(A) The provider shall check diapers at least every two hours for wetness and feces. Diapers shall be changed immediately when wet or soiled. Clothing shall be changed immediately when wet or soiled.
(B) When changing diapers the provider shall comply with the following:
(1) The provider shall wash all soiled areas of the child's body with either a wash cloth which is then appropriately sanitized or a disposable wipe.
(2) The provider shall wash his or her hands for at least fifteen seconds with liquid soap and running water after each diaper change. Hand washing after diaper changes shall occur in a sink that is not used for meal preparation and is away from the food serving area.
(3) If a diaper-changing surface is used to change more than one child, the provider shall place a disposable separation material between the child and the changing surface. A different separation material shall be used for each child. The diaper changing surface shall be sanitized after each diaper change with an appropriate germicide. If the surface is visibly soiled, it shall be cleaned with soap and water prior to sanitizing.
(4) If an infant's diapers are to be changed in his crib, there shall be a 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) No child shall be left unattended on the diaper changing table.
(C) The caretaker shall provide a clean supply of diapers and an extra change of clothing that shall be available at all times.
(D) The provider shall store and launder soiled diapers or clothing as follows:
(1) If soiled diapers or clothing are to be sent home with a caretaker, the provider shall store the diapers or clothing for no longer than one day in an individual covered container or plastic bag away from the child's belongings.
(2) The provider shall store soiled diapers and diapering washcloths which are to be laundered in the home in a covered container with sanitizing solution.
(3) If soiled diapers are to be commercially laundered, the provider shall hold them for laundering pickup for no longer than seven days.
(4) The provider shall store soiled disposable diapers in a plastic-lined covered container that is not easily accessible to children and discard diapers daily or more frequently as needed to eliminate odor.
(E) Toilet training shall occur based on a child's readiness and consultation with the caretaker regarding practices in the child's home. The provider shall ensure that toilet training is never forced.
R.C. 119.032 review dates: 11/30/2007 and 03/31/2013
Promulgated Under: 119.03
Statutory Authority: 5104.011
Rule Amplifies: 5104.011
Prior Effective Dates: 4/1/82, 5/20/83, 9/1/86, 2/15/88, 5/1/89, 10/1/97 (Emer.), 12/30/97, 4/1/03