210.221.  Licenses to be issued by department of health and senior services — duty to fix standards and make investigations — rule variance granted when, procedure. — 1.  The department of health and senior services shall have the following powers and duties:

Terms Used In Missouri Laws 210.221

  • following: when used by way of reference to any section of the statutes, mean the section next preceding or next following that in which the reference is made, unless some other section is expressly designated in the reference. See Missouri Laws 1.020
  • State: when applied to any of the United States, includes the District of Columbia and the territories, and the words "United States" includes such district and territories. See Missouri Laws 1.020

 (1)  After inspection, to grant licenses to persons to operate child-care facilities if satisfied as to the good character and intent of the applicant and that such applicant is qualified and equipped to render care or service conducive to the welfare of children, and to renew the same when expired.  No license shall be granted for a term exceeding two years.  Each license shall specify the kind of child-care services the licensee is authorized to perform, the number of children that can be received or maintained, and their ages and sex;

 (2)  To inspect the conditions of the homes and other places in which the applicant operates a child-care facility, inspect their books and records, premises and children being served, examine their officers and agents, deny, suspend, place on probation or revoke the license of such persons as fail to obey the provisions of sections 210.201 to 210.245 or the rules and regulations made by the department of health and senior services.  The director also may revoke or suspend a license when the licensee fails to renew or surrenders the license;

 (3)  To promulgate and issue rules and regulations the department deems necessary or proper in order to establish standards of service and care to be rendered by such licensees to children.  No rule or regulation promulgated by the division shall in any manner restrict or interfere with any religious instruction, philosophies or ministries provided by the facility and shall not apply to facilities operated by religious organizations which are not required to be licensed;

 (4)  To approve training concerning the safe sleep recommendations of the American Academy of Pediatrics in accordance with section 210.223; and

 (5)  To determine what records shall be kept by such persons and the form thereof, and the methods to be used in keeping such records, and to require reports to be made to the department at regular intervals.

 2.  Any child-care facility may request a variance from a rule or regulation promulgated pursuant to this section.  The request for a variance shall be made in writing to the department of health and senior services and shall include the reasons the facility is requesting the variance.  The department shall approve any variance request that does not endanger the health or safety of the children served by the facility.  The burden of proof at any appeal of a disapproval of a variance application shall be with the department of health and senior services.  Local inspectors may grant a variance, subject to approval by the department of health and senior services.

 3.  The department shall deny, suspend, place on probation or revoke a license if it receives official written notice that the local governing body has found that license is prohibited by any local law related to the health and safety of children.  The department may, after inspection, find the licensure, denial of licensure, suspension or revocation to be in the best interest of the state.

 4.  Any rule or portion of a rule, as that term is defined in section 536.010, that is created under the authority delegated in sections 210.201 to 210.245 shall become effective only if it complies with and is subject to all of the provisions of chapter 536 and, if applicable, section 536.028.  All rulemaking authority delegated prior to August 28, 1999, is of no force and effect and repealed.  Nothing in this section shall be interpreted to repeal or affect the validity of any rule filed or adopted prior to August 28, 1999, if it fully complied with all applicable provisions of law.  This section and chapter 536 are nonseverable and if any of the powers vested with the general assembly pursuant to chapter 536 to review, to delay the effective date, or to disapprove and annul a rule are subsequently held unconstitutional, then the grant of rulemaking authority and any rule proposed or adopted after August 28, 1999, shall be invalid and void.