(A) Diapering shall be handled according to the following methods.
(1) If a central diaper changing station is used, there shall be a disposable separation material, that acts as a barrier placed between the child and the changing surface, which is discarded after each use.
(2) The type A home shall have disposable gloves available for diapering. The use of gloves or hand sanitizer does not eliminate the need for proper handwashing.
(3) The central diaper changing station shall be cleaned when visibly soiled and sanitized after each diaper change. Children shall not be left unattended on a changing table.
(4) If an infant's crib is used to change the diaper, there shall be separation material between the infant and the crib sheet. If the bedding becomes wet or soiled during the diaper change, it shall be replaced with clean bedding.
(5) Children's clothing that becomes soiled with fecal matter may be sent home without being rinsed. It shall be placed in a plastic container or bag, sealed and stored away from the rest of the child's belongings and out of the reach of children.
(6) Soiled diapers shall be disposed of in a plastic lined receptacle that prevents hand contamination. The receptacle shall be covered or otherwise enclosed and be inaccessible to children. These containers shall be emptied, cleaned and sanitized at least daily, or more frequently as needed to eliminate odor.
(7) Soiled diapers to be laundered at the type A home shall be stored in an appropriate germicidal solution and out of the reach of children until laundered. If a commercial laundering service is used, soiled diapers shall be held for laundering for no more than five consecutive days. Soiled cloth diapers from the child's home shall be stored in an individual plastic lined, covered container and sent home daily.
(8) If disposable wipes or paper towels are used during diaper changing, they shall be discarded after each use. If washcloths are used, they shall be used once and stored in an appropriate germicidal solution out of the reach of childrenuntil laundered.
(9) Any product used during diapering, which is used on more than one child, shall be used so that the container does not touch the child. Any product obtained from a common container shall be removed and applied in such a manner so as not to contaminate the product or its container. Common containers shall be cleaned and sanitized when soiled.
(B) Toilet training shall occur based on a child's readiness and consultation with parents/guardians regarding practices in the children's homes. The type A home shall ensure that toilet training is never forced.
(C) Potty chairs shall be emptied into the toilet, rinsed, cleaned and sanitized after each use.
(D) If children under two and one half years of age are enrolled, there shall be handwashing facilities available for diapering within the space(s) where groups which include these children receive care. If handwashing facilities are located elsewhere within the type A home, the following requirements shall be met:
(2) For the purposes of diaper changing, no more than one infant per child care staff member shall be removed at any time from the space(s) where the infants receive care.
(3) For the purposes of diapering, toileting or toilet training, no more than four toddlers per child care staff member shall be removed at any time from the space(s) where the toddlers receive care, except when the restroom is located directly adjacent to or directly across from the space(s) used for child care.
Five Year Review (FYR) Dates: 08/28/2015 and 11/22/2020
Promulgated Under: 119.03
Statutory Authority: 5104.017
Rule Amplifies: 5104.017
Prior Effective Dates: 3/1/81, 6/1/84, 9/1/86, 1/2/92 (Emer), 4/1/92, 7/1/03, 1/1/07, 9/1/07