(A) Toothbrushing may be conducted in child care centers. If toothbrushing is practiced it shall be done in compliance with the following requirements.
(B) If a single tube of toothpaste is used for more than one child when brushing teeth, a pea sized amount shall be dispensed onto a clean piece of paper or paper product for each child. It shall not be placed directly on the toothbrush.
(C) Each toothbrush shall be labeled with the child's name and stored with the bristles to air dry in such a way that the toothbrushes cannot contact or drip on each other and the bristles are not in contact with any surface.
(D) A toothbrush must be discarded and replaced every three months or if:
(1) It becomes contaminated through contact with another brush.
(2) It is used by more than one child.
(3) The child has a communicable illness requiring medical attention.
(4) The toothbrush comes in contact with the toilet or toileting area.
(E) Racks and devices used to hold toothbrushes for storage shall be labeled and shall be washed and sanitized or replaced on a monthly basis or whenever visibly soiled or after any contamination with bodily fluids.