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9 CSR 40-1

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9 CSR 40-1 Chapter 1 - Definitions, Licensing Procedures, and General Requirements for Community Residential Programs and Day Programs

Jurisdiction: MO Agency: Missouri Department of Mental Health
CMHC (50%) MH_IOP (45%) MH_PHP (65%) MH_RESIDENTIAL (95%)
Plain-English summary

This Missouri Department of Mental Health regulation establishes definitions, licensing procedures, and general requirements for community residential programs and day programs serving individuals with mental illness, intellectual disabilities, and developmental disabilities. Facility operators must comply with licensing procedures, program administration standards, individual rights protections, record-keeping requirements, dietary services, environmental standards, and fire safety/emergency preparedness. The regulation covers a broad range of residential and day program settings, including Intensive Residential Treatment Settings (IRTS), Psychiatric Individualized Supported Living (PISL), Residential Care Facilities, and various day programs. Operators must maintain compliance with all defined standards to retain licensure and avoid deficiency findings.

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Regulation text
CODE OF STATE REGULATIONS 1JOHN R. ASHCROFT (11/30/20) 
Secretary of State
Rules of 
Department of Mental Health 
Division 40—Licensing Rules 
Chapter 1—Definitions, Licensing Procedures, and 
General Requirements for Community Residential 
Programs and Day Programs 
 
 Title Page 
9 CSR 40-1.010 Definitions (Rescinded January 15, 1984) .................................................3 
9 CSR 40-1.015 Definitions .......................................................................................3 
9 CSR 40-1.050 Licensure Procedures (Rescinded January 15, 1984).....................................6 
9 CSR 40-1.055 Licensing Procedures ..........................................................................6 
9 CSR 40-1.060 Program Administration......................................................................12 
9 CSR 40-1.065 Individual Rights and Responsibilities.....................................................14 
9 CSR 40-1.070 Organized Record System ...................................................................16 
9 CSR 40-1.075 Person-Centered Services....................................................................17 
9 CSR 40-1.080 Dietary Services...............................................................................19 
9 CSR 40-1.085 Environment ...................................................................................20 
9 CSR 40-1.090 Fire Safety and Emergency Preparedness.................................................22 
9 CSR 40-1.100 Implementation of Licensure Authority for Certain Day Programs 
 and Community Residential Facilities ....................................................25 
9 CSR 40-1.105 Implementation of Licensing Authority for Certain Day Programs 
 and Community Residential Facilities (Rescinded December 30, 2020) ...........25 
9 CSR 40-1.118 Licensing Advisory Board (Rescinded November 30, 2018) ..........................26 
 CODE OF STATE REGULATIONS 3JOHN R. ASHCROFT (11/30/20) 
Secretary of State
Chapter 1—Definitions, Licensing Procedures, and General Requirements 
 for Community Residential Programs and Day Programs 9 CSR 40-1
Title 9—DEPARTMENT OF 
MENTAL HEALTH 
Division 40—Licensing Rules 
Chapter 1—Definitions, Licensing 
Procedures, and General Requirements 
for Community Residential Programs 
and Day Programs 
9 CSR 40-1.010 Definitions 
(Rescinded January 15, 1984) 
AUTHORITY: sections 630.050 and 630.705, 
RSMo Supp. 1982. Original rule filed Feb. 9, 
1983, effective July 1 1, 1983. Emergency 
rescission filed Sept. 20, 1983, effective Oct. 
1, 1983, expired Jan. 15, 1984. Rescinded: 
Filed Sept. 20, 1983, effective Jan. 15, 1984. 

9 CSR 40-1.015 Definitions 
PURPOSE: This rule defines terms used in 
licensing procedures and rules developed 
under sections 630.705–630.760, RSMo, for 
all community residential programs and day 
programs subject to licensure by the depart-
ment, including Residential Care Facilities 
and Assisted Living Facilities dually licensed 
by the Department of Health and Senior Ser-
vices. 
PUBLISHER’S NOTE: The secretary of state 
has determined that the publication of the 
entire text of the material which is incorporat-
ed by reference as a portion of this rule would 
be unduly cumbersome or expensive. This 
material as incorporated by reference in this 
rule shall be maintained by the agency at its 
headquarters and shall be made available to 
the public for inspection and copying at no 
more than the actual cost of reproduction. 
This note applies only to the reference mater-
ial. The entire text of the rule is printed here. 
(1) Unless the context clearly indicates other-
wise, the terms defined in sections 630.005, 
632.005 and 633.005, RSMo and as used in 
9 CSR 40 are incorporated by reference as if 
set out in this rule. 
(2) The following additional words and terms, 
as used in 9 CSR 40, mean: 
(A) Administrative agent, an organization 
and its approved designee(s) authorized by 
the department as an entry and exit point into 
the state mental health service delivery sys-
tem for a geographic service area defined by 
the department. Administrative agents pro-
vide statewide access crisis intervention ser-
vices, including a twenty-four (24) hour crisis 
mobile response by qualified mental health 
professionals; 
(B) Access Crisis Intervention (ACI), as 
defined in 9 CSR 30-4.195 Access Crisis 
Intervention (ACI) Programs; 
(C) Affiliate, an organization that is con-
tracted with the department to provide specif-
ic community psychiatric rehabilitation 
(CPR) services for adults in a specific desig-
nated geographic region; 
(D) Applicant, an individual, partnership, 
association, corporation, or governmental 
entity which has applied to the department 
for a license or program license; 
(E) Assisted living facility (ALF), any res-
idence, intermediate care facility, or skilled 
nursing facility licensed under Chapter 198, 
RSMo, that provides twenty-four (24) hour 
care and services and protective oversight to 
three (3) or more adults who need assistance 
with activities of daily living and instrumen-
tal activities of daily living; storage, distribu-
tion, or administration of medications; and/or 
supervision of health care under the direction 
of a licensed physician; 
(F) Behavioral health, the promotion of 
mental health, resilience, and well-being, the 
treatment of mental health and substance use 
disorders, and the support of individuals who 
experience and/or are in recovery from these 
conditions, along with their families/natural 
supports and communities; 
(G) Behavioral crisis/mental health crisis, 
any situation in which a person’s behavior 
puts him/her at risk of hurting him/herself or 
others and/or prevents him/her from being 
able to care for him/herself or function effec-
tively in the community; 
(H) Behavioral health services, mental 
health services, substance use disorder treat-
ment services, or a combination of both, for 
youth, children, and adults. Services may be 
provided in a residential program, on an out-
patient basis, or in a home or community 
program; 
(I) Care plan, document developed by staff 
of a community residential program or day 
program in collaboration with the individual 
served and family members/natural supports, 
as appropriate, which includes measurable 
goals and objectives important to the individ-
ual to assist him or her in achieving person-
ally defined outcomes, ensures delivery of 
services and supports in a manner that reflect 
personal preferences and choices, and con-
tributes to the assurance of health and well-
ness of the individual served; 
(J) Community Psychiatric Rehabilitation 
(CPR), an array of community-based 
outpatient mental health services for 
children, youth, and adults who have been 
diagnosed with a severe, disabling mental 
illness or serious emotional disturbance. 
Administrative agents or their affiliates are 
responsible for providing these services to 
eligible individuals in designated service 
area(s); 
(K) Community residential program, any 
premises where services, structure, oversight, 
and supports are provided on a residential 
basis for adults with mental illness who oth-
erwise would not be able to function outside 
of psychiatric inpatient care due to the sever-
ity and chronicity of their mental illness. This 
includes, but is not limited to, Intensive Res-
idential Treatment Settings (IRTS), Psychi-
atric Individualized Supported Living 
(PISL), Residential Care Facilities (RCF), 
Intermediate Care Facilities (ICF), and 
Assisted Living Facilities (ALF); 
(L) Competency-based training, the provi-
sion of knowledge and skills sufficient to 
enable the trained staff person to meet speci-
fied standards of performance consistent with 
generally accepted professional standards or 
specified in law, regulation, or policy, as val-
idated by the person’s demonstration that 
he/she can use such knowledge or skills 
effectively; 
(M) Compliance, a program may be found 
in compliance with these licensing rules 
when deficiencies do not involve— 
1. Abuse or neglect—any instance of 
abuse/neglect in which corrective action has 
not been taken; 
2. Life endangering conditions—any sin-
gle life-endangering event or combination of 
minor deficiencies which collectively are life 
endangering or which become perilous con-
tingent upon an event such as the outbreak of 
fire; 
3. Legal requirements-deficiencies relat-
ed to statutory requirements for programs 
licensed by the department, such as individ-
ual rights and licensing procedures; 
4. Repeated deficiencies—issues which 
may or may not be serious in and of them-
selves, but which become significant when 
left uncorrected according to agreed upon 
schedules over a period of time; 
5. Numerous deficiencies—deficiencies 
which may or may not be serious themselves, 
but become significant collectively because 
they indicate an ineffective maintenance plan, 
deficient environmental standards, inade-
quate orientation or training of staff, poor 
nursing care practice, inadequate diet, lack of 
treatment or rehabilitation, ineffective poli-
cies and procedures, inadequate staffing, 
improper recordkeeping, or other issues 
which may affect the well being of individu-
als served; or 
6. Minimum environmental require-
ments—quantitative requirements under envi-
ronment and fire safety/emergency prepared-
ness relating to minimum dimensions for 
hallways, doors, ceiling heights, window 
space, floor space, number of bathrooms, and 
individuals per bedroom; 
(N) Consent agreement, an agreement with 
the department that is entered into by the 
director of a community residential program 
or day program to obtain a probationary 
license. Such a consent agreement will 
include a provision that the director of the 
program will voluntarily surrender the 
license if compliance with licensing require-
ments is not reached in accordance with the 
terms and deadlines established under the 
agreement. The agreement specifies the 
stages, actions, and time span to achieve 
compliance; 
(O) Continuing care, the provision of a 
treatment plan and program structure that 
will ensure an individual receives the type of 
care he/she needs at the time, particularly at 
the point of discharge or transfer from the 
current program. Programs are flexible and 
tailored to the changing needs of individuals 
served; 
(P) Crisis, an event or time period for an 
individual characterized by a substantial 
increase in symptoms, legal or medical prob-
lems, and/or loss of housing, employment, or 
personal supports; 
(Q) Crisis prevention plan, developed with 
individuals who have a mental illness when a 
potential risk for suicide, violence, or other 
at-risk behavior is identified during the 
assessment process or any time during the 
individual’s engagement in services. At a 
minimum, the crisis prevention plan includes 
factors that may precipitate a crisis, a hierar-
chical list of skills/strengths identified by the 
individual to regain a sense of control to 
return to his/her level of functioning before 
the crisis or emergency, and a hierarchical list 
of staff interventions that may be used when 
a critical situation occurs; 
(R) Deemed license, acknowledges that an 
organization/program is monitored and held 
accountable by a recognized national accred-
iting body and the department accepts the 
organization’s verification of good standing 
with the accrediting body as sufficient to 
meet the department’s standards of care; 
(S) Deficiency, a condition, event, or omis-
sion that does not comply with a department 
licensing rule; 
(T) Discharge, the point at which an indi-
vidual’s active involvement with a treatment 
or rehabilitation program concludes in accor-
dance with the goals in his or her individual 
support plan (ISP), individual treatment plan 
(ITP), or care plan, applicable utilization cri-
teria, and/or program rules; 
(U) Electronic health record (EHR), digital 
version of individual records; 
(V) Family living arrangement (FLA) for 
adults, a program in the owned or leased per-
manent residence of the licensee, serving no 
more than three (3) adults who have a devel-
opmental disability who are integrated into 
the licensee’s family unit. The licensee of the 
home provides care and support as directed in 
the individual support plan (ISP); 
(W) Family living arrangement (FLA) for 
children/youth, a program in the owned or 
leased permanent residence of the licensee in 
which mental health interventions are provid-
ed for children and youth placed in the home, 
allowing the child to remain in his/her com-
munity until returning to his/her natural 
home or alternative community placement to 
avoid being removed from a community set-
ting; 
(X) Individual, a person/consumer/client 
receiving services from a program licensed 
under 9 CSR 40; 
(Y) Individualized education plan (IEP), a 
plan developed by trained school staff for 
children who have a disability and a need for 
specialized instruction; 
(Z) Individual support plan (ISP), a docu-
ment resulting from a person-centered plan-
ning process with an individual with intellec-
tual or developmental disabilities, with 
assistance as needed by a representative, in 
collaboration with an interdisciplinary team. 
The plan is intended to identify the strengths, 
capacities, preferences, needs, and desired 
outcomes of the person served. The process 
may include other people freely chosen by the 
individual who are able to contribute to the 
process. The person-centered planning 
process enables and assists the individual in 
accessing a personalized mix of paid and non-
paid services and supports that will assist 
him/her in achieving personally defined out-
comes and the training, supports, therapies, 
treatments, and/or other services that become 
part of the ISP; 
(AA) Individual Treatment Plan (ITP), 
written document developed in collaboration 
with the individual seeking assistance for a 
behavioral health condition (or his or her 
parent/legal guardian) that identifies the 
individual’s strengths, goals, preferences, 
abilities, physical and behavioral health 
needs, and desired outcomes for a healthy 
lifestyle in the community. Treatment staff, 
treatment team members, and family 
members/natural supports (if acceptable to 
the individual being served) participate in the 
development of the plan and assist the 
individual in identifying and accessing a mix 
of services and supports to meet his/her 
needs and achieve desired goals for recovery 
and resiliency; 
(BB) Intensive Residential Treatment 
Setting (IRTS), living environment where 
medically necessary services/supports are 
provided for five (5) to sixteen (16) adults 
with serious mental illness who are 
transitioning from an inpatient psychiatric 
hospital to the community, or are at risk of 
returning to inpatient care due to their 
clinical status or need for increased support. 
This environment is most appropriate for 
individuals who can tolerate regular 
interaction with their peers, but have 
significant difficulties with activities of daily 
living and may require round-the-clock 
observation and oversight and/or periodic 
redirection from staff to avoid behaviors 
potentially harmful to themself or others; 
(CC) Isolation, removing an individual 
from a social setting to prevent spread of con-
tagious disease; 
(DD) License, written notification that a 
community residential program or day pro-
gram complies with department licensing 
requirements to serve individuals with mental 
illness, intellectual disabilities, and develop-
mental disabilities; 
(EE) Licensee, an individual, partnership, 
association, corporation, or governmental 
entity which has received a license or pro-
gram license from the department to operate 
a community residential program or day pro-
gram to provide services and supports for 
individuals with mental illness, intellectual 
disabilities, and developmental disabilities; 
(FF) Mechanical supports, supportive 
devices used in normative situations to 
achieve proper body position and balance; 
these are not restraints; 
(GG) Medication administration, qualified 
staff preparing and/or giving a legally pre-
scribed individual dose of medication to an 
individual served, including observation and 
monitoring the individual’s response to the 
medication; 
(HH) Medication control, the process of 
physically controlling, transporting, storing, 
and disposing of medications, including med-
ications self-administered by individuals 
served; 
(II) Medication use, the practice of han-
dling, prescribing, and dispensing medication 
(including administering and observing self-
administration) to persons served in response 
to specific symptoms, behaviors, and condi-
tions for which the use of medication is indi-
cated and deemed effective. This includes 
prescribed and sample medications and may, 
when required as part of the treatment regi-
men, include over-the-counter or alternative 
medication provided to persons served; 
(JJ) Misuse of funds/property, as defined 
in 9 CSR 10-5.200, Report of Complaints of 
Abuse, Neglect, and Misuse of Funds/Prop-
erty; 
(KK) Natural supports, provided by a per-
son of the individual’s choice to assist him or 
her in achieving personal goals and facilitat-
ing integration into their community. Natural 
supports are provided by persons who are not 
paid staff of an agency but may be initiated, 
planned, and facilitated in partnership with 
an agency; 
(LL) Neglect, as defined in 9 CSR 10-
5.200, Report of Complaints of Abuse, 
Neglect, and Misuse of Funds/Property; 
4 CODE OF STATE REGULATIONS (11/30/20) JOHN R. ASHCROFT 
Secretary of State
9 CSR 40-1—DEPARTMENT OF MENTAL HEALTH Division 40—Licensing Rules

