Section R9-5-503. Standards for Diaper Changing

A.      A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:

1.        A nonabsorbent, sanitizable diaper changing surface that is:

a.        Seamless and smooth, and

b.        Kept clear of items not required for diaper changing;

2.        A hand-washing sink next to the diaper changing surface for staff use when changing diapers and for washing an enrolled child during or after diapering, that provides:

a.        Running water between 86° F and 110° F,

b.        Soap from a dispenser, and

c.        Single-use paper hand towels from a dispenser;

3.        At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled diapers; and

4.        At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled clothing.

B.       A licensee shall ensure that a staff member does not:

1.        Permit a bottle, formula, food, eating utensil, or food preparation in a diaper changing area;

2.        Draw water for human consumption from a diaper chang- ing area sink; or

3.        Except as provided in subsection (C), if responsible for food preparation, change diapers until food preparation duties have been completed for the day.

C.      A staff member who provides child care services to an infant:

1.        May throughout the time the staff member provides child care services to the infant:

a.        Change the infant’s diaper, and

b.        Prepare the infant’s formula or cereal; and

2.        Is prohibited from other food preparation after changing the infant’s diaper.

D.      A licensee shall ensure that a written diaper changing proce- dure is posted and implemented in each diaper changing area.

E.       A licensee shall ensure that the written diaper changing proce- dure in subsection (D) states that an enrolled child’s diaper is changed as soon as it is soiled, and that a staff member, when diapering:

1.        Uses a separate wash cloth and towel only once for each enrolled child;

2.        Washes and dries the enrolled child using the enrolled child’s individual personal products labeled with the enrolled child’s name;

3.        Uses single-use non-porous gloves;

4.        Washes the staff member’s own hands with soap and run- ning water between 86° F and 110° F before and after each diaper change;

5.        Washes each enrolled child’s hands with soap and run- ning water between 86° F and 110° F after each diaper change;

6.        Cleans, sanitizes, and dries the diaper changing surface following each diaper change; and

7.        Uses single-use paper towels from a dispenser to dry the diaper changing surface or the hands of the enrolled child or staff member.

F.       A licensee shall ensure that in an activity area with a diaper changing area:

1.        The containers required in subsections (A)(3) and (4) are inaccessible, and

2.        A staff member:

a.        Documents each diaper change:

i.         For an infant, in the infant’s dated, daily, docu- mentation required in R9-5-502(C)(1)(d); or

ii.        For an enrolled child who is not an infant, in a dated diaper changing log.

b.        Maintains the diaper changing log on facility prem- ises for 12 months after the date of the diaper chang- ing log;

c.        Empties clothing soiled with feces into a flush toilet without rinsing;

d.        Places an enrolled child’s clothing soiled by feces or urine in a plastic bag labeled with the enrolled child’s name, stores the clothing in a container used for this purpose, and sends the clothing home with the enrolled child’s parent; and

e.        Removes disposable diapers and disposable training pants from a diaper changing area as needed or at least twice every 24 hours to a waste receptacle out- side the facility building.

Historical Note

Adopted effective December 12, 1986 (Supp. 86-6). Sec- tion repealed; new Section adopted effective October 17, 1997 (Supp. 97-4). Amended by exempt rulemaking at 16

A.A.R. 1564, effective September 30, 2010 (Supp. 10-3).