Section R9-3-403. Supplemental Standards for Care of an Enrolled Infant or One- or Two-Year-Old Child

A.      A certificate holder shall ensure that:

1.        A staff member:

a.        Does not allow an enrolled infant or one- or two- year-old child to spend more than 30 consecutive minutes of time while awake in a crib, playpen, swing, feeding chair, infant seat, or other confining piece of equipment;

b.        Allows each enrolled infant to maintain an individ- ual pattern of sleeping, waking, and eating, unless the enrolled infant’s parent has instructed otherwise;

c.        If providing a bottle or sippy cup to an enrolled infant or one- or two-year-old child before the enrolled infant or one- or two-year-old child naps or sleeps:

i.         Ensures that only water is in the bottle or sippy cup unless the written instructions required by subsection (A)(3)(b) state otherwise;

ii.        Removes the used bottle or sippy cup from the enrolled infant or one- or two-year-old child’s crib, bed, cot, or mat as soon as the enrolled infant or one- or two-year-old child finishes drinking or falls asleep; and

iii.      Cleans the used bottle or sippy cup before the bottle or sippy cup is reused;

d.        Checks the diaper of each enrolled infant or one- or two-year-old child throughout the day and changes a diaper as soon as it is wet or soiled;

e.        Ensures that toys provided for an enrolled infant or one- or two-year-old child are too large to swallow; and

f.         Does not permit an enrolled infant to use a walker;

2.        When putting an enrolled infant to sleep, a staff member:

a.        Places the enrolled infant on the enrolled infant’s back to sleep, unless the enrolled infant’s physician, physician assistant, or registered nurse practitioner has instructed otherwise in writing;

b.        Does not use a positioning device that restricts movement, unless the enrolled infant’s physician, physician assistant, or registered nurse practitioner has instructed otherwise in writing; and

c.        Does not use a mechanical restraint on the enrolled infant in a crib;

3.        When feeding an enrolled infant, a staff member:

a.        Prepares and stores the enrolled infant’s formula, breast milk, or other food according to written instructions from the enrolled infant’s parent;

b.        Feeds formula, breast milk, or other food to the enrolled infant according to current written instruc- tions from the enrolled infant’s parent; and

c.        If the enrolled infant is younger than six months of age or cannot hold a bottle for feeding, holds the enrolled infant for feeding; and

4.        When feeding an enrolled infant who is no longer being held for feeding or an enrolled one- or two-year-old child, a staff member:

a.        Seats the enrolled infant or one- or two-year-old child in a feeding chair or at a table with a chair that allows the enrolled infant or one- or two-year-old child to reach food while sitting; and

b.        If the feeding chair is manufactured with a safety strap, fastens the safety strap around the enrolled infant or one- or two-year-old child while the enrolled infant or one- or two-year-old child is seated in the feeding chair.

B.       A certificate holder shall ensure that a staff member:

1.        Consults with an enrolled child’s parent to establish a plan for toilet training for the enrolled child,

2.        Implements the toilet training plan,

3.        Provides the parent with information about the enrolled child’s progress in toilet training, and

4.        Ensures that toilet training is not forced on the enrolled child.

Historical Note

New Section made by final rulemaking at 10 A.A.R. 1214, effective September 1, 2004 (Supp. 04-1). Amended by exempt rulemaking at 17 A.A.R. 1530, effective September 30, 2011 (Supp. 11-3).