 CODE OF STATE REGULATIONS 5JOHN R. ASHCROFT (11/30/20) 
Secretary of State
Chapter 1—Definitions, Licensing Procedures, and General Requirements 
 for Community Residential Programs and Day Programs 9 CSR 40-1
(MM) Outcome, a specific measurable 
result of services/supports provided to an 
individual or identified target population; 
(NN) Person-centered, services and sup-
ports developed in collaboration with the 
individual served that are respectful of 
informed consent and the preferences of the 
individual, resulting in a therapeutic alliance 
which contributes significantly to 
treatment/rehabilitation outcomes; 
(OO) Physical abuse, as defined in 9 CSR 
10-5.200, Report of Complaints of Abuse, 
Neglect, and Misuse of Funds/Property; 
(PP) Probationary license, written autho-
rization to continue service delivery for a 
specified period of time to enable a licensee 
to achieve compliance with the department’s 
licensing requirements as set forth in a con-
sent agreement between the department and 
the licensee; 
(QQ) Program license, written notification 
that a community residential program with a 
current license, temporary operating permit, 
or probationary license from the Department 
of Health and Senior Services (DHSS) under 
sections 198.006—198.096, RSMo, also 
meets the department’s licensing require-
ments relative to admission criteria, care, 
treatment, and habilitation or rehabilitation 
needs of individuals served; 
(RR) Psychiatric crisis, an individual is 
exhibiting a substantial increase in symptoms 
related to a severe emotional disturbance or 
mental illness based upon his or her baseline 
functioning. The reason(s) why the crisis 
occurred and how it is expressed varies by 
individual and may include harm to self or 
others, disorientation, being out of touch with 
reality, compromised ability to function, or 
other expression of emotional distress not 
characteristic to the individual. Immediate 
clinical assessment and intervention is neces-
sary to ensure the safety of the individual and 
others; 
(SS) Psychiatric Individualized Supported 
Living (PISL), living environment where 
medically necessary services/supports are 
provided for one (1) to four (4) adults with 
serious mental illness who are transitioning 
from an inpatient psychiatric hospital to the 
community, or are at risk of returning to 
inpatient care due to their clinical status or 
need for increased support. This environment 
is most appropriate for individuals who— 
1. Have intermittent difficulty tolerating 
other individuals in their immediate living 
area; 
2. Require access to an individual bed-
room to avoid psychiatric relapse, aggression, 
or other behaviors associated with a risk of 
re-hospitalization; and/or 
3. Have substantial difficulties with 
activities of daily living and require round-
the-clock observation and oversight; and/or 
4. Require daily redirection from staff to 
avoid behaviors potentially harmful to them-
selves or others; 
(TT) Qualified mental health professional 
(QMHP), any of the following: 
1. A physician licensed under Missouri 
law to practice medicine or osteopathy and 
with training in mental health services or one 
(1) year of experience, under supervision, in 
treating problems related to mental illness or 
specialized training; 
2. A psychiatrist licensed under Mis-
souri law as a physician and who has success-
fully completed a training program in psychi-
atry approved by the American Medical 
Association, the American Osteopathic Asso-
ciation, or other training program identified 
as equivalent by DMH; 
3. A psychologist licensed under Mis-
souri law to practice psychology with special-
ized training in mental health services; 
4. A professional counselor licensed 
under Missouri law to practice counseling 
with specialized training in mental health ser-
vices; 
5. A clinical social worker licensed 
under Missouri law with a master’s degree in 
social work from an accredited program and 
with specialized training in mental health ser-
vices; 
6. A psychiatric nurse licensed under 
Chapter 335, RSMo, as a registered profes-
sional nurse with at least two (2) years of 
experience in a psychiatric or substance use 
disorder treatment setting or a master's 
degree in psychiatric nursing; 
7. An individual possessing a master's 
or doctorate degree in counseling and guid-
ance, rehabilitation counseling and guidance, 
vocational counseling, psychology, pastoral 
counseling, family therapy, or related field 
who has successfully completed a practicum 
or has one (1) year of experience under the 
supervision of a QMHP; 
8. An occupational therapist certified by 
the National Board for Certification in Occu-
pational Therapy, registered in Missouri, who 
has a bachelor's degree and has completed a 
practicum in a psychiatric setting or has one 
(1) year of experience in a psychiatric setting, 
or has a master's degree and has completed 
either a practicum in a psychiatric setting or 
has one (1) year of experience in a psychiatric 
setting; 
9. An advanced practice registered nurse 
(APRN) under section 335.016, RSMo, who 
has had education beyond the basic nursing 
education and is certified by a nationally rec-
ognized professional organization as having a 
nursing specialty, or who meets criteria for 
APRNs established by the board of nursing; 
or 
10. A psychiatric pharmacist, registered 
pharmacist in good standing with the Mis-
souri Board of Pharmacy who is a board-cer-
tified psychiatric pharmacist through the 
Board of Pharmaceutical Specialties, or a 
registered pharmacist currently in a psy-
chopharmacology residency where the ser-
vice has been supervised by a board-certified 
psychiatric pharmacist; 
(UU) Reciprocal license, issued by the 
department to a residential program that has 
a current valid license as a Residential Treat-
ment Agency for Children and Y outh from the 
Department of Social Services under 13 CSR 
35-71, if the applicant has applied for a 
license from the department and paid the 
application fee; 
(VV) Research, as defined in 9 CSR 60-
1.010; 
(WW) Residential care facility (RCF), as 
defined in section 198.006, RSMo; 
(XX) Residential program, program in the 
community serving ten (10) or more individ-
uals with intellectual or developmental dis-
abilities by providing social support, health 
supervision, and habilitation training in skills 
of daily living; 
(YY) Restraint, as defined in 9 CSR 10-
7.140; 
(ZZ) Safety crisis plan, as defined in 9 
CSR 45-3.090 Behavior Supports; 
(AAA) Scheduled (controlled) medication, 
categories or schedules assigned to medica-
tion by the Drug Enforcement Administration 
based on a drug’s acceptable medical use and 
the drug’s abuse or dependency potential; 
(BBB) Seclusion, involuntary confinement 
of an individual alone in a room or an area 
from which he/she is physically prevented 
from leaving or having contact with others; 
(CCC) Self-administration of medication 
(adults), the application of a medication, 
(whether by injection, inhalation, oral inges-
tion, or any other means) by the individual 
served to his or her body, and may include 
the program storing the medication and staff 
handing the medication container to the indi-
vidual at the time designated to take the med-
ication; 
(DDD) Sexual abuse, as defined in 9 CSR 
10-5.200, Report of Complaints of Abuse, 
Neglect, and Misuse of Funds/Property; 
(EEE) Staff (staff member, employee, per-
sonnel), paid employee or contractor provid-
ing services and/or supports on behalf of a 
licensed or deemed licensed program, on a 
full- or part-time basis, and has contact with 
individuals served by the program; 
(FFF) Stock supply/stock pharmaceutical, 
prescription and non-prescription medication 
stored on-site for the provision of medication 
6 CODE OF STATE REGULATIONS (11/30/20) JOHN R. ASHCROFT 
Secretary of State
9 CSR 40-1—DEPARTMENT OF MENTAL HEALTH Division 40—Licensing Rules
services by a program. Stock supplies are 
checked by qualified staff on a routine basis 
for expiration dates and reviewed annually by 
a pharmacy consultant and approved by the 
medical director or pharmacy technician; 
(GGG) Substance use disorder, diagnostic 
term in the fifth edition of the Diagnostic and 
Statistical Manual of Mental Disorders 
(DSM-5) referring to recurrent use of alcohol 
or other drugs that causes clinically and func-
tionally significant impairment such as health 
problems, disability, and failure to meet 
major responsibilities at work, school, or 
home. Depending on the level of severity, this 
disorder is classified as mild, moderate, or 
severe. The document incorporated by refer-
ence does not include any later revisions or 
updates and is available from the American 
Psychiatric Association, 1000 Wilson Boule-
vard, Suite 1825, Arlington, V A 22209-3901; 
(HHH) Supports, array of activities, 
resources, relationships, and services 
designed to assist an individual’s integration 
into the community, participation in ser-
vices/supports, improve functioning, and/or 
recovery and resiliency; 
(III) Targeted case management, Medicaid 
program that assists individuals served by the 
Division of Developmental Disabilities (DD) 
to gain access to needed medical, social, edu-
cational, and other services; 
(JJJ) Temporary operating permit, written 
authorization from the department permitting 
a licensee seeking license renewal or a new 
owner applying for an initial license to con-
tinue service delivery pending completion of 
the licensing survey process and the applicant 
is not at fault for any delay in the process; 
(KKK) Time-out, temporarily separating a 
person from an environment where he or she 
has exhibited unacceptable behavior; 
(LLL) Trauma, experiences that cause 
intense physical and psychological stress 
reactions. May refer to a single event, multi-
ple events, or a set of circumstances experi-
enced by an individual as physically and emo-
tionally harmful or threatening and has 
lasting adverse effects on the individual’s 
physical, social, emotional, or spiritual well-
being; 
(MMM) Treatment, a professionally rec-
ognized approach that applies accepted theo-
ries, principles, and techniques designed to 
achieve rehabilitative outcomes for individu-
als served; 
(NNN) V erbal abuse, as defined in 9 CSR 
10-5.200, Report of Complaints of Abuse, 
Neglect, and Misuse of Funds/Property; and 
(OOO) V olunteer, an unpaid person for-
mally recognized by a program to provide 
direct services or supports to individuals it 
serves. 
(3) Unless the context clearly indicates other-
wise, certain terms shall be used in 9 CSR 40 
as follows: 
(A) Parent, the parent of a minor child 
unless his/her parental rights have been ter-
minated, or the parent of an adult who con-
sents to having the parent have access to or 
participate in the record or activity subject of 
a particular rule. The term shall be disregard-
ed if the individual’s parents are deceased or 
have had their parental rights terminated; and 
(B) Guardian, the person appointed by a 
Missouri court of competent jurisdiction to 
have the care, custody, and control of the indi-
vidual. The term shall be disregarded if the 
individual has not had a guardian appointed. 
AUTHORITY: sections 630.050 and 630.705, 
RSMo 2016.* Original rule filed Oct. 13, 
1983, effective Jan. 15, 1984. Amended: 
Filed March 14, 1984, effective Aug. 15, 
1984. Amended: Filed July 15, 1985, effec-
tive Feb. 1, 1986. Amended: Filed Jan. 2, 
1990, effective June 1 1, 1990. Amended: 
Filed Jan. 31, 1991, effective July 8, 1991. 
Amended: Filed July 17, 1995, effective 
March 30, 1996. Amended: Filed May 14, 
2020, effective Dec. 30, 2020. 
*Original authority: 630.050, RSMo 1980, amended 1993, 
1995, 2008 and 630.705, RSMo 1980, amended 1982, 
1984, 1985, 1990, 2000, 201 1, 2014. 

9 CSR 40-1.050 Licensure Procedures 
(Rescinded January 15, 1984) 
AUTHORITY: sections 630.050 and 630.705, 
RSMo Supp. 1982. Original rule filed Feb. 9, 
1983, effective July 1 1, 1983. Emergency 
rescission filed Sept. 20, 1983, effective Oct. 
1, 1983, expired Jan. 15, 1984. Rescinded: 
Filed Sept. 20, 1983, effective Jan. 15, 1984. 

9 CSR 40-1.055 Licensing Procedures 
PURPOSE: This rule describes the applica-
tion and licensing process for community res-
idential programs and day programs subject 
to licensure from the department, including 
Residential Care Facilities (RCF) and Assist-
ed Living Facilities (ALF) dually licensed by 
the Department of Health and Senior Services 
(DHSS). 
PUBLISHER’S NOTE: The secretary of state 
has determined that the publication of the 
entire text of the material which is incorpo-
rated by reference as a portion of this rule 
would be unduly cumbersome or expensive. 
This material as incorporated by reference in 
this rule shall be maintained by the agency at 
its headquarters and shall be made available 
to the public for inspection and copying at no 
more than the actual cost of reproduction. 
This note applies only to the reference mater-
ial. The entire text of the rule is printed here. 
(1) As set out in section 630.705, RSMo, 
each community residential program (here-
after referred to as residential program) or 
day program serving individuals with mental 
illness, intellectual disabilities, or develop-
mental disabilities (IDD) shall have a license 
or program license from the department 
unless specifically exempted under section 
630.705.3., RSMo. 
(2) The department issues the following types 
of licenses: 
(A) A license to operate a day program 
when the program serves individuals with a 
diagnosed mental illness or IDD; 
(B) A license to operate a residential pro-
gram, including a group home or family liv-
ing arrangement, when individuals with a 
mental illness or IDD diagnosis are being 
served in the program; 
(C) A program license to a residential pro-
gram that is licensed under Chapter 198, 
RSMo, as a Residential Care Facility (RCF) 
or Assisted Living Facility (ALF) that serves 
any individual with an IDD or a majority of 
individuals with a mental illness diagnosis; 
and 
(D) A reciprocal license to a residential 
program licensed by the Department of Social 
Services (DSS) as a Residential Treatment 
Agency for Children and Y outh. 
(3) Residential programs and day programs 
located at the same physical address, but sep-
arately licensed by the department, may share 
staff as long as each program independently 
meets applicable staffing requirements for the 
population being served. 
(4) A day program that is part of a Commu-
nity Psychiatric Rehabilitation (CPR) pro-
gram and is certified or deemed certified by 
the department under 9 CSR 10-7.130 and 9 
CSR 30-4, will not be separately licensed by 
the department’s Office of Licensure and 
Certification. 
(5) 
An agency or individual may request to 
be licensed by completing the application 
form included herein and submitting the 
application and other documentation as spec-
ified. The application form can be down-
loaded from the department’s website 
https://dmh.mo.gov/media/pdf/application-
licensure. Completed applications must be 
mailed to: Department of Mental Health, 
Office of Licensure and Certification, PO 
Box 687, Jefferson City, MO 65102, fax 
(573) 751-7815, or emailed to: DMH-
OLC@dmh.mo.gov. 
(6) An application for an initial license must 
be submitted not less than thirty (30) days 
prior to the opening date for a new residential 
program or day program. The application 
must be approved by department staff prior to 
a Division of Fire Safety inspection or 
department license inspection being 
scheduled. A diagram of the interior of the 
building(s), in approximate scale, and a 
narrative indicating how each area of the 
building will be used is required for first-time 
applicants. 
(A) Prior to new construction, remodeling 
an existing structure(s), or any structural 
alterations to an existing building, a copy of 
the plans must be submitted to the Office of 
Licensure and Certification for review and 
approval, including an explanation for 
utilizing each area of the building. The 
architect or contractor shall certify in writing 
the plans are in compliance with these 
licensing regulations. 
1. Construction shall not begin until the 
plans have been reviewed and approved by 
the Division of Fire Safety. All plans for new 
construction, remodeling, and additions 
must comply with the 2010 Americans with 
Disabilities Act Standards for Accessible 
Design, hereby incorporated by reference 
and is published by and available from the 
U.S. Department of Justice, Civil Rights 
Division, 950 Pennsylvania Avenue NW , 
Washington, DC 20530, available at:
 
https://www.ada.gov/regs2010/2010ADAS-
tandards/2010ADAstandards.htm. This rule 
does not incorporate any subsequent amend-
ments or additions to the regulations listed 
above. This rule does not prohibit programs 
from complying with regulations set forth in 
newer versions of the incorporated by refer-
ence material listed in this paragraph of this 
rule. 
2. During the construction or remodel-
ing process, an inspection of the framing, 
wiring, and rough-in wiring for the fire alarm 
system must be conducted by the Division of 
Fire Safety before the walls are enclosed. 
Failure to have these inspections constitutes 
cause for disapproval by the Division of Fire 
Safety. 
3. An existing residential program or 
day program shall not increase the capacity of 
any room or total capacity of any building 
without meeting new construction require-
ments as specified in this rule. 
(7) The department issues a license to operate 
a residential program or day program serving 
any individual with an IDD or a majority of 
individuals with a mental illness if the appli-
cant— 
(A) Has applied for a license from the 
department and paid the application fee; 
(B) Has not had a license or program 
license denied or revoked by the department; 
and 
(C) Is in compliance with applicable state 
laws and regulations, including the regula-
tions established by the department pursuant 
to section 630.710, RSMo. 
(8) The department will issue a program 
license to a residential program that has a 
current, valid license from the Department of 
Health and Senior Services (DHSS) under 
Chapter 198, RSMo, as an ALF or RCF 
when the program serves any individual with 
an IDD or a majority of individuals with a 
mental illness, if the applicant— 
(A) Has applied for a license from the 
department and paid the application fee; 
(B) Has not had a license or program 
license denied or revoked by DHSS or the 
department; and 
(C) Is in compliance with applicable state 
laws and department licensing regulations as 
specified in 9 CSR 40-1.060 Program 
Administration and 9 CSR 40-1.075 Person-
Centered Services. 
(9) The department will issue a reciprocal 
license to a residential program that has a 
current valid license as a Residential Treat-
ment Agency for Children and Y outh from the 
DSS under 13 CSR 40-71, if the applicant 
has applied for a license from the department 
and paid the application fee. 
(A) The department delegates its survey 
authority to the DSS, Children’s Division, 
for compliance with licensing rules as a Res-
idential Treatment Agency for Children and 
Y outh under 13 CSR 40-71. 
(10) The department recognizes and deems as 
licensed any residential program that is— 
(A) An Intermediate Care Facility (ICF) 
for Individuals with Intellectual Disabilities 
(ICF/IID) certified under Title XIX of the 
Social Security Act, 42 U.S.C. section 1396, 
and the regulations contained in 42 CFR part 
442, as long as the facility remains certified; 
and 
(B) An ICF or Skilled Nursing Facility 
(SNF) licensed under Chapter 198, RSMo, 
and certified under Title XIX of the Social 
Security Act, 42 U.S.C. section 1396, and 
the regulations contained in 42 CFR part 
442, as long as the facility remains certified. 
(C) The department does not issue a 
license to a residential program that meets the 
criteria for deemed status as specified in this 
section of this rule. 
(11) The department recognizes and deems as 
licensed a residential program or day pro-
gram that maintains accreditation from 
CARF International, The Council on Quality 
and Leadership, The Joint Commission, or 
other accrediting body recognized by the 
department. 
(A) Accredited agencies must— 
1. Submit a copy of the accrediting 
body’s survey report to the department within 
thirty (30) days of receipt, including verifica-
tion of the accreditation time period and pro-
grams/services that are accredited; 
2. Notify the department of any investi-
gation by the accrediting body related to a 
complaint; 
3. Notify the department of any changes 
in accreditation status during the time period 
of accreditation and resurvey; and 
4. Ensure they are compliant with all 
department licensing regulations pertaining to 
service delivery and fire safety. 
(B) Deemed status may be revoked by the 
department if an agency fails to comply with 
the requirements outlined in paragraph 
(11)(A)1.-4. of this rule. 
(C) The department does not issue a 
license to an agency that meets the criteria for 
deemed status as specified in this section of 
this rule. 
(12) Agencies that are deemed as licensed by 
the department are not exempt from monitor-
ing of service delivery practices, individual 
safety, or environmental conditions through 
other functions conducted by the department. 
(13) License fees are as follows and must be 
included with the individual/agency’s appli-
cation for licensure from the department: 
(A) Ten dollars ($10) for residential pro-
grams and day programs that admit more than 
three (3) but less than ten (10) individuals; 
(B) Fifty dollars ($50) for residential pro-
grams and day programs that admit ten (10) 
or more individuals; 
(C) The fee is based on the total available 
capacity of the residential program or day 
program, not the number of individuals cur-
rently being served. The license fee is non-
refundable; and 
(D) The license fee does not apply to resi-
dential programs or day programs applying 
for a licensed capacity of three (3) or fewer 
individuals or to residential programs or day 
programs owned and operated by a govern-
ment entity. 
(14) The department considers an application 
for licensure to be active for no more than 
 CODE OF STATE REGULATIONS 7JOHN R. ASHCROFT (11/30/20) 
Secretary of State
Chapter 1—Definitions, Licensing Procedures, and General Requirements 
 for Community Residential Programs and Day Programs 9 CSR 40-1

