5101:2-12-15.1 Handwashing and standard precautions for licensed child care centers.

(A) Liquid soap, a handwashing facility and individually assigned or disposable toweling or air dryers shall be provided with all restrooms.

(1) A "handwashing facility" is a permanent type fixture with running water which conforms to the Ohio plumbing standards of division 4101:3 of the Administrative Code.

(2) Handwashing facilities shall not be used for formula or food preparation or for washing dishes or bottles.

(B) All employees shall wash their hands with liquid soap and running water:

(1) Upon arriving at the center.

(2) After toileting or after assisting each child with toileting.

(3) After each diaper or pull up change.

(4) After returning inside from outdoor activities.

(5) After handling pets, pet cages or other pet objects that have come in contact with the pet.

(6) Before eating, serving or preparing food or bottles or feeding a child.

(7) After contact with bodily fluids or cleaning up spills or objects contaminated with bodily fluids.

(8) Before and after administering medication, first aid or completing a medical procedure.

(9) After taking off disposable gloves.

(C) Hand sanitizer is permitted to be used by adults at the center after wiping children's noses, when a staff member is outside or alone in a room and needed in the staff/child ratio, and running water is not readily available. Staff must thoroughly wash hands with soap and running water as soon as staff/child ratio allows or upon re-entry to the building. The use of hand sanitizer does not replace the requirement of washing hands with running water and liquid soap.

(D) Children shall be instructed and assisted as needed, to wash their hands:

(1) After toileting.

(2) After returning inside after outdoor play.

(3) After contact with bodily fluids.

(4) After handling pets, pet cages or other pet objects.

(5) Whenever hands are visibly dirty.

(6) Before eating food.

(E) Standard precautions are primarily designed to prevent the spread of diseases that are spread by blood or other bodily fluids. Standard precautions are designed to protect staff from potentially infectious diseases and shall be followed as defined below.

(1) Vinyl gloves shall be worn during contact with blood or body fluids which contain blood, such as vomit or feces which contain blood that can be seen.

(2) Disposal of materials that contain blood requires a sealable, leakproof plastic bag or double bagging in plastic bags that are securely tied.

(3) Non-disposable items, such as clothing that contain blood shall be placed in a sealable, leakproof plastic bag or double bagged in plastic bags that are securely tied and sent home with the child.

(4) Sharp items used for procedures on children with special care needs, such as lancets for finger sticks or syringes require a disposable container called a "sharps container". This is a container made out of durable, rigid material which safely stores the lancets or needles until the parent can take them home for disposal. Sharps containers must be stored out of the reach of children.

(5) Surfaces contaminated with blood or bodily fluids containing blood shall first be cleaned with hot, soapy water, and then sanitized with an appropriate bleach solution which is prepared on a daily basis, following the product guidelines, or other acceptable disinfectant solution which is environmental protection agency (EPA) rated as hospital disinfectant with a label claim for mycobactericidal activity.

Effective: 07/01/2010
R.C. 119.032 review dates: 02/03/2010 and 07/01/2015
Promulgated Under: 119.03
Statutory Authority: 5104.011
Rule Amplifies: 5104.011
Prior Effective Dates: 3/1/81, 6/1/84, 9/1/86, 1/2/92 (Emer), 4/1/92, 4/1/03,
1/1/07