Missouri Code of State Regulations
Title 13 - DEPARTMENT OF SOCIAL SERVICES
Division 40 - Family Support Division
Chapter 73 - Licensing of Child Placing Agencies
Section 13 CSR 40-73.012 - Basis for Licensure and Licensing Procedures

1. Documentation of the legal basis for operation;

2. A certified copy of the current Articles of Incorporation;

3. A copy of the current by-laws;

4. A list of the names and addresses of the current members of the governing board and a notarized letter of acceptance from each;

5. A completed personnel report on a form prescribed by the division;

6. Verification of the education, experience and character of the administrator, all professional staff and all contracted personnel;

7. Verification of a physical examination for all staff working directly with children, completed by a licensed physician or a registered nurse who is under the supervision of a licensed physician;

8. Results of a check of the Child Abuse and Neglect Central Registry Unit (CA/N CRU) for all staff and volunteers;

9. A criminal records check for each employee from a state law enforcement agency ;

10. A chart depicting the agency's organizational structure and lines of supervision;

11. A proposed budget for a period of not less than twelve (12) months' duration which shows both anticipated expenses and income for the period;

12. An itemized schedule of all fees to be assessed to applicants;

13. Verification of availability of not less than ninety (90) days' operating capital;

14. A copy of the Civil Rights Agreement signed by the president of the governing board or the agency director;

15. An outline of the agency's proposed program and the specific geographic area to be served (this shall be directly related to the number of staff and the geographic area to which it can actually provide services);

16. A projected staffing plan for the anticipated capacity and programming of the agency;

17. A written statement clearly setting forth the authority and responsibilities delegated to a director, administrator, or supervisor, if other than the owner. When the responsibility for the operation of an agency rests with the governing board, that governing board shall establish written policies and procedures which clearly establish the lines of responsibility governing the operation of the agency. These shall include a statement of the kind and extent of authority delegated to the director employed to carry out the program;

18. A written description of intake policies which delineates the types of services to be provided, specific programs offered, and the methods of care and treatment to be provided;

19. Job title, job description and minimum qualifications for all staff;

20. Written child abuse and neglect reporting policy;

21. Written personnel practices, including staff training and orientation;

22. Written discipline policy for children in care;

23. Written visitation policy for children in care;

24. Written health care policy for children in care which shall include preventive, medical, eye, hearing and dental care;

25. A written statement of any religious practices or religious restrictions;

26. A written plan for all foster parent training; and

27. Proof of professional and commercial general liability insurance.

1. If the agency fails to follow through with completing the requirements for licensure within six (6) months of initial application;

2. When an application for licensure has been withdrawn, and the agency seeks to reapply;

3. When there is a change of ownership or corporate status of the agency;

4. When the division has revoked or refused to renew a license and a new license is sought; and

5. When a license or application has been voluntarily surrendered or withdrawn by the applicant.

1. The type of change being requested;

2. The date the change will take effect;

3. Why the change is being requested; and

4. Any specific location changes including full address and telephone number.

1. Verification of a biennial physical examination, completed by a licensed physician, registered nurse who is under the supervision of a licensed physician, or an advanced practice nurse in a collaborative agreement with a licensed physician for all staff working directly with children (see 13 CSR 40-73.030(3)(A) );

2. A current governing board roster, with officers identified, including the addresses and a notarized letter of acceptance from each member;

3. A summary of any significant changes to programs and copies of any resulting policies or policy changes;

4. A copy of the current organizational chart;

5. A completed personnel report on a form prescribed by the division;

6. Results of an annual check of the CA/N CRU for all staff, contracted personnel and volunteers working with children;

7. Results of the annual criminal records check for all staff, contracted personnel and volunteers working with children;

8. A copy of a biennial financial audit and evaluation of the financial soundness of the operation conducted by a certified public accountant not employed by the agency;

9. A copy of the budget for the current calendar or fiscal year;

10. A statistical report on a form supplied by the division;

11. A list of the names and addresses of all current foster homes licensed by the agency ;

12. An annual written plan for all foster parent training;

13. A written plan indicating how the agency will provide for the transfer of records on both open and closed cases in the event the agency closes;

14. An annual program evaluation;

15. An itemized schedule of all fees to be assessed to applicants; and

16. Copies of all written agreements (contracts) for the adoption process.