8 CODE OF STATE REGULATIONS (11/30/20) JOHN R. ASHCROFT 
Secretary of State
9 CSR 40-1—DEPARTMENT OF MENTAL HEALTH Division 40—Licensing Rules
one (1) year. If the department does not issue 
a license or program license within one (1) 
year from the date of application, the appli-
cant must submit a new application with the 
applicable fee, if necessary, to be considered 
for licensure. 
(15) A license is issued for a period of one 
(1) year unless it is revoked by the depart-
ment prior to the expiration date. The depart-
ment provides each licensee with a renewal 
notice at least one hundred twenty (120) busi-
ness days prior to expiration of the existing 
valid license. 
(16) The licensee shall submit the application 
for a license for a succeeding year to the 
department at least ninety (90) business days 
before the expiration date of its current 
license. 
(17) If the licensee does not apply for a 
renewal license within at least ninety (90) 
business days before the expiration date of the 
license, the department will notify the direc-
tor of the program that it is not authorized 
under Missouri law to serve individuals with 
mental illness or IDD without a license. 
(18) If an application for a license is not 
submitted to the department at least thirty 
(30) business days prior to the expiration of 
an existing valid license, department staff 
will notify the program director that the 
program will not be licensed after the 
expiration date of the license. A copy of the 
letter will be provided to applicable areas of 
the department and to any state or local 
government agencies with the potential to be 
affected by the program’s non-licensed status. 
(19) If the department has reasonable 
grounds to believe a residential program or 
day program required to be licensed under 
sections 630.705–630.760, RSMo, is 
operating without a license, the department 
will attempt to investigate to determine 
whether a license is required. If department 
staff are not permitted access to inspect the 
program, or if the program director refuses to 
permit access for an inspection, the 
department will apply to the circuit court of 
the county in which the program is located 
for an order authorizing entry for such 
inspection. 
(20) If the department has not completed its 
license inspection before the expiration date 
of a current license and the applicant is not at 
fault for the delay, a temporary operating per-
mit, not to exceed ninety (90) business days, 
will be issued by the department in order to 
complete the survey. 
(A) An applicant seeking license renewal is 
at fault for reasons including, but not limited 
to: 
1. The licensee did not apply for a new 
license or program license at least thirty (30) 
days prior to the expiration date of the exist-
ing license; 
2. The department found the licensee to 
be out of compliance with its licensing 
requirements and the director of the program 
failed to achieve compliance prior to expira-
tion of the license; and/or 
3. The licensee refused to allow a 
license inspection by the department or other-
wise to cooperate with the licensing survey 
team. 
(21) The department considers a change in 
agency ownership to have occurred under any 
of the following circumstances: 
(A) An individual licensee incorporates or 
forms a partnership; 
(B) A change in the majority interest of the 
partners, with respect to a licensee which is a 
general partnership; 
(C) A change in the majority interest of the 
general partners or in the majority interest of 
limited partners, with respect to a licensee 
which is a limited partnership; or 
(D) A change in the person(s) who owns, 
holds, or has the power to vote the majority 
of any class of stock issued by the corpora-
tion, with respect to a licensee which is a cor-
poration. 
(22) The department may grant a temporary 
operating permit for a specified period of 
time, not to exceed ninety (90) business days, 
under the following circumstances: 
(A) To authorize continuity of services and 
allow department staff to evaluate an applica-
tion for a license or program license as a 
result of any change in ownership of a resi-
dential program or day program; or 
(B) To determine compliance with applica-
ble state laws and regulations, including the 
standards established by the department pur-
suant to section 630.710, RSMo, if the appli-
cant— 
1. Has applied for a license and paid the 
appropriate application fee; 
2. Has not had a license or program 
license denied or revoked by the department; 
or 
3. Is licensed by DHSS as defined in 
Chapter 198, RSMo, as an ALF or RCF , if 
applicable. 
(23) Each application for licensure must 
include the name and contact information of 
the director of the agency and the staff person 
in charge of administration of the residential 
program or day program. 
(24) The director of the residential program 
or day program shall cooperate with and 
assist authorized department staff or its rep-
resentatives in making announced and unan-
nounced licensing surveys by allowing access 
to the program’s premises, records, staff, and 
individuals served. 
(25) After receiving a complete application 
for an initial license or renewal license, 
department staff will conduct an on-site 
inspection of the residential program or day 
program to assess compliance with these 
licensing regulations. This may include, but 
is not limited to, interviews with agency 
and/or program staff and individuals served, 
a review of agency records, and observation 
of program activities and environmental con-
ditions. 
(A) At the conclusion of the on-site license 
inspection, department staff will hold an exit 
conference with the program director and 
other relevant staff to discuss results of the 
inspection. 
(B) If the department determines the pro-
gram is in compliance with the provisions of 
sections 630.705 through 630.760, RSMo, 
and these licensing regulations, a license or 
program license will be issued. 
(26) If the department determines an 
applicant or existing licensee is not in 
compliance with these licensing regulations 
at the time of the inspection, the applicant 
will be notified as follows: 
(A) The program director will be informed 
of the area(s) of noncompliance during the 
exit conference with department staff; 
(B) Within twenty (20) business days after 
completion of the on-site license inspection, a 
written report will be sent to the program 
director explaining the area(s) of non-
compliance; 
(C) The licensing report will require the 
program director to submit a plan of 
correction to the department within twenty 
(20) business days of receipt; 
(D) The plan of correction shall address 
each deficiency cited in the report and 
include action steps and time frames for 
achieving compliance, including: 
1. How program staff will identify 
individuals served, other staff, and/or 
maintenance areas potentially affected by the 
deficient practice(s); 
2. How program staff will monitor 
corrective action taken, including measures 
or systemic changes to ensure the deficient 
practice(s) do not reoccur; 
 CODE OF STATE REGULATIONS 9JOHN R. ASHCROFT (11/30/20) 
Secretary of State
Chapter 1—Definitions, Licensing Procedures, and General Requirements 
 for Community Residential Programs and Day Programs 9 CSR 40-1
3. The date when full compliance with 
licensing regulations will be achieved; and 
4. The staff person(s) responsible for 
implementing the plan of correction in the 
program; 
(E) Within ten (10) business days following 
receipt of the program’s plan of correction, 
the department will issue written approval or 
disapproval of the plan to the program 
director; 
(F) Department staff will reinspect the 
program within sixty (60) business days after 
the original inspection to determine if 
deficiencies are being corrected as required 
in the approved plan of correction or any 
subsequent authorized modification. The 
reinspection may be conducted through a 
desk audit at the department’s discretion. 
1. If the department determines the 
program is in compliance with licensing 
regulations, a license will be issued to the 
program. 
2. If the department determines the 
program has not achieved compliance with 
licensing regulations or the program director 
is not correcting the noted areas of non-
compliance in accordance with the approved 
plan of correction, the department will issue 
written notice of noncompliance to the 
program director by certified mail/return 
receipt requested; 
(G) The notice of noncompliance will 
inform the program director that the 
department may seek the imposition of any of 
the sanctions and remedies provided for in 
section 630.755, RSMo, or any other action 
authorized by law; and 
(H) The program director may choose to 
enter into a consent agreement with the 
department to obtain a probationary license. 
The consent agreement will include a provi-
sion that the program director shall voluntar-
ily surrender the license if compliance is not 
reached in accordance with the terms and 
deadlines established under the consent 
agreement. The agreement will specify the 
stages, actions, and time span to achieve 
compliance with licensing regulations. 
(27) New applicants not licensed by the 
department and not currently serving individ-
uals with mental illness or IDD that fail to 
correct a deficieny(cies) and submit a plan of 
correction or otherwise cooperate with the 
licensing process, will not be formally denied 
a license. The application will be allowed to 
expire and considered withdrawn. 
(28) The department license is issued for the 
residential program or day program location 
and the individual, partnership, association, 
corporation, or governmental entity named 
on the application. The license is not valid for 
programs operated by the same agency that 
are located on different premises. 
(29) The license issued by the department to 
the day program or residential program must 
be posted in a conspicuous place on the 
premises. 
(30) The department maintains a directory of 
all licensed residential programs and day pro-
grams and posts the directory on its public 
website. 
(31) The department or its authorized repre-
sentatives may conduct announced or unan-
nounced inspections during a licensure year 
to determine compliance with its licensing 
regulations in identified areas of focus. If the 
residential program or day program is found 
to be out of compliance with department 
licensing requirements, the license or pro-
gram license will be revoked if the program 
does not achieve compliance as specified by 
the department. 
(32) The department may deny a new appli-
cation or a renewal application for licensure 
or revoke an existing license if a residential 
program or day program fails to comply with 
sections 630.705—630.760, RSMo, and cor-
responding licensing regulations and fails to 
submit and/or implement an approved plan of 
correction as described in section (26) of this 
rule. 
(A) Prior to the formal notice of license 
denial or revocation, the department will 
send a written notice of its intent to 
deny/revoke and the reasons for such action 
to the program director by certified 
mail/return receipt requested. The program 
director shall have ten (10) business days 
from the date of receipt to request a review by 
the department’s hearing administrator. The 
review shall occur within fifteen (15) busi-
ness days of the department’s receipt of the 
request for a hearing from the program direc-
tor. 
(B) The review by the department’s hear-
ing administrator is not applicable when a 
license was denied or revoked due to substan-
tiated abuse, neglect, or misuse of 
funds/property pursuant to 9 CSR 10-5.200, 
9 CSR 10-5.206, and 19 CSR 30-88.010. 
(C) The written notice of license revoca-
tion or denial shall be effective not less than 
thirty (30) business days from the date of 
mailing by certified mail/return receipt 
requested or of personal service of the notice 
upon the licensee. The effective date of 
license revocation or denial will be included 
in the department’s notice to the program 
director. 
(D) The notice of revocation or denial shall 
inform the applicant or licensee of the right to 
seek a determination of the revocation or 
denial by the Administrative Hearing Com-
mission as set out in sections 621.045, 
621.189, and 621.193, RSMo, and the right 
to stay the department’s action pending the 
determination under rules promulgated by the 
Administrative Hearing Commission unless, 
upon application of the department, the com-
mission finds that continued operation before 
final determination by the commission would 
present an imminent danger to the health, 
safety, or welfare of any individual, or likeli-
hood that death or serious injury would 
result. 
(E) The department will notify DHSS and 
DSS within ten (10) business days of revoking 
or denying a program license. 
(33) As set out in section 630.750, RSMo, if 
the department finds a licensed residential 
program or day program is not in compliance 
with any licensing regulation(s) which pre-
sents either an imminent danger to the health, 
safety, or welfare of any individual or a sub-
stantial probability that death or serious phys-
ical harm would result, and the area(s) of 
noncompliance is not immediately corrected, 
the department director shall issue a notice of 
noncompliance to the program director and 
initiate the procedures set out in section (32) 
of this rule to deny or revoke the program’s 
license. 
(34) The director of a residential program or 
day program may withdraw an application for 
a license or program license any time during 
the inspection process by submitting written 
notification to the department attesting it does 
not meet the criteria for licensing. 
(35) At any time after a department licensing 
inspection is conducted, the director of a res-
idential program or day program may choose 
to enter into a consent agreement with the 
department to obtain a probationary license. 
The consent agreement shall include a provi-
sion that the program director shall voluntar-
ily surrender the license if compliance is not 
reached in accordance with the terms and 
deadlines established under the agreement. 
The agreement shall specify the actions and 
time schedule to achieve compliance with 
these licensing regulations. 
(36) A residential program or day program 
may ask for a waiver of a licensing require-
ment(s) by submitting a request to the depart-
ment’s Exceptions Committee as specified in 
9 CSR 10-5.210. 
10 CODE OF STATE REGULATIONS (11/30/20) JOHN R. ASHCROFT 
Secretary of State
9 CSR 40-1—DEPARTMENT OF MENTAL HEALTH Division 40—Licensing Rules

 CODE OF STATE REGULATIONS 11JOHN R. ASHCROFT (11/30/20) 
Secretary of State
Chapter 1—Definitions, Licensing Procedures, and General Requirements 
 for Community Residential Programs and Day Programs 9 CSR 40-1

12 CODE OF STATE REGULATIONS (11/30/20) JOHN R. ASHCROFT 
Secretary of State
9 CSR 40-1—DEPARTMENT OF MENTAL HEALTH Division 40—Licensing Rules
AUTHORITY: sections 630.050, 630.135, 
and 630.705, RSMo 2016.* Original rule 
filed Oct. 13, 1983, effective Jan. 15, 1984. 
Amended: Filed March 14, 1984, effective 
Aug. 15, 1984. Amended: Filed July 15, 
1985, effective Feb. 1, 1986. Amended: Filed 
March 18, 1987, effective Aug. 15, 1987. 
Amended: Filed Jan. 2, 1990, effective June 
1 1, 1990. Emergency amendment filed Sept. 
15, 1992, effective Oct. 1, 1992, expired Jan. 
28, 1993. Amended: Filed Sept. 15, 1992, 
effective April 8, 1993. Amended: Filed April 
1, 1993, effective Dec. 9, 1993. Amended: 
Filed July 17, 1995, effective March 30, 
1996. Amended: Filed May 14, 2020, effec-
tive Dec. 30, 2020. 
*Original authority: 630.050, RSMo 1980, amended 1993, 
1995, 2008; 630.135, RSMo 1980; and 630.705, RSMo 
1980, amended 1982, 1984, 1985, 1990, 2000, 201 1, 2014. 

