Establishes provisions relating to child care facilities

This Missouri bill requires licensed child care facilities to implement nonrestrained safe sleep policies for children aged one and older (excluding weighted blankets over five pounds or for children under one year), provide safe rest options during non-nap times, and create documented care plans for children with special needs. These care plans must be reviewed annually with parents or guardians, facility staff, and the child's primary care provider. Staff directly caring for children with special needs must receive specific training on those needs, which counts toward required annual training hours. The law applies to all licensed facilities but excludes children under one year, who remain covered by existing regulations.