
Allergy information documented and accessible
Ref: 19 CSR 30-62.102
Medication authorization forms on file
Ref: 19 CSR 30-62.102
Pickup authorization documented
Ref: 19 CSR 30-62.102
Daily attendance records maintained
Ref: 19 CSR 30-62.102
Children supervised at all times
Ref: 19 CSR 30-62.092
Sign-in/out procedures followed
Ref: 19 CSR 30-62.102
Missouri compliance and operations resources
Nearby State Requirements
Requirements vary by state. Click to view specific licensing requirements.
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