9 CSR 40-1.060 Program Administration 
PURPOSE: This rule specifies the adminis-
trative requirements for all community resi-
dential programs and day programs subject 
to licensure by the department in accordance 
with 9 CSR 40-1.055, including Residential 
Care Facilities (RCF) and Assisted Living 
Facilities (ALF) dually licensed by the 
Department of Health and Senior Services 
(DHSS). 
(1) Director. Each community residential 
program and day program shall have a chief 
administrative officer/program director who 
shall— 
(A) Be empowered to make decisions 
regarding the operation of the program; 
(B) Delegate a staff person who is empow-
ered to act for him/her when absent from the 
program; and 
(C) Report any change in the ownership, 
management, or administration to the depart-
ment within five (5) days. 
(2) Licensing. The director shall ensure the 
program maintains a license in good standing 
with the Department of Health and Senior 
Services (DHSS) as specified in 9 CSR 40-
1.055, subsection (2)(C), if applicable. 
(3) Policies and Procedures. A policy and 
procedure manual shall be maintained on-site 
which promotes compliance with these 
licensing regulations and other federal, state, 
and/or local regulations applicable to the pro-
gram. 
(A) The director shall ensure the policies 
and procedures are followed by staff and are 
readily available for review by all employees, 
department staff, and other authorized repre-
sentatives. The policy and procedure manual 
shall include, but is not limited to: 
1. A description of program goals, mis-
sion, purpose, services, and costs; 
2. The number, characteristics, and 
needs of individuals served, including how 
the program is specifically designed to sup-
port those needs; 
3. Admission, discharge, and transfer of 
individuals served which ensures— 
A. The program does not admit, nor 
keep in residence, any person whose needs 
exceed its provisions for care, support, and 
program functions; 
B. Each individual admitted is able to 
function safely within the physical environ-
ment of the program; 
C. Individuals admitted to an adult 
residential program or day program are at 
least eighteen (18) years of age; and 
D. The program does not admit more 
individuals than its licensed capacity; 
4. Rights, responsibilities, and grievance 
procedures in accordance with 9 CSR 40-
1.065; 
5. Provisions for an organized record 
system in accordance with 9 CSR 40-1.070; 
6. Delivery of person-centered services 
in accordance with 9 CSR 40-1.075; 
7. Dietary services in accordance with 9 
CSR 40-1.080; 
8. Use and sto rage of fir earms and 
ammunition in accordance with 9 CSR 40-
1.085 subsection (12)(A); 
9. Environmental safety and mainte-
nance in accordance with 9 CSR 40-1.085; 
10. Fire safety and emergency prepared-
ness in accordance with 9 CSR 40-1.090; 
11. Background screening process in 
accordance with 9 CSR 10-5.190; 
12. Reporting of complaints of abuse, 
neglect, and misuse of funds/property in 
accordance with 9 CSR 10-5.200 and 9 CSR 
10-5.206; 
13. Research in accordance with 9 CSR 
60-1.010; 
14. The care and maintenance of pets, 
including documentation of all applicable 
vaccinations and health statements in accor-
dance with local and state regulations; and 
15. Employee policies and procedures 
including, but not limited to: 
A. Orientation process; 
B. Health and safety practices, use of 
tobacco products, illegal and legal substances 
brought into the program, prescription med-
ication brought into the program, and 
weapons brought into the program; and 
C. Confidentiality of individual 
records and information. 
(B) Policies and procedures shall clearly 
state that an individual receiving services 
cannot supervise or discipline another indi-
vidual who is receiving services. 
(C) Business activities shall not be allowed 
on the premises of the program other than 
those authorized by the department as consis-
tent with the health, welfare, and safety of 
individuals served and as compatible with the 
integrity of the program. 
(4) Staffing and Training. Staff shall be avail-
able in sufficient numbers to provide neces-
sary and beneficial services/supports and 
possess the training, experience, and creden-
tials to effectively perform their assigned 
duties. 
(A) All employees shall complete orienta-
tion and training within the first thirty (30) 
days of employment in order to be knowl-
edgeable of their job duties including, but not 
limited to: 
1. An overview of the population 
served, program goals, mission, policies, and 
procedures; 
2. Respective job assignment(s) and 
related duties; 
3. Regulations regarding individual 
rights, confidentiality, duty to warn, and 
reporting alleged abuse, neglect, and misuse 
of funds/property of individuals served in 
accordance with 9 CSR 10-5.200, 9 CSR 10-
5.206, and 19 CSR 30-88.010; and 
4. Emergency and evacuation policies 
and procedures, including protocol to be fol-
lowed when accompanying individuals in the 
community. 
(B) Staff who are promoted or transferred 
to a new job assignment(s) shall receive train-
ing and orientation on their new responsibili-
ties within thirty (30) days of actual transfer 
to the new assignment. 
(C) A new employee shall not be assigned 
sole responsibility for implementation of an 
individual support plan (ISP), individual 
treatment plan (ITP), or care plan until his or 
her training and orientation have been com-
pleted. 
(D) Each employee providing direct ser-
vices and/or supports shall participate in 
annual in-service training including, but not 
limited to: 
1. Emergency and evacuation policies 
and procedures; 
2. Individual rights; 
3. Infection control procedures; 
4. Reporting of abuse, neglect, and mis-
use of funds/property in accordance with 9 
CSR 10-5.200, 9 CSR 10-5.206, and 19 CSR 
30-88.010; and 
5. Specialized training to meet the needs 
of individuals served. 
(E) Records of attendance and documenta-
tion of successful completion of all training 
and orientation must be documented in a 
 centralized location and/or each employee’s 
personnel record, including the trainee’s 
name, topic, date(s), length of time or train-
ing, and instructor(s) name, title, credentials, 
and signature. 
(5) V olunteers. If the program uses volunteers 
to provide services and/or supports, written 
policies and procedures shall be implemented 
to guide the roles and activities of volunteers 
in an organized and productive manner. V ol-
unteers shall be qualified to deliver the ser-
vices and/or supports provided, have a back-
ground screening in accordance with 9 CSR 
10-5.190, and receive orientation, training, 
and adequate supervision. 
(A) Orientation shall occur within thirty 
(30) days of the individual’s volunteer work 
with the program including, but not limited 
to: 
1. An overview of the population 
served, program goals, mission, policies, and 
procedures; 
2. Regulations regarding individual 
rights, confidentiality, duty to warn, and 
reporting alleged abuse, neglect, and misuse 
of funds/property of individuals served in 
accordance with 9 CSR 10-5.200, 9 CSR 10-
5.206, and 19 CSR 30-88.010; 
3. Emergency and evacuation policies 
and procedures, including protocol to be fol-
lowed when accompanying individuals in the 
community; and 
4. Other topics relevant to their assign-
ment(s). 
(6) Emergency Planning. The policies and 
procedures for emergency situations shall 
include instructions for staff and individuals 
served including, but not limited to: 
(A) Medical emergencies, including 
response to an incapacitated person, protocol 
for initiating a 911 emergency call, and use of 
cardiopulmonary resuscitation (CPR) and 
First Aid. 
1. Drills shall be conducted at least 
quarterly for staff involved in the 911 proto-
col and administration of CPR and first aid. 
2. Trained staff shall be available in suf-
ficient numbers to respond to emergency sit-
uations and provide first aid and CPR, when 
necessary. At least one (1) trained staff per-
son shall be on duty in the program twenty-
four (24) hours per day, seven (7) days per 
week. Depending on the configuration of the 
building and number of individuals being 
served, more than one (1) trained staff person 
per shift may be required. 
A. Staff must maintain current First 
Aid and CPR certification for healthcare 
providers through training that includes 
hands-on practice and in-person skills. Train-
ing provided solely online is not acceptable; 
(B) Natural disasters, such as a fire or tor-
nado; 
(C) Bomb threats; 
(D) Utility failure; 
(E) Violent or threatening situations; 
(F) Elopements; 
(G) Behavioral crisis; 
(H) Psychiatric crisis; 
(I) Death of an individual served; 
(J) Arrest or detention of an individual 
served; 
(K) Use of cellular phones during an emer-
gency; and 
(L) Infectious or contagious disease. 
1. Policies and procedures for the pre-
vention, containment, and reporting of infec-
tious and contagious diseases shall be estab-
lished in accordance with DHSS 
communicable disease regulations as speci-
fied in 19 CSR 20-20, available at: 
https://s1.sos.mo.gov/cmsimages/adrules/csr
/current/19csr/19c20-20.pdf. 
2. Any employee or volunteer diagnosed 
or suspected of having a contagious or infec-
tious disease shall not work with individuals 
served or in dietary service until a written 
statement is obtained from a healthcare 
provider indicating the disease is no longer 
contagious or is found to be noninfectious. 
(7) Emergency Safety Interventions. Written 
policies and procedures shall be implemented 
to prevent and respond to disruptive behavior, 
a behavioral crisis, or a psychiatric crisis that 
may occur with individuals served, staff, vis-
itors, and others. All efforts shall be made to 
minimize re-traumatization of persons served 
or others involved in a disruptive situation, 
including consideration as to whether the 
program is suitable to meet the individual’s 
needs. 
(A) Policies and procedures shall indicate 
whether time-out, seclusion, and restraint are 
used in the program. If such interventions 
are used, policies and procedures shall 
include, but are not limited to: 
1. Staff authorized to order, apply, and 
monitor their use; 
2. Protocol for their use with individuals 
served; 
3. Time limits for such orders; 
4. Duration of such orders; 
5. Incorporation of such orders in the 
ISP , ITP , or care plan of the individual 
served; and 
6. Documentation of such orders in the 
individual record. 
(B) Programs may prohibit by policy and 
practice the use of time-out, seclusion, and 
restraint and must implement policies and 
procedures to address disruptive behaviors 
and behavioral and psychiatric crises. 
(C) All policies and procedures must be— 
1. Approved by the board of directors, 
as applicable; 
2. Available to all program staff and ser-
vice providers; 
3. Available to individuals served and 
parents/guardians, family members, and 
other natural supports, as appropriate; 
4. Developed with input from individu-
als served and, whenever possible, 
parents/guardians, family members, and 
other natural supports; and 
5. Consistent with department regula-
tions regarding individual rights. 
(D) All staff and volunteers having direct 
contact with individuals served shall receive 
documented initial and ongoing competency-
based training on evidence-based and best 
practice interventions for preventing disrup-
tive behaviors, behavioral crises, and psychi-
atric crises and addressing them in the least 
restrictive manner if they occur. 
(E) All programs shall prohibit by policy 
and practice— 
1. Aversive conditioning of any kind—
the application of startling, unpleasant, or 
painful stimulus or stimuli that have a poten-
tially harmful effect on an individual in an 
effort to decrease maladap
tive behavior; 
2. Withholding of food, water, or bath-
room privileges; 
3. Painful stimuli; 
4. Corporal punishment (such as use of 
pepper spray, mace, Taser, stun gun); 
5. Techniques that obstruct an individ-
ual’s airway or impairs breathing; 
6. Techniques that restrict an individ-
ual’s ability to communicate; 
7. Use of time-out or other disciplinary 
action for staff convenience; and 
8. Chemical restraints—use of a medica-
tion to sedate or limit an individual’s ability 
to participate in services/supports rather than 
treat the symptoms of his or her behavioral 
health disorder or IDD as prescribed and 
specified in the ISP , ITP , or care plan. Med-
ication used as prescribed and as indicated in 
the individual’s plan to treat symptoms of a 
behavioral health disorder or IDD, including 
aggressive behavior, is not considered a 
chemical restraint. 
(F) Preventive strategies including, but not 
limited to, de-escalation, changes to the phys-
ical environment (time-away), redirection, 
and active listening shall be employed to 
moderate potentially aggressive behavior. 
(G) Seclusion and restraint shall only be 
used when an individual’s behavior presents 
an immediate risk of danger to themselves or 
others and no other safe or effective treatment 
 CODE OF STATE REGULATIONS 13JOHN R. ASHCROFT (11/30/20) 
Secretary of State
Chapter 1—Definitions, Licensing Procedures, and General Requirements 
 for Community Residential Programs and Day Programs 9 CSR 40-1

intervention is possible. These measures shall 
only be implemented when alternative, less 
restrictive interventions have failed or cannot 
be safely implemented. Seclusion and 
restraint are never used as treatment interven-
tions. They are emergency/security measures 
to maintain safety when all other less restric-
tive interventions are inadequate. 
(H) The use of seclusion or restraint shall 
be in accordance with the order of the pro-
gram’s attending physician or clinical direc-
tor. Staff shall notify the attending physician 
or clinical director at the earliest possible 
time when a situation has a significant 
likelihood of leading to seclusion or restraint. 
If seclusion or restraint is initiated prior to 
obtaining an order, staff must obtain an order 
immediately. 
(I) Standing or pro re nata (PRN) orders 
for seclusion or restraint are not allowed. 
(J) Orders for seclusion or restraint shall 
be individualized to each event, define specif-
ic time limits, and be ended at the earliest 
possible time. Orders shall not exceed four 
(4) hours for adults, two (2) hours for chil-
dren/youth age nine (9) to seventeen (17), 
and one (1) hour for children under age nine 
(9). If there is a need for continuing seclu-
sion or restraint beyond the time limits spec-
ified herein, the attending physician or clini-
cal director must write a new order for 
seclusion or restraint. 
(K) Seclusion and restraint shall only be 
implemented by staff who are trained and 
competent in the proper techniques for 
administering/applying the form of seclusion 
or restraint ordered, and for providing ongo-
ing monitoring and assessment of individuals 
for their safety and well-being. At a mini-
mum, documented initial and ongoing train-
ing shall include: 
1. Techniques to identify individual 
behaviors, events, and environmental factors 
that may trigger circumstances requiring the 
use of seclusion or restraint; 
2. The use of nonphysical intervention 
skills; 
3. Choosing the least restrictive inter-
vention based on an individualized assess-
ment of the individual’s medical and/or 
behavioral status or condition; 
4. The safe application and use of all 
types of seclusion or restraint used by the 
program, including how to recognize and 
respond to signs of physical and psychologi-
cal distress; 
5. Clinical identification of specific 
behavioral changes that indicate restraint or 
seclusion is no longer necessary; 
6. Monitoring the physical and psycho-
logical well-being of the individual who is 
secluded or restrained, including, but not 
limited to, respiratory and circulatory status, 
skin integrity, vital signs, and any special 
requirements specified in the program’s poli-
cies and procedures associated with face-to-
face evaluations; and 
7. The use of first aid techniques and 
certification in CPR, including required peri-
odic recertification. 
A. Staff administering seclusion or 
restraint shall receive annual training and 
demonstrate competence on the particular 
intervention(s) ordered and used in the pro-
gram. 
(L) Mechanical supports are not consid-
ered restraints. 
(M) While an individual is being secluded 
or restrained, trained staff shall continually 
observe and assess him or her to assure 
appropriate care and treatment including, but 
not limited to: 
1. Attention to vital signs; 
2. Need for meals and liquids; 
3. Bathing and use of the restroom; and 
4. Need for seclusion or restraint to con-
tinue. 
(N) Documentation of an order for seclu-
sion, restraint, or time-out shall be placed in 
the individual record as soon as possible after 
the occurrence and include, but not be limited 
to: 
1. Reason for the intervention; 
2. Staff who ordered the intervention; 
3. Type of intervention used; 
4. Starting and ending time; 
5. Regular observations of the individual 
including any resulting injuries or other 
issues as a result of the intervention; 
6. Notification of parent/guardian, as 
applicable; 
7. Notification of healthcare provider, as 
applicable; and 
8. Modifications to the ISP , ITP , or care 
plan as a result of the intervention. 
(O) The program’s clinical director and/or 
performance improvement coordinator shall 
review every episode of seclusion, restraint, 
or time-out to ensure policies and procedures 
were followed and to identify any areas need-
ing improvement. A written report on the 
program’s overall use of these interventions, 
including progress made in reduction of their 
use, shall be prepared at least annually and 
reviewed by administrative leadership of the 
organization/program. 
(8) Behavior Support Plans. Behavior sup-
port plans shall be developed as specified in 
9 CSR 10-7.060 and 9 CSR 45-3.090. 
AUTHORITY: sections 630.050 and 630.705, 
RSMo 2016.* Original rule filed May 14, 
2020, effective Dec. 30, 2020. 
*Original authority: 630.050, RSMo 1980, amended 1993, 
1995, 2008 and 630.705, RSMo 1980, amended 1982, 
1984, 1985, 1990, 2000, 201 1, 2014. 

9 CSR 40-1.065 Individual Rights and 
Responsibilities 
PURPOSE: This rule specifies the rights and 
responsibilities of individuals receiving ser-
vices in a community residential program or 
day program subject to licensure by the 
department in accordance with 9 CSR 40-
1.055, including Residential Care Facilities 
(RCF) and Assisted Living Facilities (ALF) 
dually licensed by the Department of Health 
and Senior Services (DHSS). 
(1) Each individual receiving services is enti-
tled to the following without limitations: 
(A) To humane care and treatment; 
(B) To medical care and treatment in 
accordance with the highest standards accept-
ed in medical practice to the extent available 
at the community residential program or day 
program; 
(C) To safe and sanitary housing; 
(D) To not participate in nontherapeutic 
labor; 
(E) To attend or not to attend religious ser-
vices; 
(F) To receive prompt evaluation, care, 
treatment, and rehabilitation about which 
he/she is informed insofar as he/she is capa-
ble of understanding; 
(G) To be treated with dignity as a human 
being; 
(H) To not be the subject of experimental 
research without his/her prior written and 
informed consent or that of his/her parent or 
guardian, and to decide not to participate or 
withdraw from any research at any time, for 
any reason; 
(I) To have access to consultation with a 
private physician at his/her own expense; 
(J) To be evaluated, treated, or habilitated 
in the least restrictive environment; 
(K) To not be subjected to any hazardous 
treatment or surgical procedure unless the 
individual or his/her parent or guardian con-
sents, or unless such treatment or surgical 
procedure is ordered by a court of competent 
jurisdiction; 
(L) In the case of hazardous treatment or 
irreversible surgical procedures to have, upon 
request, an impartial review prior to imple-
mentation except in case of emergency proce-
dures required for the preservation of his/her 
life; 
(M) To a nourishing, well-balanced, and 
varied diet; 
(N) To be free from verbal, physical and 
sexual abuse, misuse of funds/property, and 
14 CODE OF STATE REGULATIONS (11/30/20) JOHN R. ASHCROFT 
Secretary of State
9 CSR 40-1—DEPARTMENT OF MENTAL HEALTH Division 40—Licensing Rules

neglect; and 
(O) To an impartial review of alleged vio-
lations of rights. 
(2) Each individual served is entitled to the 
following unless the program director deter-
mines it is inconsistent with the individual’s 
therapeutic care, treatment, habilitation, or 
rehabilitation and the safety of other 
individuals in the program and public safety: 
(A) To wear his/her own clothes and keep 
and use personal possessions; 
(B) To keep and be allowed to spend a rea-
sonable amount of his/her own money; 
(C) To communicate by sealed mail or oth-
erwise with persons, including agencies 
inside or outside the facility/program; 
(D) To receive visitors (family, friends, 
clergy, or other invited person) of his/her 
choice at reasonable times; 
(E) To have reasonable access to a tele-
phone to make and receive confidential calls; 
(F) To have access to his/her mental health 
and physical health records; 
(G) To have opportunities for physical 
exercise and outdoor recreation; and 
(H) To have reasonable, prompt access to 
current newspapers, magazines, radio, and 
television programming. 
1. Any limitation(s) imposed by the pro-
gram director or designee, including the rea-
son(s) for such limitation(s), must be docu-
mented in the individual record. 
(3) In addition to the rights specified in sec-
tions (1) and (2) of this rule, residential pro-
grams and day programs serving individuals 
with Intellectual or Developmental Disability 
(IDD) shall comply with 9 CSR 45-3.030. 
(4) Policies and procedures shall not be 
developed that limit the individual rights 
identified in this rule. 
(A) Each individual shall be involved in 
any process that limits his/her rights, and any 
limitations must be documented in the Indi-
vidual Support Plan (ISP), Individual Treat-
ment Plan (ITP), or care plan. Documenta-
tion shall include the timeframe for each 
limitation and the process by which the indi-
vidual’s rights will be restored to him/her. 
(5) As set out in section 630.760, RSMo, in 
addition to rights provided for individuals 
served in residential facilities or day pro-
grams licensed by the department, individu-
als in facilities and programs licensed by the 
department shall have the same rights as indi-
viduals as defined in section 198.088, RSMo. 
(6) Individuals shall have an absolute right to 
receive visits from their attorney, physician, 
clergy, or case manager in private at reason-
able times. 
(7) Notwithstanding any limitations autho-
rized under section (2) of this rule on the 
right of communication, all individuals shall 
be entitled to communicate by sealed mail 
with the department, their legal counsel, and 
with the court, if any, which has jurisdiction 
over the individual. 
(8) As set out in section 630.120, RSMo, no 
individual, either voluntary or involuntary, 
shall be presumed to be incompetent, to for-
feit any legal right, responsibility, or obliga-
tion or to suffer any legal disability as a citi-
zen, unless otherwise prescribed by law, as a 
consequence of receiving evaluation, care, 
treatment, habilitation, or rehabilitation for a 
mental illness, intellectual or developmental 
disability, or substance use disorder. 
(9) Each individual shall be informed of the 
process to make an inquiry, file a complaint, 
or report a violation of his/her rights to the 
department. Information shall be readily 
accessible to individuals at all times with 
staff assistance provided, if necessary. 
(10) The individual rights included in this 
rule shall be readily available in accessible 
format to all individuals served without 
undue assistance or effort from program 
staff. 
(11) Services shall be provided in a manner 
and an environment that maintains or 
enhances each individual’s dignity and 
respect in full recognition of his/her 
individuality. Staff shall conduct activities in 
a manner that assists individuals in 
maintaining and enhancing their self-esteem 
and self-worth. 
(A) Case discussions, consultations, 
examinations, and treatment are confidential 
and shall be conducted privately with each 
individual being served. 
(B) Privacy shall be respected during 
toileting, bathing, and other activities of 
personal hygiene except as needed for safety 
or assistance. 
(C) Each individual’s private space and 
property shall be respected including, but not 
limited to, obtaining his/her permission 
before changing a radio or television station, 
knocking on doors and requesting permission 
to enter, closing doors as requested, and not 
moving or inspecting personal possessions 
without permission unless there is reasonable 
suspicion of a health or safety concern. 
(D) Individuals shall be allowed to 
decorate their personal space to create a 
homelike environment in accordance with 
safety regulations of the program. 
(E) When possible, individuals shall have a 
choice in their roommate and, based on 
financial means and availability, be allowed to 
choose a shared or private room. 
(F) As appropriate and allowed by the indi-
vidual served, family members and other nat-
ural supports and/or parents/guardian shall 
be provided with information to promote 
their participation in relevant services/sup-
ports and decisions related to the individual. 
(12) Information and Orientation. Each indi-
vidual admitted to a residential program or 
day program shall receive an orientation 
about what to expect while receiving services 
and supports, their role in services/supports, 
and program policies and procedures. The 
orientation must be provided within one (1) 
week of admission, and annually after that, 
and be documented in the individual record. 
(A) The orientation shall be provided in 
verbal and written form and be explained in a 
manner that is understandable to the individ-
ual. The orientation shall include, but is not 
limited to— 
1. Program rules, daily routines, partic-
ipation requirements, rights, responsibilities, 
and behavioral expectations; 
2. Available services, supports, and 
activities; 
3. Complaint and appeal procedures; 
4. Confidentiality policies; 
5. Transition and discharge criteria and 
procedures; 
6. Financial obligations, fees, and finan-
cial arrangements for services/supports pro-
vided by the program; 
7. Health and safety policies regarding 
use of tobacco products, illegal or legal sub-
stances brought into the program, prescrip-
tion medication brought into the program, 
and weapons and ammunition brought into 
the program; 
8. Layout of the premises, including 
emergency exits and/or shelters, and review 
of fire and disaster drill procedures; 
9. Visitor policies and procedures; 
10. Advance directives, when indicated; 
and 
11. The individual’s role in developing 
his or her ISP , ITP , or care plan. 
(13) Social Committee. Residential programs 
and day programs having a licensed capacity 
of ten (10) or more individuals shall establish 
a committee, if one (1) does not currently 
exist, to review existing and planned social 
and structured activities for the program. 
(A) The committee shall regularly review 
program policies and practices to ensure the 
 CODE OF STATE REGULATIONS 15JOHN R. ASHCROFT (11/30/20) 
Secretary of State
Chapter 1—Definitions, Licensing Procedures, and General Requirements 
 for Community Residential Programs and Day Programs 9 CSR 40-1

