Adult Day Care Program Manual


Fire Safety and Facility Physical Requirements

19 CSR 30-90.070 establishes the minimum fire safety, physical plant, and maintenance requirements for buildings in which adult day care programs are operated. Reminder: Providers will need to review these requirements in their entirety at https://www.sos.mo.gov/adrules/csr/current/19csr/19csr.asp

Fire safety and facility physical requirements section include the following:

  • Building construction requirements;
  • Space requirements;
  • Rooms provided and size;
  • Furniture;
  • Bed;
  • Equipment and supplies;
  • Ventilation;
  • Heating system;
  • Temperatures;
  • Illumination;
  • Plumbing;
  • Water supply;
  • Drinking water;
  • Toilets and handwashing sinks;
  • ADA compliance;
  • Rugs and floor coverings;
  • Maintenance;
  • Cleaning supplies;
  • Wastebaskets;
  • Pest free;
  • Approval from fire officials or comply with Life Safety Code;
  • Exits;
  • Smoke detection;
  • Fire extinguishers;
  • Written emergency plan;
  • Fire drills;
  • Responsibilities of fire drills and other emergency preparedness.

Reminder: ADC programs receiving Medicaid waiver funding through DHSS or DMH or federal reimbursements are also required to comply with those program requirements.

When the regulation(s) conflict, the provider is required to comply with the more stringent regulation(s).

DHSS Website

By visiting www.health.mo.gov, you can find information on:

  • Adult Day Care Provider Directory
  • Frequently Asked Questions
  • Application for License to Operate an Adult Day Care Program
  • Adult Day Care Program Manual