Child Care

Child Care/Preschool Requirements

• 2022 Child Care/Preschool Requirements | Spanish
  Required immunizations for children enrolled in or attending child care facilities and preschools in Missouri.

Child Care/Preschool Reporting Information

• 2021 - 2022 Online Reporting for Child Care / Preschool
  For the best experience with the online reporting, you must use Microsoft Internet Explorer 7.0 or greater and Adobe Reader 7 or greater. This online report is not supported by Firefox, Google Chrome or Safari. Download the free Adobe Reader.
  Link to complete and submit the annual summary report.
  
• 2021 - 2022 Survey Packet
  Packet containing materials needed for completion of the annual Child Care/Preschool Immunization Status Report.
• 2021 - 2022 Survey Form-IMMP-32
  (To report, print the form and mail or fax it to 573.526.0238.)
  Standardized form used to report immunization status of child care/preschool children.

Missouri Statutes

• Immunization of Children in Day Care 210.003
• Contagious Diseases Excluded from School 167.191

Code of State Regulations

• Day Care Immunization Rule 19 CSR 20-28.040
  • Missouri Day Care Immunization Requirements Vaccines Received 0-6 Years of Age
  • Immunizations In Progress (Imm.P.14)
  • Medical Immunization Exemption (Imm.P.12)
  • Parent/Guardian Immunization Exemption (Imm.P11)
• Exclusion from School and Readmission 19 CSR 20-20.030

Tools & Resources

• Child Care Provider Flu/Pertussis Fact Sheet
  A fact sheet for Child Care Providers that outlines key information about the Flu and Pertussis.
• Parent/Guardian Exemption – What Parents of Children in Child Care Need to Know
  A fact sheet to educate parents on the possible consequences of signing a parent/guardian exemption.
• Children In Progress – What You Need to Know
  A fact sheet to educate parents on filing an in progress exemption.
• Medical Exemption – What You Need to Know
  A fact sheet to educate parents on filing medical exemptions.
• Parent/Guardian Exemption – What Parents of Children in Child Care Need to Know (Spanish)
  A fact sheet in Spanish to educate parents on the possible consequences of signing a parent/guardian exemption.
• Children In Progress – What You Need to Know (Spanish)
  A fact sheet in Spanish to educate parents on filing an in progress exemption.
• Medical Exemption – What You Need to Know (Spanish)
  A fact sheet in Spanish to educate parents on filing medical exemptions.
• Vaccines for Children – Information for Parents
  A fact sheet on the Vaccines for Children program and eligibility criteria.
• Vaccines for Children – Information for Parents, Spanish
  A fact sheet, in Spanish, on the Vaccines for Children program and eligibility criteria.
• Parent/Guardian Sample Letter
  This sample letter is a tool that can be used to notify parents/guardians of missing immunizations or incomplete immunization records.
• Tally Sheet of Assessed Children
  A tool created to help evaluate the immunization status and complete the Child Care/Preschool Immunization Status Report.
• Vaccine Identification Tool
  A tool created to help identify vaccines by different brand names and abbreviations.
• Easy to Read Immunization Schedules
  • Birth to 12 Years
• Immunization Schedules
  • Birth to 18 Years
  • Catch Up Schedule, 4 months to 18 Years
• Find a childcare provider in your area
  Available resources to assist you in finding a child care provider.