legal rights of individuals served are consis-
tently maintained. 
(B) Membership on the committee shall 
include, at a minimum, individuals with men-
tal illness and IDD, and program staff famil-
iar with and able to make decisions related to 
program activities/functions. Family mem-
bers or other natural supports, service 
providers, and other community members 
may participate on the committee. Minutes 
of committee meetings shall be readily avail-
able for review by individuals served, other 
interested parties, and department staff or its 
authorized representatives. 
(14) Guardian. No facility or day program 
administrator shall be guardian of the individ-
uals in the facility or day program as stipulat-
ed in section 475.055, RSMo. 
AUTHORITY: sections 630.050 and 630.705, 
RSMo 2016.* Original rule filed May 14, 
2020, effective Dec. 30, 2020. 
*Original authority: 630.050, RSMo 1980, amended 1993, 
1995, 2008 and 630.705, RSMo 1980, amended 1982, 
1984, 1985, 1990, 2000, 201 1, 2014. 

9 CSR 40-1.070 Organized Record System 
PURPOSE: This rule specifies the require-
ments for maintenance of records in all com-
munity residential programs and day pro-
grams subject to licensure by the department 
in accordance with 9 CSR 40-1.055, includ-
ing Residential Care Facilities (RCF) and 
Assisted Living Facilities (ALF) dually 
licensed by the Department of Health and 
Senior Services (DHSS). 
(1) Maintenance of Records. An organized 
record system shall be maintained at the res-
idential program or day program which 
ensures easily retrievable, complete, and 
usable records stored in a secure and confi-
dential manner. 
(A) The program shall implement written 
policies and procedures to ensure— 
1. All local, state, and federal laws and 
regulations related to the confidentiality of 
records and release of information are fol-
lowed; 
2. Electronic health record systems con-
form to federal and state regulations; 
3. Individual records are retained for at 
least six (6) years or until all litigation, 
adverse audit findings, or both, are resolved; 
4. Ready access to paper or electronic 
records requested by department staff and 
other authorized representatives; and 
5. Services are documented in a manner 
to ensure the type of service rendered and the 
amount of reimbursement received by the 
program can be readily discerned and veri-
fied with reasonable certainty. 
(2) Registry. The program shall maintain a 
permanent, chronological registry document-
ing the date and name of each person admit-
ted, date of discharge, and destination at time 
of discharge. 
(3) Content of Records. Individual records 
must include current information related to 
each individual’s support and services. 
Records must be readily available for review 
by department staff or other authorized repre-
sentatives. 
(A) Individual records must include, but 
are not limited to: 
1. First name, last name, and middle ini-
tial; 
2. Date of birth; 
3. Photograph, not more than one (1) 
year old; 
4. Height and weight; 
5. Language spoken; 
6. Date of admission; 
7. Diagnosis; 
8. Signed consent by the individual or 
parent/guardian or other legal representative, 
as applicable; 
9. Acknowledgment of orientation to the 
program; 
10. Name, address, and telephone num-
ber of parent/guardian, next of kin, or other 
responsible party; 
11. Sources of financial support/insur-
ance and burial plans, as applicable; 
12. Name and contact information of 
healthcare provider(s); 
13. Reports of any change in condition, 
injury, accident, or deviation from routine 
delivery of services (to be entered at the time 
of occurrence); 
14. Documentation of any referral(s) to 
other services or community resources and 
outcome of those referrals; 
15. Reports of comprehensive evalua-
tions and annual physical examinations 
including vision, hearing, dental, and/or lab-
oratory screenings recommended by the indi-
vidual’s primary healthcare provider, and 
current immunization record; 
16. Signed authorization(s) to release 
confidential information, as applicable; 
17. Crisis or other significant events; 
18. Physician’s orders for adaptive 
equipment, as applicable; 
19. Individualized education plan (IEP) 
and school record, if attending; 
20. Plans for educational/vocational 
goals and activities, as applicable; 
21. Quarterly height, if the individual is 
in a developmental period, and monthly 
weight; and 
22. The Individual Support Plan (ISP), 
Individual Treatment Plan (ITP), or care 
plan, including documentation related to 
behavioral objectives and related progress. 
(4) Entries in Records. Authorized staff mak-
ing any entry in an individual’s record must 
include his or her signature, title, and date, 
including corrections to information previ-
ously entered in the record. 
(5) Consultation Services. Any required con-
sultation services that are reimbursed by the 
department must be documented in the indi-
vidual record, including the consultant’s find-
ings and recommendations. Recommenda-
tions regarding the program as a whole must 
be documented in the program’s administra-
tive records. 
(6) Proof of Licensure. The department’s 
most recent licensing report, including any 
noted license violations or deficient practices 
and related corrective action taken by the pro-
gram, shall be displayed in accessible public 
areas on the program premises. 
(7) Inventory of Personal Items. At the time of 
admission and at regular intervals, program 
staff shall inventory each individual’s 
personal possessions, if applicable. 
Separate 
records with backup documentation, receipts, 
and notations shall be maintained for— 
(A) Personal finances, updated monthly, at 
a minimum; 
(B) Inventory of personal possessions, 
updated annually; and 
(C) Medication, upon admission and as 
required in 9 CSR 40-1.075. 
(8) Drills. A record of scheduled and 
unscheduled emergency drills shall be main-
tained at the program. The record shall 
include any problems encountered on the part 
of staff or individuals served to respond prop-
erly during the drill and corrective action 
taken. 
(9) Personnel Records. Personnel records 
shall be maintained for all program employ-
ees. Records must be readily accessible to 
department staff and other authorized repre-
sentatives. 
(A) Employee records shall include, but 
are not limited to: 
1. Application for employment; 
2. Education and license/certification, 
as required for the position; 
3. V erification of completion of training 
courses, orientation, and other professional 
16 CODE OF STATE REGULATIONS (11/30/20) JOHN R. ASHCROFT 
Secretary of State
9 CSR 40-1—DEPARTMENT OF MENTAL HEALTH Division 40—Licensing Rules

development; 
4. Background screening; and 
5. Screenings for communicable dis-
eases. 
(10) Organizational Chart. An organizational 
chart for the overall program and job descrip-
tions for each position shall be maintained by 
the program. 
(11) Work Schedule. A record of days and 
hours worked by each employee shall be 
maintained at the program location. 
(12) Program Departures. A log shall be 
maintained to document when an individual 
being served leaves the program premises. 
The log shall include the individual’s name 
and signature (or the name and signature of 
the family member/legal representative with 
whom they are departing the premises), 
departure time, destination, anticipated 
return time, and actual return time to the pro-
gram. 
(13) Availability of Records. Program 
records, reports, or other data shall be made 
available to department staff or its authorized 
representatives, upon request, in a manner 
that protects the rights of staff and individuals 
served. 
AUTHORITY: sections 630.050 and 630.705, 
RSMo 2016.* Original rule filed May 14, 
2020, effective Dec. 30, 2020. 
*Original authority: 630.050, RSMo 1980, amended 1993, 
1995, 2008 and 630.705, RSMo 1980, amended 1982, 
1984, 1985, 1990, 2000, 201 1, 2014. 

9 CSR 40-1.075 Person-Centered Services 
PURPOSE: This rule specifies the service 
delivery requirements for all community resi-
dential programs and day programs subject 
to licensure by the department in accordance 
with 9 CSR 40-1.055, including Residential 
Care Facilities (RCF) and Assisted Living 
Facilities (ALF) dually licensed by the 
Department of Health and Senior Services 
(DHSS). 
PUBLISHER’S NOTE: The secretary of state 
has determined that the publication of the 
entire text of the material which is incorporat-
ed by reference as a portion of this rule would 
be unduly cumbersome or expensive. This 
material as incorporated by reference in this 
rule shall be maintained by the agency at its 
headquarters and shall be made available to 
the public for inspection and copying at no 
more than the actual cost of reproduction. 
This note applies only to the reference mater-
ial. The entire text of the rule is printed here.
 
(1) Person-Centered Planning. Each individ-
ual being served in a residential program or 
day program who has a diagnosed mental ill-
ness and/or Intellectual or Developmental 
Disabilities (IDD) must have a plan to guide 
service delivery and coordinate resources and 
supports in accordance with his or her needs, 
expressed preferences, and decisions con-
cerning his/her life in the community. 
(A) Types of plans— 
1. Individual Support Plan (ISP)—devel-
oped as defined in 9 CSR 45-3.010; a copy is 
provided to the residential program or day 
program by staff of the Developmental Dis-
abilities (DD) targeted case management 
team; 
2. Individual Treatment Plan (ITP)—
developed by the individual served and/or his 
or her parents/guardian, with assistance from 
staff of the administrative agent or affiliate 
involved in his or her care and treatment; a 
copy is provided to the residential program or 
day program by staff of the administrative 
agent or affiliate; and 
3. Care Plan—for individuals who do 
not have an ISP or ITP , developed by the indi-
vidual served and/or his or her 
parents/guardian with assistance from staff of 
the residential program or day program, fam-
ily members, and other natural supports of 
his/her choice. 
A. Care plans shall be developed 
within thirty (30) days of an individual’s 
admission to a residential program or day 
program. If the individual already has a care 
plan, the plan shall be updated within thirty 
(30) days of admission to create action steps 
to support implementation of the plan and 
add any new services or supports needed. 
B. The care plan shall include mea-
surable goals and objectives important to the 
individual such as, self-sufficiency, commu-
nity membership and involvement, education 
and employment, leisure time and activities, 
health and wellness, and personal relation-
ships. The plan assists the individual in 
achieving personally defined outcomes, 
ensures delivery of services and supports in a 
manner that reflect personal preferences and 
choices, and contributes to the assurance of 
health and wellness. 
(B) Residential services and supports con-
sistent with the individual’s needs and goals 
must be addressed in his/her plan. If the ISP , 
ITP , or care plan does not include 
services/supports specific to the residential 
program or day program, staff shall incorpo-
rate appropriate services/supports into the 
plan with input from the individual served 
and/or family members and other natural 
supports, as appropriate. 
(C) Plan reviews and updates shall be com-
pleted as follows: 
1. Staff of the residential program or day 
program enter monthly documentation into 
each individual’s ISP , ITP , or care plan 
including, at a minimum, progress toward 
personal goals, modifications to necessary 
services and supports, and significant 
changes in the person’s life, as applicable; 
2. Quarterly and annual reviews and 
updates to the ISP or ITP are completed by 
staff of the DD case management team or 
administrative agent or affiliate respectively. 
A copy is maintained on file at the residential 
program or day program; and 
3. Care plans are updated at least annu-
ally by staff of the residential program or day 
program in collaboration with the individual 
served and/or his or her parents/guardian, 
family members, and other natural supports 
of his/her choice. 
(D) Individuals shall be supported in their 
efforts to obtain and maintain competitive 
employment of their choice, participate in 
job-training programs, educational opportu-
nities, self-help skills, leisure time activities, 
and other programs of their choice. 
(E) Opportunities for a variety of activities 
inside and outside the program shall be avail-
able, consistent with the interests of individ-
uals served. 
(2) Health Screen and Risk Assessment. 
Within thirty (30) days of transition into a 
residential program or day program, each 
individual served shall have verification in 
his/her record of having a health screening 
and risk assessment within the past year from 
their primary healthcare provider. The pri-
mary healthcare provider may be a physician, 
assistant physician, advanced practice regis-
tered nurse (APRN), or physician assistant. 
(A) The health screening and any addition-
al screenings or tests shall be directed by the 
individual’s primary healthcare provider. 
(B) Individuals shall receive vision, hear-
ing, and dental examinations as recommend-
ed by their primary healthcare provider. 
(C) Individuals shall receive psychiatric 
evaluations and continuing care and treatment 
by a physician or physician’s designee of their 
choice, as needed. 
(D) 
Immunizations shall be current as rec-
ommended by DHSS 2020 immunization 
schedules incorporated by reference and avail-
able at: https://health.mo.gov/living/well-
ness/immunizations/schedules.php.,
 MO 
Department of Health and Senior Services, 
912 Wildwood, PO Box 570, Jefferson City, 
Missouri 65102, Phone: 573-751-6400. This 
rule does not incorporate any subsequent 
amendments or additions to the schedules 
listed above. This rule does not prohibit pro-
grams from complying with schedules set 
forth in newer versions of the incorporated by 
 CODE OF STATE REGULATIONS 17JOHN R. ASHCROFT (11/30/20) 
Secretary of State
Chapter 1—Definitions, Licensing Procedures, and General Requirements 
 for Community Residential Programs and Day Programs 9 CSR 40-1

