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5 CSR 25-500.042(18)
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The number and ages of children a group child care home or child care center is authorized to have in care at any one (1) time shall be specified on the license and shall not be exceeded except as permitted within these rules.
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5 CSR 25-500.042(19)
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All child care provided on the premises of a licensed group child care home or child care center shall be in compliance with the licensing rules, the conditions specified on the license, and the conditions of any variances granted to the licensee.
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5 CSR 25-500.082(2)(B)2.B.(IV)
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No more than eight (8) infant/toddlers or sixteen (16) two (2) -year olds shall be in a group;
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5 CSR 25-500.082(6)(B)1.
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Outdoor play space for infants and toddlers shall be separate from that used for older children or the same space shall be used at different times. (This rule does not apply to group day care homes with a maximum of four (4) infant/toddlers or to day care centers licensed for a maximum of twenty (20) children, including no more than four (4) infant/toddlers. )
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5 CSR 25-500.082(6)(B)2.
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Staff/child ratios for infant/toddlers and two (2) -year olds shall be maintained at all times.
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5 CSR 25-500.112(1)
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Staff/child ratios shall be maintained at all times.
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5 CSR 25-500.112(1)(A)
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The staff/child ratio and group size shall be followed as outlined in the below chart unless it meets an exception in subparagraphs (1)(B)-(G) below: Infants, toddlers, and 2-year-olds shall have one caregiver for every four children with no more than eight children per group; Groups composed solely of children 24 to 36 months shall have one caregiver for every eight children with no more than 16 children per group; Groups composed solely of children 3 to 4 years shall have one caregiver for every 10 children with no more than 20 children per group; Groups composed solely of children 5 years or older shall have one caregiver for every 16 children with no more than 32 children per group; A mixed group of children consisting of no more than four children age 2 years, and at least one child older than 3 years shall have one caregiver for every 10 children with no more than 20 children per group; A mixed group of children consisting of more than four children ages 24 to 36 months, and at least one child older than 36 months shall have one caregiver for every eight children with no more than 16 children per group.
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5 CSR 25-500.132(2)(A)2.
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A requirement that children less than one (1) year of age be placed on their backs to sleep;
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5 CSR 25-500.092(1)(B)2.I.
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Sitting devices such as car safety seats, strollers, swings, infant carriers, infant slings, and other sitting devices shall not be used for sleep/nap time. Infants who fall asleep anywhere other than a crib, portable crib, or playpen shall be placed in the crib or playpen for the remainder of their sleep or nap time.
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5 CSR 25-500.042(8)
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Enrollment information for each child shall be on file at the facility as required by 5 CSR 25-500.132 Admission Policies and Procedures.
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5 CSR 25-500.202(2)(D)
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Until infants can hold a bottle comfortably, they shall be held by a caregiver during bottle feeding. Bottles shall not be propped.
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