| License type | Small family child care home |
| Regulating agency | Missouri Department of Health and Senior Services — Bureau of Child Care (BCC) |
| Regulatory code | 19 CSR 40-61.012 (Rules for Child-Care Programs); RSMo §210.201 et seq. |
| Typical maximum capacity | Up to 6–8 children (verify with MO DHSS) |
| Provider credential | No Director Permit required in most states; background check + pre-licensing orientation required |
| CPR/First Aid | Required — must be current before license issued |
| Annual training | Continuing education required (hours vary by state) |
| Setting | Provider’s own private residence |
Missouri small family child care home: Capacity rules
Small family child care homes in Missouri use a capacity model rather than a traditional staff-to-child ratio. The licensed capacity is set under 19 CSR 40-61.012 (Rules for Child-Care Programs); RSMo §210.201 et seq. and depends on the ages of children and whether the provider is alone or has an assistant present.
Small family child care homes operate on a capacity model, not a staff-to-child ratio model. The provider is the caregiver — no assistant is required. For programs caring for a larger group, see the Missouri large family child care home requirements.
| Capacity scenario | Staffing required | Notes |
|---|---|---|
| Up to 6 children | Provider alone | Typical base capacity; verify with MO DHSS for infant limits |
| 7–8 children | Provider alone (if criteria met) | Additional criteria may apply (age mix, infant limits); verify with Missouri Department of Health and Senior Services |
| Provider’s own children | Counted in total | Own children under specified age who are home during care hours typically count toward capacity |
Missouri small family child care home: Credential & training requirements
Provider / Licensee requirements
To operate a small family child care home in Missouri, the provider must be at least 18 years old, pass a criminal background check (fingerprinting), and complete a pre-licensing health and safety orientation approved by Missouri Department of Health and Senior Services. A formal ECE degree or director permit is generally not required for small family homes in most states.
CPR and first aid
Current CPR and pediatric first aid certification is required before the license is issued and must be kept current throughout the licensing period. Some states require household members or substitutes to also hold CPR certification.
Annual training requirements
After licensure, providers in Missouri must complete continuing education hours annually as required by Missouri Department of Health and Senior Services. Training topics typically include child development, health and safety, and first aid. Contact MO DHSS for the current annual training requirement.
Missouri small family child care home: Facility requirements
The following physical environment standards apply to small family child care homes in Missouri under 19 CSR 40-61.012 (Rules for Child-Care Programs); RSMo §210.201 et seq..
| Setting | Must be the provider’s primary residence; not a commercial building |
| Home inspection | MO DHSS licensing analyst inspects the home before license issuance — checks for safety hazards, fencing, safe sleeping areas, and emergency exits |
| Outdoor space | Fenced outdoor play area required; equipment must be age-appropriate and in good repair |
| Sleeping arrangements | Safe sleep practices required; appropriate sleep surfaces for infants; no shared sleep surfaces |
| Zoning | Check with your local city/county — some jurisdictions require a home business permit or conditional use permit for a family child care home |
How to get a small family child care home license in Missouri
The small family child care home licensing process in Missouri is administered by Missouri Department of Health and Senior Services. Follow these general steps:
- Contact Missouri Department of Health and Senior Services — Bureau of Child Care (BCC) to request a small family child care home application packet.
- Complete the application forms including disclosure of all adults (18+) residing in the home, who must submit fingerprints for background checks.
- Complete the required pre-licensing health and safety orientation.
- Obtain current CPR and pediatric first aid certification for the provider.
- Schedule and pass the pre-licensing home inspection by a MO DHSS licensing analyst.
- Obtain any required local permits (zoning, fire, or home business permit) from your city or county.
- Receive your small family child care home license from Missouri Department of Health and Senior Services.
Licensing contact: Missouri Department of Health and Senior Services — Bureau of Child Care (BCC).
Official resource: https://health.mo.gov/safety/childcare
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Frequently asked questions: Missouri small family child care home licensing
Sources & references
This page was compiled from official government sources. Always verify current requirements directly with Missouri Department of Health and Senior Services before making licensing or compliance decisions.
- Missouri Department of Health and Senior Services — family child care home licensing
- ACF Licensing Regulations Database — Missouri
Also in this guide: Missouri Childcare Center Requirements, Missouri Large Family Child Care Home Requirements, Missouri Preschool Requirements