reference material listed in this subsection of 
this rule. 
(E) Individuals shall receive an annual 
health screening unless specified otherwise 
by their primary healthcare provider. 
(F) A risk assessment shall be completed 
for each individual at the time of admission to 
the residential program or day program to 
identify factors that may influence his or her 
behavior. The assessment shall include, but is 
not limited to: 
1. Suicide risk; 
2. Risk of self-harm; 
3. Risk of harm to others; 
4. Physical, sexual, and/or emotional 
abuse experienced or witnessed; 
5. History and presence of trauma symp-
toms; and 
6. Aggressive or disruptive behavior. 
(G) A safety crisis plan or crisis prevention 
plan shall be developed with individuals iden-
tified as having risk factors for harm to self 
or others. The plans must be readily accessi-
ble to all staff involved in the individual’s 
support. 
1. Individuals with pro re nata (PRN) 
orders for antipsychotic medication(s) must 
have parameters for use in their safety crisis 
plan or crisis prevention plan, including non-
pharmacological interventions. 
2. PRN use of antipsychotic medication 
for individuals with a safety crisis plan or cri-
sis prevention plan shall be reviewed quarter-
ly by the individual’s primary healthcare 
provider. 
(H) If an individual needs support with 
personal hygiene, grooming, telephone use, 
or other aspect of daily living, appropriate 
assistance shall be provided by staff and must 
be specified in his or her ISP , ITP , or care 
plan. 
(I) Prompt healthcare, including dental 
treatment, shall be arranged for individuals 
receiving services in a residential program, 
as needed. 
(3) General Healthcare and Medications. 
Medications for individuals served shall be 
properly stored and administered by staff. 
(A) An order from a licensed physician 
(including psychiatrist) or an assistant physi-
cian, physician assistant, or APRN who is in 
a collaborating practice arrangement with a 
licensed physician is required for all medica-
tion and treatment being administered to indi-
viduals in the program except nonprescription 
topical medications. Orders must include 
diagnosis and indications for use. 
(B) Each individual’s record shall include 
current orders from all healthcare providers 
and all orders shall be followed by staff. 
(C) Medication and treatment orders shall 
be reviewed as directed by the individual’s 
primary healthcare provider, and all reviews 
must be documented at least annually in the 
individual record. Orders do not need to be 
rewritten if there are no changes; the health-
care provider’s signature and date are suffi-
cient. 
(D) PRN orders for antipsychotic medica-
tion(s) must be documented in the individ-
ual’s record with parameters for use, includ-
ing non-pharmacological interventions. 
(E) Standing PRN orders for the entire res-
idential program or day program are not per-
mitted. 
(F) PRN orders for nonprescription med-
ication and treatment may be utilized if the 
individual’s primary healthcare provider’s 
order specifies the dosage and/or treatment 
for specific indications. 
(G) In an emergency, a healthcare provider 
may give or change an order by telephone. In 
such cases, the order must be signed by the 
healthcare provider within forty-eight (48) 
hours of the order being issued by telephone. 
(H) For individuals under the care of mul-
tiple healthcare providers, all medical orders 
shall be maintained together in the individual 
record. 
(I) Individuals shall be provided with a 
comprehensive list of their medications to 
take to healthcare and dental appointments. 
(J) Any special dietary needs must be 
included in the individual’s orders from their 
primary healthcare provider. 
(4) Administration of Medication. A safe and 
effective process for medication control and 
use shall be implemented and maintained by 
staff. 
(A) All medication administered to indi-
viduals served must be in accordance with 
their primary healthcare provider’s orders 
using acceptable nursing practices. 
(B) Staff who administer medication must 
be at least eighteen (18) years of age. 
(C) The staff person who prepares a med-
ication(s) must administer and chart it at the 
time of administration. 
(D) All staff who administer and/or 
observe self-administration of medication by 
individuals served, with the exception of 
licensed physicians, nurses, pharmacists, 
assistant physicians, and physician assistants, 
must comply with one (1) of the following 
prior to the provision of services: 
1. Complete training and remain in 
good standing as a Level I Medication Aide 
or Certified Medication Technician with 
DHSS as specified at: 
https://health.mo.gov/safety/cnaregistry/lima
.php; or 
2. Complete Medication Aide training 
in accordance with curriculum established 
by the Division of Developmental Disabili-
ties as specified in 9 CSR 45-3.070, avail-
able at: https://www.sos.mo.gov/cmsim-
ages/adrules/csr/current/9csr/9c45-3.pdf. 
A. Medication Aides must update and 
document their training every two (2) years. 
(E) At least one (1) staff person trained in 
medication administration must be on duty in 
the residential program or day program twen-
ty-four (24) hours per day, seven (7) days per 
week. 
(F) Self-administration of medication is 
allowed and must be supervised by staff 
trained in medication administration. 
1. If an individual self-administers med-
ication, it must be included in his or her pri-
mary healthcare provider’s orders and his/her 
ITP , ISP , or care plan, including the level of 
supervision and documentation required. 
Self-administration of medication should be 
encouraged, and individuals should be assist-
ed in learning how to safely manage their 
medications. 
(G) Errors in administration of medication 
must be reported immediately to the individ-
ual’s primary healthcare provider, 
parent/guardian, if applicable, and to the 
department as specified in 9 CSR 10-5.206. 
(5) Storage and Disposal of Medication. All 
medications, including over-the-counter med-
ications, must be pac kaged and labeled in 
accordance with applicable professional phar-
macy standards and state and federal drug 
laws. 
(A) All prescription medications shall be 
supplied as individual prescriptions except 
when an emergency medication supply is 
allowed. 
(B) Labeling of medications must include 
accessory and cautionary instructions, expi-
ration date, when applicable, and the name of 
the medication as specified in the primary 
healthcare provider’s order. Over-the-counter 
medications must be labeled with at least the 
individual’s name. Medications shall not be 
repackaged or altered by staff except as 
allowed when an individual temporarily 
leaves the program premises. 
1. The program shall have policies and 
procedures for family members and other 
natural supports and/or legal representative 
to provide adequate advance notice so pre-
scription medication can be provided in a 
separate container by the pharmacy when an 
individual will be leaving the program for an 
extended period. 
(C) All medications must be stored in a 
locked container or storage area as follows: 
1. Schedule II-V medications must be 
stored separately from other medications 
under double lock; 
2. Internal and external medications 
must be stored separately; and 
3. Medications requiring refrigeration 
must be stored in a locked container separat-
ed from food. 
18 CODE OF STATE REGULATIONS (11/30/20) JOHN R. ASHCROFT 
Secretary of State
9 CSR 40-1—DEPARTMENT OF MENTAL HEALTH Division 40—Licensing Rules

(D) Controlled medications must be docu-
mented on a medication administration record 
and controlled substance count sheet in accor-
dance with state and federal regulations. 
(E) Stock supplies of nonprescription med-
ication may be kept in the program when spe-
cific medications are approved in writing by a 
consulting physician, registered nurse, or 
pharmacist. 
(F) Unused, discontinued, outdated, or 
deteriorated prescription and over-the-
counter medications must be properly dis-
posed of in accordance with DHSS regula-
tion 19 CSR 30-86.042(60), available 
at: https://www.sos.mo.gov/cmsimages/adru
les/csr/previous/19csr/19csr1012/19c30-
86.pdf. 
1. Medications shall be destroyed within 
the program by a pharmacist and a licensed 
nurse or by two (2) licensed nurses. When 
two (2) licensed nurses are not available, 
medications must be destroyed by two (2) 
staff who have authority to administer med-
ications, one (1) of whom is a licensed nurse 
or a pharmacist. 
2. A record of all destroyed medications 
must be maintained at the program and 
include the individual’s name, date, medica-
tion name and strength, quantity, prescription 
number, and signatures of staff destroying the 
medication. 
3. A record of medications released or 
returned to a pharmacy must be maintained 
by the program and include the individual’s 
name, date, medication name and strength, 
quantity, prescription number, and signa-
ture(s) of the staff who received and released 
the medications. 
(6) Equipment. Medical equipment and first-
aid supplies needed to treat simple emergen-
cies must be maintained in operable condition 
and be available at the program at all times. 
If the program has medical and nursing 
equipment, it must be maintained in operable 
condition and stored so it is reasonably acces-
sible and used only for the purpose intended. 
(7) Isolation. If a healthcare provider recom-
mends an individual with a contagious or 
infectious disease be placed in isolation, staff 
of the program shall ensure the recommenda-
tion is implemented immediately. 
(8) Personal Supports. Staff of the program 
shall ensure individuals have access to clean 
clothing and personal care items, as needed. 
(A) Each individual shall have an adequate 
supply of properly-fitting, age-appropriate 
clothing that is neat, clean, seasonable, and 
suitable to the occasion. Identification on 
clothing should be discreet. 
(B) Each individual shall have his/her own 
toothbrush, toothpaste, washcloth, towel, 
comb or hairbrush, or both. 
(C) Shaving equipment shall be provided, 
as needed, in accordance with the ISP , ITP , 
or care plan of the individual served. 
(D) Personal hygiene items shall be stored 
to maintain sanitary conditions and prevent 
the transmission of communicable disease. 
(E) Individuals shall be trained and sup-
ported in developmental and self-help skills 
to include dressing, grooming, toileting, 
bathing/showering, and hygiene, as needed. 
(F) Individuals shall be trained and sup-
ported in eating skills and the use of adaptive 
equipment in accordance with their individ-
ual needs. 
AUTHORITY: sections 630.050 and 630.705, 
RSMo 2016.* Original rule filed May 14, 
2020, effective Dec. 30, 2020. 
*Original authority: 630.050, RSMo 1980, amended 1993, 
1995, 2008 and 630.705, RSMo 1980, amended 1982, 
1984, 1985, 1990, 2000, 201 1, 2014. 

9 CSR 40-1.080 Dietary Services 
PURPOSE: This rule specifies the dietary 
service requirements for all community resi-
dential programs and day programs subject 
to licensure by the department in accordance 
with 9 CSR 40-1.055. This rule does not 
apply to Residential Care Facilities (RCF) 
and Assisted Living Facilities (ALF) dually 
licensed by the Department of Health and 
Senior Services (DHSS). 
PUBLISHER’S NOTE: The secretary of state 
has determined that the publication of the 
entire text of the material which is incorpo-
rated by reference as a portion of this rule 
would be unduly cumbersome or expensive. 
This material as incorporated by reference in 
this rule shall be maintained by the agency at 
its headquarters and shall be made available 
to the public for inspection and copying at no 
more than the actual cost of reproduction. 
This note applies only to the reference mate-
rial. The entire text of the rule is printed 
here. 
(1) Meal Preparation and Food Storage. The 
program must comply with state, county, and 
city health regulations applicable to its food 
and dietary components, including catered 
food through a contractual arrangement and 
food brought to the program by individuals 
served. Inspections must be current and in 
compliance with state, local, and/or city reg-
ulations and available on site. 
(A) All food must be purchased, prepared, 
and stored in accordance with safety and san-
itation regulations of the DHSS Missouri 
Food Code, 19 CSR 20-1.025, available at: 
https://health.mo.gov/safety/foodsafety/pdf/
missourifoodcode.pdf. 
(B) All programs shall ensure— 
1. Proper diet and food preparation are 
addressed as part of the individualized plan-
ning process, if identified as a need or goal of 
the individual. 
A. Individuals who prepare their own 
meals or help with meal preparation shall be 
assisted by staff, as needed. 
B. Individuals shall be assisted and 
educated about purchasing and safely storing 
food and drinks in a manner that prevents 
spoilage and contamination. 
C. Individuals shall be supported in 
developing meal plans and grocery lists and 
educated and assisted by staff, as needed, in 
order to meet any special dietary require-
ments; 
2. A sufficient number of appliances and 
equipment are available for food preparation 
including, but not limited to, a stove and 
refrigerator, dishes, cookware, and utensils to 
meet the needs of individuals served. All 
equipment must be in safe and good operat-
ing condition and food preparation areas, 
appliances, and equipment are cleaned and 
sanitized after each use; 
3. Meals and snacks are served in a 
clean dining area with tables, chairs, eating 
utensils, and dishes designed and provided to 
meet individual needs; 
4. Handwashing accommodations includ-
ing hot and cold water, soap, and hand-drying 
are readily accessible to individuals and staff; 
5. The temperature of hot water at all 
faucets accessible to individuals served must 
be controlled by a thermostatic mixing valve 
or other means, so the water temperature 
does not exceed one hundred twenty degrees 
Fahrenheit (120°F); 
6. Dishwasher(s) shall be supplied with 
an adequate amount of wash and rinse water 
at one hundred forty degrees Fahrenheit 
(140°F) at a minimum. A three- (3-) vat sink 
in lieu of a dishwasher may be used based on 
the size of the program; 
7. If a three- (3-) vat sink is used, it 
must be of sufficient depth and size to accom-
modate utensils most frequently used in the 
preparation and serving of food; 
8. If hot water is temporarily unavail-
able, chemicals used for sanitizing equip-
ment, dishes, and utensils shall be used in 
accordance with the Environmental Protec-
tion Agency (EP A) registered label use 
instructions, 1200 Pennsylvania Avenue, 
N.W ., Washington, DC 20460 available at: 
https://www.epa.gov/pesticide-
registration/selected-epa-registered-disinfec-
tants and in accordance with the Missouri 
Food Code, 19 CSR 20-1.025, available at: 
https://health.mo.gov/safety/foodsafety/pdf/
missourifoodcode.pdf. It is recommended 
that single-use, disposable dishes/utensils and 
prepared foods be used if hot water is not 
 CODE OF STATE REGULATIONS 19JOHN R. ASHCROFT (11/30/20) 
Secretary of State
Chapter 1—Definitions, Licensing Procedures, and General Requirements 
 for Community Residential Programs and Day Programs 9 CSR 40-1

available. Larger cooking equipment may be 
washed with the EP A-registered label sanitiz-
er product and be air dried; and 
9. Programs serving ten (10) or more 
individuals must provide a place for hand-
washing adjacent to work areas that includes 
hot and cold water, soap, paper towels, or 
electrical hand-drying devices. 
(2) Balanced Diet. A balanced variety of 
healthy foods and drinks, with opportunities 
for choice, shall be available to individuals 
each day. 
(A) Meals and snacks shall be based on the 
Dietary Guidelines for Americans 2015-2020, 
8th Edition, incorporated by reference and 
published in the Office of Disease Prevention 
and Health Promotion, U.S. Department of 
Health and Human Services, 1101 Wootton 
Parkway, Suite LL100, Rockville, MD 20852, 
available at
 https://health.gov/dietaryguide-
lines/2015/guidelines/. This rule does not 
incorporate any subsequent amendments or 
additions to the guidelines listed above. This 
rule does not prohibit programs from com-
plying with guidelines set forth in newer ver-
sions of the incorporated by reference mater-
ial listed in this subsection of this rule. 
(B) Meals and drinks shall be prepared and 
served at scheduled times, comparable to 
mealtimes in the community, or as necessary 
to meet individual needs and schedules. 
Ready access to nutritious snacks shall be 
available, including in the evening. 
(C) Meals and drinks shall be prepared and 
served at proper temperatures to conserve 
nutritive value and enhance flavor and 
appearance. 
(D) Documented consultation with a 
licensed dietitian or registered nurse must 
take place at least annually for individuals 
with special diets. 
(E) Milk provided to individuals served 
must be Grade A pasteurized milk or Grade 
A certified, pasteurized milk. 
(F) Cool, safe drinking water approved by 
the state or local public health authority must 
be available to individuals at all times. Sin-
gle-serving cups or glasses shall be available 
for individuals unable to drink from a water 
fountain. 
(G) Consideration shall be given to the 
food habits, personal, cultural, and religious 
preferences, and medical needs of individuals 
served, including provisions for special diets 
for medical reasons. 
(H) When individuals require blended 
food, program staff shall prepare, measure, 
and serve it individually, not mixed together. 
(I) The consistency and texture of food 
shall meet each individual’s needs. Individu-
als shall not be fed in a prone position. 
(J) Individuals requiring liquid or soft diets 
shall be provided with nourishing, supple-
mentary food between meals to meet their 
nutritional needs. 
(K) Meals may be served family style to 
provide a home-like atmosphere. 
(L) Individuals served shall have the 
opportunity to participate in planning menus 
and options for food substitutions. Menus 
should be developed at least one (1) week in 
advance. 
(M) Menus covering at least a three- (3-) 
month time period shall be available for 
review by department staff or other autho-
rized representatives. 
AUTHORITY: sections 630.050 and 630.705, 
RSMo 2016.* Original rule filed May 14, 
2020, effective Dec. 30, 2020. 
*Original authority: 630.050, RSMo 1980, amended 1993, 
1995, 2008 and 630.705, RSMo 1980, amended 1982, 
1984, 1985, 1990, 2000, 201 1, 2014. 

9 CSR 40-1.085 Environment 
PURPOSE: This rule specifies the environ-
mental requirements for all community resi-
dential programs and day programs subject 
to licensure by the department in accordance 
with 9 CSR 40-1.055. This rule does not 
apply to Residential Care Facilities (RCF) 
and Assisted Living Facilities (ALF) dually 
licensed by the Department of Health and 
Senior Services (DHSS). 
PUBLISHER’S NOTE: The secretary of state 
has determined that the publication of the 
entire text of the material which is incorpo-
rated by reference as a portion of this rule 
would be unduly cumbersome or expensive. 
This material as incorporated by reference in 
this rule shall be maintained by the agency at 
its headquarters and shall be made available 
to the public for inspection and copying at no 
more than the actual cost of reproduction. 
This note applies only to the reference mate-
rial. The entire text of the rule is printed 
here. 
(1) Physical Environment. All residential 
programs and day programs shall be in com-
pliance with applicable state and local build-
ing codes, fire codes, and ordinances to 
ensure the health, safety, and security of all 
individuals. 
(A) The physical environment shall— 
1. Be clean, structurally sound, and 
attractive inside and out; 
2. Have solid, skid-proof floors that are 
free from tripping hazards and, unless carpet-
ed, have a smooth finish; 
3. Have ceilings at least seven feet, six 
inches (7'6") in height in all rooms used by 
individuals served. Allowances may be made 
by Division of Fire Safety staff for the instal-
lation of ductwork and plumbing. No more 
than forty percent (40%) of the ceiling in 
each room shall be below minimal height, 
with no portion of the ceiling lower than six 
feet, eight inches (6' 8"); 
4. Be equipped with a functional heating 
and air conditioning system with room tem-
peratures maintained to meet the reasonable 
comfort needs of individuals served; 
5. Be free of noxious odors; 
6. Have control measures to prevent 
rodent and insect infestation; 
7. Have windows, doors, and vents for 
ventilation and temperature control that oper-
ate as designed and are maintained to repel 
rodents and insects; 
8. Comply with Department of Housing 
and Urban Development (HUD) 2017 Lead-
Based Paint Regulations, 24 CFR Part 35, 
hereby incorporated by reference and avail-
able from HUD, 451 7th Street S.W ., Wash-
ington, DC 20410, (202) 708-1112, TTY 
(202) 708-1455, available at: 
https://www.ecfr.gov/cgi-bin/text-
idx?c=ecfr&SID=e1741143a75841f15fcfd9
30d325ac2b&rgn=div5&view=text&node=
24:1.1.1.1.24&idno=24. This rule does not 
incorporate any subsequent amendments or 
additions to the regulations listed above. This 
rule does not prohibit programs from com-
plying with regulations set forth in newer ver-
sions of the incorporated by reference mater-
ial listed in this paragraph of this rule; and 
9. Have adequate fencing around swim-
ming pools, sewage lagoons, liquefied petro-
leum gas (LPG) tanks, and other potentially 
hazardous areas. 
(B) Any relocation, construction of addi-
tional space, or remodeling of a currently 
licensed program must be in compliance with 
9 CSR 40-1.055 subsection (6)(A). 
(2) Modular Unit. A residential program or 
day program shall not be located in a modular 
unit as defined in section 700.010(8), RSMo. 
(3) Manufactured Home. A residential pro-
gram or day program may be located in a 
manufactured home as defined in section 
700.010(6), RSMo. If a manufactured home 
is being used, documentation must be main-
tained on site indicating the home meets the 
HUD Manufactured Home Construction and 
Safety Standards, 24 CFR Part 3280, hereby 
incorporated by reference and is available 
from the U.S. Government Publishing Office, 
732 N. Capital Street NW , Washington, DC
 
