During the 2015 legislative session, the Missouri General Assembly passed Senate Bill 341 (SB341). This legislation became effective August 28, 2015. This legislation specifies safe sleep requirements for licensed child care facilities.




Certain child care facilities are not required to obtain a child care license from the Department of Health and Senior Services. Additionally, programs that are exempt do not fall under our full regulatory authority. To document the exemption, these programs may file a Program Evaluation Questionnaire (DC-20) with the Department in order to obtain an exemption assessment. The exemption process is reviewed in our central office.

Exemptions are set forth in Missouri Statute, 210.211, RSMo. Any person who is caring for four or fewer *unrelated children is not required to be licensed and does not have to contact us to report he/she is providing child care.

Other programs such as nursery schools and programs operated under the exclusive control of a religious organization are license-exempt. Programs such as these, under the exemptions stated in 210.211 RSMo, should file a Program Evaluation Questionnaire (DC-20) provided to the Department so an exemption assessment can be made.