20401, (866) 512-1800 and at: 
20 CODE OF STATE REGULATIONS (11/30/20) JOHN R. ASHCROFT 
Secretary of State
9 CSR 40-1—DEPARTMENT OF MENTAL HEALTH Division 40—Licensing Rules

https://www.ecfr.gov/cgi-bin/text-
idx?SID=a2c5655a37054c584f7dd6a0ed240
fb8&node=pt24.5.3280&rgn=div5. This 
rule does not incorporate any subsequent 
amendments or additions to the standards 
listed above. This rule does not prohibit pro-
grams from complying with standards set 
forth in newer versions of the incorporated by 
reference material listed in this section of this 
rule. 
(4) Accessibility. Residential programs and 
day programs serving individuals with physi-
cal disabilities must be barrier free and have 
grab bars, ramps, railings, or other means of 
accessibility that are maintained to function 
properly and comply with the 2010 Ameri-
cans with Disabilities Act Standards for 
Accessible Design , hereby incorporated by 
reference and developed by the U.S. Depart-
ment of Justice, 950 Pennsylvania Avenue 
NW , Washington, DC 20530-0001, (202) 
514-2000 and available at: 
https://www.ada.gov/regs2010/2010ADAS-
tandards/2010ADAstandards.htm. This rule 
does not incorporate any subsequent amend-
ments or additions to the standards listed 
above. This rule does not prohibit programs 
from complying with standards set forth in 
newer versions of the incorporated by refer-
ence material listed in this section of this 
rule. 
(5) Bedrooms. Individuals receiving services 
in a residential program shall be provided 
with a bedroom to meet their specific needs. 
(A) All bedrooms shall— 
1. Provide at least sixty (60) square feet 
of floor space per individual in multiple 
sleeping rooms, and at least eighty (80) 
square feet of floor space per individual in 
single sleeping rooms; 
2. Have no more than four (4) individu-
als in a shared room, except behavioral health 
community residential programs shall have 
no more than one (1) individual per room as 
specified in 9 CSR 40-4.001; 
3. Have at least one (1) outside window 
for evacuation purposes that complies with 
state and local fire safety codes. Windows 
shall operate as designed, without the use of 
tools to open or close, provide full visual 
access to the outdoors, have a clear opening 
of not less than twenty inches (20") in width 
and twenty-four inches (24") in height, and 
be no more than forty-four inches (44") above 
the finished floor. Any latching window 
device must be operable from not more than 
fifty-four inches (54") above the finished 
floor; 
4. Have a floor level which is no more 
than three feet (3') below the outside grade 
on the window side of the room; 
5. Have a clean and comfortable pillow, 
mattress, and bed. Cots, convertible beds, 
and bunk beds shall not be used. Hospital 
beds may be used in accordance with an 
order from the individual’s primary health-
care provider. Each individual’s mattress 
shall be at least as long as his/her height with 
the exception of individuals in the develop-
mental period, in which case the mattress 
shall be at least four inches (4") longer than 
his/her height; 
6. Have furnishings in good operating 
condition for each individual including, at a 
minimum, a chair (with the exception of indi-
viduals using a wheelchair or those who pre-
fer not to have a chair), closet space, a place 
for storage of per sonal items, and space for 
hanging pictures or wall decor; 
7. Have clean sheets, pillowcases, mat-
tress cover, bedspread, and blanket(s) to meet 
individual needs; and 
8. Have an interior door for safety and 
privacy, unless staff supervision and monitor-
ing are required as documented in the Indi-
vidual Support Plan (ISP), Individual Treat-
ment Plan (ITP), or care plan of the 
individual served. Locking devices for bed-
room doors must comply with regulations of 
the 2018 National Fire Protection Association 
(NFP A) Life Safety Code 101, hereby incor-
porated by reference and available from 
NFP A, 1 Batterymarch Park, Quincy, MA 
02169-9101, (617) 770-3000 or 1-800-344-
3555, available at: www.nfpa.org. This rule 
does not incorporate any subsequent amend-
ments or additions to the regulations listed 
above. This rule does not prohibit programs 
from complying with regulations set forth in 
newer versions of the incorporated by refer-
ence material listed in this paragraph of this 
rule. 
(6) Living Space. Programs shall have a liv-
ing room and/or recreational area(s), kitchen, 
and dining area(s) with sufficient equipment, 
supplies, and furnishings to meet the needs of 
individuals served. Equipment and furnish-
ings shall include, at a minimum, tables, 
chairs, sofas, and bookshelves to meet indi-
vidual needs. 
(A) Furnishings and equipment shall be 
clean and in good operating condition. 
(B) All windows shall operate as designed, 
without the use of tools, and provide visibility 
to the outdoors. 
(C) Kitchens must have a window or other 
adequate exhaust ventilation system. 
(D) Areas designated as living/recreational 
space shall not be used as sleeping space.
(7) Bathrooms. Each residential program or 
day program shall have at least one (1) bath-
room with at least one (1) toilet, one (1) sink 
with mirror, and one (1) tub or shower in 
good operating condition, including hot and 
cold running water, for each six (6) individu-
als being served. 
(A) Bathrooms must have a window or 
other adequate ventilation and be designed to 
meet the needs of individuals served. 
(B) For multi-stall bathrooms, separate 
bathrooms shall be available for each sex 
unless reasonable justification is provided to 
the department that this is not necessary. 
(8) Water Supply. If the water supply is not 
that of the city or county in which the pro-
gram is located, the water supply must meet 
the drinking water regulations promulgated 
by the Department of Natural Resources, 10 
CSR 60. 
(9) Electrical. The program’s electrical sys-
tem must comply with all state and local reg-
ulations and the NFP A 2017 National Elec-
trical Code , hereby incorporated by 
reference and available from NFP A, 1 Bat-
terymarch Park, Quincy, MA 02169- 9101, 
(800)-344-3555, available at: 
https://www.nfpa.org/NEC/electrical-codes-
and-standards. A written statement from a 
licensed electrician must be submitted to the 
department when the program applies for an 
initial license and whenever modifications are 
made, verifying the electrical system is in 
compliance with these regulations. This rule 
does not incorporate any subsequent amend-
ments or additions to the regulations listed 
above. This rule does not prohibit programs 
from complying with regulations set forth in 
newer versions of the incorporated by refer-
ence material listed in this section of this 
rule. 
(A) Each program shall have sufficient 
lighting and electrical outlets to meet the 
needs of individuals served. Extension cords 
shall not be used. 
(B) If surge protectors/power strips are 
used, they must be Underwriters’ Laboratory 
(UL) approved or comply with other recog-
nized electrical appliance approval standards. 
Surge protectors/power strips shall not be 
placed under rugs, in doorways, or other 
areas where they may present a tripping haz-
ard or be subject to physical damage. 
(10) Plumbing. The plumbing system in the 
program shall comply with all state and local 
regulations and the 2018 National Standard 
Plumbing Code, hereby incorporated by ref-
erence and developed by and available from 
the International Association of Plumbing and 
 CODE OF STATE REGULATIONS 21JOHN R. ASHCROFT (11/30/20) 
Secretary of State
Chapter 1—Definitions, Licensing Procedures, and General Requirements 
 for Community Residential Programs and Day Programs 9 CSR 40-1

Mechanical Officials, 180 S. Washington St., 
Suite 100, Falls Church, V A 22046, (800) 
533-7694, available at: https://www.phc-
cweb.org/tools-resources/nspc/. A written 
statement from a licensed plumber must be 
submitted to the department at the time of the 
program’s initial application for licensure and 
whenever modifications are made, verifying 
the plumbing system is in compliance with 
these regulations. This rule does not incorpo-
rate any subsequent amendments or additions 
to the regulations listed above. This rule 
does not prohibit programs from complying 
with regulations set forth in newer versions of 
the incorporated by reference material listed 
in this section of this rule. 
(A) Clean water must be distributed to all 
plumbing fixtures and wastewater must leave 
the building to an approved area without pres-
ence of sewer gas or backups. 
(B) Plumbing fixtures and pipes must be 
free of leaks and threats to individual health 
and safety. 
(C) Hot water must be thermostatically 
controlled so the water temperature does not 
exceed one hundred twenty degrees Fahren-
heit (120°F). 
(D) Water-heating equipment must be 
installed in accordance with the 2018 National 
Standard Plumbing Code and in a manner that 
does not present safety hazards to individuals 
served. Unless enclosed, water heaters shall 
not be located in bedrooms or living areas 
where safety hazards may exist. Fuel-burning 
equipment must be properly vented and have 
proper clearance from combustible materials. 
(E) The program must utilize a public 
sewage system, if available. If a public 
sewage system is not available, a private 
sewage disposal system that complies with all 
local and state regulations and the require-
ments of the 2018 National Standard Plumb-
ing Code, hereby incorporated by reference 
shall be used, developed by and available 
from the International Association of Plumb-
ing and Mechanical Officials, 180 S. Wash-
ington St., Suite 100, Falls Church, V A 
22046, (800) 533-7694, available at: 
https://www.phccweb.org/tools-
resources/nspc/. This rule does not incorpo-
rate any subsequent amendments or additions 
to the regulations listed above. This rule does 
not prohibit programs from complying with 
regulations set forth in newer versions of the 
incorporated by reference material listed in 
this subsection of this rule. 
(11) Telephones. An adequate number of 
telephones, appropriate to the needs of 
individuals being served in the program, 
must be reasonably accessible and located to 
allow individuals to make and receive private 
calls. Free local telephone access shall be 
available for individuals to contact their 
healthcare providers or other service 
providers such as behavioral health, 
developmental disabilities, housing, 
employment, and educational resources. 
(A) Cellular phones may be used when all 
of the following conditions are met: 
1. The phone must always have a signal; 
2. The phone must always be charged; 
3. The phone is set up to allow 
individuals to make and receive normal calls; 
4. The phone must remain in the 
program at all times; and 
5. The emergency plan for the program 
must address the use of cellular phones. 
(B) Telephone numbers for the local fire 
department, police and/or sheriff’s 
department, Access Crisis Intervention, 
Missouri Adult Abuse and Neglect Hotline, 
National Suicide Prevention Lifeline, and 
department’s Office of Constituent Services 
shall be readily accessible where telephones 
are located. 
(C) The telephone number for each indi-
vidual’s support team member(s) or adminis-
trative agent/affiliate staff shall be readily 
accessible to individuals served and staff in 
the program. 
(12) Safety Risks. Hazardous flammable or 
combustible materials, toxic cleaning sup-
plies, sharp objects, and other items deter-
mined as potentially harmful shall be stored 
based upon the assessed safety needs of indi-
viduals being served in the program, as spec-
ified in their ISP , ITP , or care plan. These 
items must be inaccessible to individuals 
served if they are unable to handle them safe-
ly. 
(A) Unless prohibited, firearms and/or 
ammunition on the premises or in vehicles 
shall be kept in a locked space or container 
that cannot be accessed by anyone other than 
the owner of the firearm and/or ammunition. 
(13) Maintenance. The program director 
shall ensure there is a system in place for 
ongoing maintenance of the program premis-
es. 
(14) Transportation. V ehicles used by pro-
gram staff to transport individuals served 
shall be properly registered, insured, and 
maintained. V ehicles shall have working seat 
belts and be accessible if used to transport 
individuals with physical disabilities. The 
agency shall comply with state and federal 
seat belt and car seat laws and regulations 
when transporting individuals served. V erifi-
cation of a current driver’s license for all staff 
providing transportation must be maintained 
in personnel files. 
(A) Program staff are responsible for the 
care, safety, and supervision of individuals 
served when they are transported from the 
operating site to other locations in the com-
munity. 
(B) Staffing ratios shall be maintained at 
any time the program transports individuals 
away from its operating site. 
AUTHORITY: sections 630.050 and 630.705, 
RSMo 2016.* Original rule filed May 14, 
2020, effective Dec. 30, 2020. 
*Original authority: 630.050, RSMo 1980, amended 1993, 
1995, 2008 and 630.705, RSMo 1980, amended 1982, 
1984, 1985, 1990, 2000, 201 1, 2014. 

9 CSR 40-1.090 Fire Safety and Emer-
gency Preparedness 
PURPOSE: The rule prescribes fire safety 
and emergency preparedness requirements for 
all residential programs and day programs 
subject to licensure by the department in 
accordance with 9 CSR 40-1.055. This rule 
does not apply to Residential Care Facilities 
(RCF) and Assisted Living Facilities (ALF) 
dually licensed by the Department of Health 
and Senior Services (DHSS). 
PUBLISHER’S NOTE: The secretary of state 
has determined that the publication of the 
entire text of the material which is incorpo-
rated by reference as a portion of this rule 
would be unduly cumbersome or expensive. 
This material as incorporated by reference in 
this rule shall be maintained by the agency at 
its headquarters and shall be made available 
to the public for inspection and copying at no 
more than the actual cost of reproduction. 
This note applies only to the reference mate-
rial. The entire text of the rule is printed 
here.
 
(1) General Requirements. The program 
director shall ensure all local building codes, 
fire codes, and ordinances are followed and 
all hazard detection systems, alarm systems, 
and other safety equipment are maintained in 
proper operating condition. Practices shall be 
implemented to protect all individuals from 
fire, smoke, noxious fumes, and other safety 
hazards. 
(A) Each residential program and day pro-
gram shall be inspected at least annually by a 
Division of Fire Safety inspector. Initial and 
annual inspection reports must be maintained 
on site and be available for review by depart-
ment staff and other authorized representa-
tives. 
22 CODE OF STATE REGULATIONS (11/30/20) JOHN R. ASHCROFT 
Secretary of State
9 CSR 40-1—DEPARTMENT OF MENTAL HEALTH Division 40—Licensing Rules

(B) The 2018 regulations of the NFP A Life 
Safety Code 101 will prevail in the interpreta-
tion of these rules. The regulations are incor-
porated by reference and available from 
NFP A, 1 Batterymarch Park, Quincy, MA 
02169, (617) 770-3000 or 1-800-344-3555, 
available at: www.nfpa.org. This rule does 
not incorporate any subsequent amendments 
or additions to the regulations listed above. 
This rule does not prohibit programs from 
complying with the regulations set forth in 
newer editions of the incorporated by refer-
ence material listed in this subsection of this 
rule. 
(C) The program address must be posted 
on the outside of the building where it is 
plainly visible from the street with 
numbers/letters at least four inches (4") in 
height and contrasting color with the build-
ing. 
(D) Evacuation routes, with diagrams giv-
ing clear directions on how to safely exit the 
building in a timely manner, must be posted 
in locations throughout the building that are 
easily accessible to individuals served, staff, 
and visitors. 
(E) Staff shall demonstrate the knowledge 
and ability to implement the program’s emer-
gency preparedness and evacuation plans and 
be trained and demonstrate the ability to 
operate the fire alarm system, fire extinguish-
ers, and other safety devices. Training must 
be documented in personnel records, includ-
ing date(s) and signature of trainer(s). 
(F) A fire drill shall be conducted at least 
one (1) time per quarter, with a minimum of 
one (1) annual drill during sleeping hours. 
All staff and individuals on each shift must 
participate in at least one (1) annual fire drill. 
All drills must comply with the specifications 
of the posted evacuation plan. 
(G) In addition to fire drills, staff and indi-
viduals served shall participate in other emer-
gency drills at least quarterly and as specified 
in the emergency policies and procedures. 
1. Individuals who are unable to react to 
emergency situations in a safe and expedient 
manner must have the supports necessary to 
implement their individual emergency plan. 
2. Each drill must be documented and 
reviewed by staff responsible for execution of 
the emergency practices. Documentation 
shall include, but is not limited to, number of 
staff and individuals present during the drill, 
success of the drill or problems encountered, 
length of the drill, and corrective action 
taken, including training and education of 
staff and individuals served, as necessary. 
(H) Hangings or draperies shall not be 
placed over exit doors or located where they 
conceal or obscure any exit. 
(I) Stairways, sidewalks, ramps, and porch-
es shall be kept clear of ice, snow, and any 
other obstacles that may be a potential fall or 
tripping hazard. 
(J) Fresh-cut Christmas trees shall not be 
used unless they are treated with a flame 
resistant material and documentation of such 
is maintained on-site. 
(K) Candles and other devices that have an 
open flame shall not be used indoors. Short-
term, supervised use of candles for special 
occasions or dinners is permitted. 
(L) A program served by a volunteer or 
membership fire department shall maintain 
documentation of a current contract or proof 
of membership on-site. 
(M) Staff shall notify the nearest fire 
department when the residential program or 
day program becomes operational and main-
tain the required signed documentation by the 
local authority (fire department notification 
form) on-site. 
(N) Clothes dryers shall be properly main-
tained and vented to the outside, or as recom-
mended by the manufacturer. 
(O) Smoking shall not be allowed inside 
the program. At the discretion of the program 
director, designated outdoor smoking areas 
may be provided away from doors and win-
dows. Supervision must be maintained based 
upon individual needs as documented in the 
Individual Support Plan (ISP), Individual 
Treatment Plan (ITP), or care plan. 
(2) Hazard Detection, Alarms, and Extin-
guishment. All smoke detectors, carbon 
monoxide detectors, alarm systems, sprinkler 
systems, and adaptive alarm systems must be 
installed and maintained in accordance with 
the 2018 NFP A Life Safety Code 101, incor-
porated by reference and available from 
NFP A, 1 Batterymarch Park, Quincy, MA 
02169, (617) 770-3000 or 1-800-344-3555, 
available at: www.nfpa.org. Staff of the Divi-
sion of Fire Safety may make additional 
requirements to provide adequate life safety 
protection if it is determined the safety of 
individuals is endangered. This rule does not 
incorporate any subsequent amendments or 
additions to the regulations listed above. 
This rule does not prohibit programs from 
complying with the regulations set forth in 
newer editions of the incorporated by refer-
ence material listed in this section. 
(A) Fire detection and other emergency 
notification systems shall be maintained to 
sound an alarm that can be heard throughout 
the premises, above the noise of normal activ-
ities, radios, and televisions. Notification 
must be provided automatically without 
delay. Pre-signal systems are prohibited. 
Staff of the Division of Fire Safety may make 
additional requirements to provide adequate 
life safety protection if it is determined the 
safety of individuals is endangered. 
1. Adaptive emergency alarm systems 
must be installed if individuals who are deaf 
are being served in the program. 
(B) At least one (1) portable, five pound (5 
lb.) ABC-rated fire extinguisher, with direc-
tions for use on the equipment, must be locat-
ed on each floor of the building including in 
or near every kitchen, storage room, furnace 
area, and other mechanical equipment rooms. 
Additional fire extinguishers may be required 
by the local authority based on the floor plan 
and number of levels being used by individu-
als served so travel distance is no greater than 
seventy-five feet (75') between fire extin-
guishers. 
1. All staff of the program must be 
knowledgeable on the location and use of the 
fire extinguisher(s). 
2. Education provided to staff on the use 
of fire extinguishers must be documented and 
available on site, including date(s) and signa-
ture of trainer(s). 
3. Fire extinguishers must be inspected 
and approved annually by a fire safety author-
ity. Documentation of the inspection and 
approval, including date and signature of 
inspector, must be maintained on-site. 
(C) Programs serving four (4) or fewer 
individuals must have at least one (1) certi-
fied Underwriters’ Laboratories, Inc. (UL) or 
Factory Mutual (FM) smoke detector on each 
floor in close proximity to bedrooms, hall-
ways, living spaces, kitchen, sto rage rooms, 
offices, and any other areas deemed neces-
sary by Division of Fire Safety staff. 
1. If battery-powered smoke detectors 
are used, they must be tested monthly and 
batteries changed as needed. Documentation 
including the dates, testing, and changing of 
batteries must be maintained on site. 
2. Smoke detectors that are ten (10) 
years old or older must be replaced with new 
smoke detectors of the same style. Date(s) of 
installation must be maintained on site. 
(D) Programs serving five (5) or more 
individuals must have a full coverage electri-
cal fire alarm system with battery backup, a 
master control panel, smoke detectors, heat 
sensors, and pull station. Horns and strobe 
lights connected to the fire alarm must be 
installed throughout the building(s). All 
equipment must be UL- or FM-certified and 
installed on a dedicated circuit in the breaker 
box. 
1. The system must be tested, inspected, 
and approved semi-annually by an authorized 
inspector. A copy of the test report and 
approval of the system must be maintained on 
site. 
2. Heat detectors shall be installed in all 
 CODE OF STATE REGULATIONS 23JOHN R. ASHCROFT (11/30/20) 
Secretary of State
Chapter 1—Definitions, Licensing Procedures, and General Requirements 
 for Community Residential Programs and Day Programs 9 CSR 40-1

mechanical rooms, kitchens, and throughout 
the attic. 
3. Smoke detectors that are connected to 
a fire alarm system must be replaced after ten 
(10) years of service or recalibrated by the 
manufacturer of the smoke detector. If the 
smoke detectors are recalibrated, temporary 
smoke detectors must be installed so the fire 
alarm system continues to function properly. 
(E) In addition to having an electrical 
alarm system, programs serving five (5) or 
more individuals must have an automatic fire 
sprinkler system when any of the following 
conditions apply: 
1. Individuals served use any floor 
above the second (2nd) floor of the building; 
2. Individuals who require mechanical 
or staff assistance to evacuate the building 
use any floor above or below the first (1st) 
floor; or 
3. Individuals use a floor below the level 
of exit discharge, such as a basement, which 
exceeds twelve hundred (1,200) square feet in 
total area. 
A. The water supply for the sprinkler 
system may be a domestic water source, if the 
domestic water system is designed to ade-
quately support the design flow of the largest 
number of sprinklers in any one area. 
4. The automatic sprinkler system shall 
be installed and maintained in accordance with 
the 2019 NFP A Standards for Installation of 
Sprinkler Systems, NFP A, 1 Batterymarch 
Park, Quincy, MA 02169, (617) 770-3000 or 
1-800-344-3555 incorporated by reference and 
available at:
 https://www.nfpa.org/codes-
and-standards/all-codes-and-standards/list-of-
codes-and-standards/detail?code=13. This 
rule does not incorporate any subsequent 
amendments or additions to the standards 
listed above. This rule does not prohibit pro-
grams from complying with standards set 
forth in newer versions of the incorporated by 
reference material listed in this paragraph of 
this rule. 
5. The sprinkler system shall be tested, 
inspected, and approved semi-annually by an 
authorized inspector. A copy of the test 
report and approval of the system shall be 
kept on file at the program for review by 
Division of Fire Safety staff, department 
staff, or other authorized representatives. 
(F) Programs using a commercial stove, 
deep fryer, or two (2) home-type ranges 
placed side by side must be equipped with a 
range hood and extinguishing system with an 
automatic cutoff of the fuel supply and 
exhaust system in case of fire. 
1. The hood and extinguishment system 
must be inspected by a qualified technician to 
ensure they are in good operating condition in 
accordance with the 2017 NFP A Standards 
for Ventilation Control and Fire Protection of 
Commercial Cooking Operations, incorporat-
ed by reference and available at NFP A, 1 Bat-
terymarch Park, Quincy, MA 02169, (617) 
770-3000 or 1-800-344-3555, available at: 
https://www.nfpa.org/codes-and-
standards/all-codes-and-standards/list-of-
codes-and-standards/detail?code=96. This 
rule does not incorporate any subsequent 
amendments or additions to the standards 
listed above. This rule does not prohibit pro-
grams from complying with standards set 
forth in newer versions of the incorporated by 
reference material listed in this paragraph of 
this rule. 
2. The range hood and extinguishment 
system shall be connected to the control panel 
of the fire alarm system. The activation of 
the range hood fire extinguishment system 
must cause the fire alarm system to activate 
throughout the building. 
3. Home-type ranges separated by an 
eighteen inch (18") cabinet are not required 
to have an extinguishing system installed 
above them. Programs using a home-type 
range with no more than four (4) burners 
and/or grill are not required to have a fire 
extinguishing system above the range. 
(G) Programs that have an attached ga rage 
and/or use gas utilities, equipment, or appli-
ances that pose a potential carbon monoxide 
risk, shall install carbon monoxide detectors 
on each level of the building according to the 
2018 NFP A Life Safety Code 101 and the rec-
ommendation of the local authority. The regu-
lations are incorporated by reference and 
available from NFP A, 1 Batterymarch Park, 
Quincy, MA 02169, (617) 770-3000 or 1-800-
344-3555, and available at: 
www.nfpa.org. 
This rule does not incorporate any subse-
quent amendments or additions to the regula-
tions listed above. This rule does not prohibit 
programs from complying with the regula-
tions set forth in newer editions of the incor-
porated by reference material listed in this 
subsection of this rule. 
1. If an elevated carbon monoxide level 
is detected in a program during a fire inspec-
tion, all gas-fired appliances must be checked 
by a heating and air conditioning company to 
identify the source of the carbon monoxide. 
Until program staff have documentation on 
file verifying all gas-fired appliances were 
checked by a heating and air conditioning 
company, are in safe working order, and the 
building(s) is determined safe by the local 
authority, the fire inspection will not be 
approved. 
2. If a level of carbon monoxide is deter-
mined that endangers the lives of individuals, 
the local authority shall take measures neces-
sary to ensure their safety which may include 
evacuating or closing the program. Program 
staff shall obtain and maintain documentation 
on site verifying all gas-fired appliances were 
checked by a heating and air conditioning 
company and are in safe working order. The 
program must be reinspected by the local 
authority and determined safe before individ-
uals can return or the program can reopen. 
(3) Means of Egress and Exits. Means of 
egress and exit from all buildings shall be 
maintained in accordance with the 2018 
NFP A Life Safety Code 101. The regulations 
are incorporated by reference and available 
from NFP A, 1 Batterymarch Park, Quincy, 
MA 02169, (617) 770-3000 or 1-800-344-
3555, available at: www.nfpa.org. This rule 
does not incorporate any subsequent amend-
ments or additions to the regulations listed 
above. This rule does not prohibit programs 
from complying with the regulations set forth 
in newer editions of the incorporated by ref-
erence material listed in this section. 
(A) All programs must meet the following 
requirements: 
1. Each floor used by individuals served 
shall have at least two (2) remotely located 
means of exit. At least one (1) of these exits 
must lead directly outside at ground level, to 
an outside stairway, or to an enclosed stair-
way constructed of materials with at least a 
one- (1-) hour fire resistance rating on each 
level and an exit leading directly outside; 
2. Each exit door shall be at least thirty 
inches (30") wide in existing licensed build-
ings and at least thirty-six inches (36") wide 
in buildings constructed after the effective 
date of these licensing rules; 
3. All means of egress shall be free of 
items that would obstruct the path of travel; 
4. Doors that serve as a means of exit 
shall not be locked or blocked against egress 
travel when the building is occupied. Door 
locks requiring a key, tool, special code, or 
knowledge to unlock from the inside shall not 
be used; 
5. Overhead ga rage doors shall not be 
considered as exit doorways; 
6. Mirrors shall not be placed on exit 
doors or adjacent to any exit in such a man-
ner to confuse the direction of the exit; 
7. All hallways must have a clear width 
of at least thirty-six inches (36") wide and be 
kept free of all articles that might impede an 
individual’s evacuation from the building, 
including wheelchairs, walkers, or other sup-
port equipment; 
8. Dead-end hallways cannot exceed 
twenty feet (20'); 
9. No primary means of escape or 
planned exit shall lead through a bathroom, 
storage room, furnace room, ga rage, or any 
24 CODE OF STATE REGULATIONS (11/30/20) JOHN R. ASHCROFT 
Secretary of State
9 CSR 40-1—DEPARTMENT OF MENTAL HEALTH Division 40—Licensing Rules

other room deemed hazardous by the local 
authority; 
10. All ramps must be accessible, safe, 
and installed in accordance with the 2010 
Americans with Disabilities Act Standards 
for Accessible Design, established by the 
U.S. Department of Justice, Civil Rights 
Division, 950 Pennsylvania Avenue NW , 
Washington DC 20530, (800)514-0301, 
incorporated by reference and available at: 
https://www.ada.gov/regs2010/2010ADAS-
tandards/2010ADAstandards.htm. This rule 
does not incorporate any subsequent amend-
ments or additions to the standards listed 
above. This rule does not prohibit programs 
from complying with the standards set forth 
in newer editions of the incorporated by ref-
erence material listed in this paragraph of this 
rule; and 
11. Programs that have stairs, includ-
ing stairs used as a fire escape, shall meet 
the requirements of the 2010 Americans 
with Disabilities Act Standards for Accessi-
ble Design, established by the U.S. Depart-
ment of Justice, Civil Rights Division, 950 
Pennsylvania Avenue NW , Washington DC 
20530, (800) 514-0301, incorporated by 
reference and available at: 
https://www.ada.gov/regs2010/2010ADAS-
tandards/2010ADAstandards.htm, the 2018 
NFP A Life Safety Code 101, incorporated by 
reference and available from NFP A, 1 Bat-
terymarch Park, Quincy, MA 02169, (617) 
770-3000 or 1-800-344-3555, available at: 
www.nfpa.org., and the local authority. This 
rule does not incorporate any subsequent 
amendments or additions to the standards 
listed above. This rule does not prohibit pro-
grams from complying with the standards set 
forth in newer editions of the incorporated by 
reference material listed in this paragraph of 
this rule. 
(B) Programs serving five (5) or more indi-
viduals shall meet the following requirements 
for means of egress and exit: 
1. All outside exit doors must swing in 
the direction of egress travel; 
2. All exit doors must be clearly marked 
and illuminated; and 
3. Emergency lighting with battery 
backup shall be installed to light all paths of 
egress travel. The location and number of 
emergency lights shall be determined by the 
local authority. Emergency lights shall be 
tested monthly with documentation main-
tained on site indicating which lights were 
tested, the date tested, and the name and sig-
nature of the staff performing the test. 
(C) Each wing or hallway in programs 
serving ten (10) or more individuals must be 
separated into fire compartment areas by fire 
doors and walls having not less than a one- 
(1-) hour rating. All fire doors shall be 
equipped with a door closer and may be held 
open at all times with an electrical magnetic 
switch that is interconnected to the fire alarm 
system. 
(4) Appliances and Mechanical Equipment. 
All heating, cooling, ventilation system(s), 
other mechanical equipment, and appliances 
shall be installed and maintained in accor-
dance with manufacturer’s recommendations. 
(A) Use of unvented fuel-fired room 
heaters, portable electric space heaters, and 
floor furnaces is not permitted. 
(B) If wall heaters are used, they must be 
installed and approved by the local authority 
and include adequate guards. 
(C) The home’s primary heat source shall 
not be a fireplace. 
1. Fireplaces used for decorative pur-
poses shall be installed, operated, and main-
tained in a safe manner. The use of a wood- 
or gas-burning fireplace is permitted only if 
the fireplace is built of firebrick or metal, 
enclosed by masonry, has a metal or tem-
pered glass screen, and is inspected and 
approved by a local authority with documen-
tation maintained on-site. 
2. Fireplaces not in compliance with 
these requirements may be in the home if 
they are for decorative purposes only, or if 
they are equipped with decorative-type elec-
tric logs or other electric heaters which bear 
the UL label and are constructed of electrical 
components complying with and installed in 
compliance with the NFP A 2017 National 
Electrical Code, NFP A, 1 Batterymarch 
Park, Quincy, MA 02169-7471, (800) 344-
3555, incorporated by reference and available 
at: https://www.nfpa.org/NEC/electrical-
codes-and-standards. This rule does not 
incorporate any subsequent amendments or 
additions to the standards listed above. This 
rule does not prohibit programs from com-
plying with the standards set forth in newer 
editions of the incorporated by reference 
material listed in this paragraph of this rule. 
(D) If the building has elevator(s), the ele-
vator(s) shall be inspected annually by a 
state-licensed inspector and have a state-
issued operating permit from the Division of 
Fire Safety available for review. 
(5) Protection. Smoke stop partition(s) in all 
programs must comply with the requirements 
of the Division of Fire Safety and the 2018 
NFP A Life Safety Code 101 , NFP A, 1 Bat-
terymarch Park, Quincy, MA 02169, (617) 
770-3000 or 1-800-344-3555, incorporated 
by reference and available at: www.nfpa.org. 
This rule does not incorporate any subse-
quent amendments or additions to the regula-
tions listed above. This rule does not prohibit 
programs from complying with the regula-
tions set forth in newer editions of the incor-
porated by reference material listed in this 
section. 
(6) Interior Finish. Interior finish in all pro-
grams must comply with requirements of the 
Division of Fire Safety and the 2018 NFP A 
Life Safety Code 101, NFP A, 1 Batterymarch 
Park, Quincy, MA 02169, (617) 770-3000 or 
1-800-344-3555, incorporated by reference 
and available at: www.nfpa.org. This rule 
does not incorporate any subsequent amend-
ments or additions to the regulations listed 
above. This rule does not prohibit programs 
from complying with the regulations set forth 
in newer editions of the incorporated by ref-
erence material listed in this section. 
AUTHORITY: sections 630.050 and 630.705, 
RSMo 2016.* Original rule filed May 14, 
2020, effective Dec. 30, 2020. 
*Original authority: 630.050, RSMo 1980, amended 1993, 
1995, 2008 and 630.705, RSMo 1980, amended 1982, 
1984, 1985, 1990, 2000, 201 1, 2014. 

9 CSR 40-1.100 Implementation of Licen-
sure Authority for Certain Day Programs 
and Community Residential Facilities 
Emergency rule filed Sept. 20, 1983, effective 
Oct. 1, 1983, expired Jan. 15, 1984. 
 
9 CSR 40-1.105 Implementation of Licens-
ing Authority for Certain Day Programs 
and Community Residential Facilities 
(Rescinded December 30, 2020) 
AUTHORITY: sections 630.050 and 630.705, 
RSMo 1994. Original rule filed Oct. 13, 
1983, effective Jan. 15, 1984. Emergency 
amendment filed June 10, 1985, effective 
June 24, 1985, expired Oct. 7, 1985. Amend-
ed: Filed June 10, 1985, effective Oct. 8, 
1985. Amended: Filed July 15, 1985, effec-
tive Feb. 1, 1986. Amended: Filed Jan. 2, 
1990, effective June 1 1, 1990. Emergency 
amendment filed Feb. 2, 1990, effective Feb. 
15, 1990, expired May 1, 1990. Amended: 
Filed Feb. 2, 1990, effective Sept. 28, 1990. 
Amended: Filed April 1, 1993, effective Dec. 
9, 1993. Amended: Filed July 17, 1995, 
effective March 30, 1996. Amended: Filed 
Aug. 1 1, 1995, effective March 30, 1996. 
Rescinded: Filed May 14, 2020, effective 
Dec. 30, 2020.
 CODE OF STATE REGULATIONS 25JOHN R. ASHCROFT (11/30/20) 
Secretary of State
Chapter 1—Definitions, Licensing Procedures, and General Requirements 
 for Community Residential Programs and Day Programs 9 CSR 40-1

9 CSR 40-1.118 Licensing Advisory Board 
(Rescinded November 30, 2018) 
AUTHORITY: sections 630.050 and 630.705, 
RSMo 1994. Original rule filed Aug. 4, 1987, 
effective Jan. 15, 1988. Amended: Filed April 
14, 1988, effective Sept. 1 1, 1988. Emergency 
amendment filed March 30, 1990, effective 
April 15, 1990, expired Aug. 1, 1990. 
Amended: Filed March 30, 1990, effective 
June 30, 1990. Amended: Filed July 17, 
1995, effective March 30, 1996. Rescinded: 
Filed March 20, 2018, effective Nov. 30, 
2018. 
26 CODE OF STATE REGULATIONS (11/30/20) JOHN R. ASHCROFT 
Secretary of State
9 CSR 40-1—DEPARTMENT OF MENTAL HEALTH Division 40—Licensing Rules