Section 400.8137. Diapering; toileting.

(1) Diapering shall occur in a designated diapering area that complies with all of the following:

(a)   Is physically separated from food preparation and food service.

(b)   Is within close proximity to a sink that is used exclusively for hand washing.

(c)   Has non-absorbent, smooth, easily cleanable surfaces in good repair.

(d)  Is of sturdy construction with railings or barriers to prevent falls.

(e)   Is at an adult work surface height.

(f)  Is washed, rinsed, and sanitized after each use.

(2)   Children 1 year of age and older may be changed in a bathroom standing up or on a nonabsorbent, easily sanitized surface with a changing pad between the child and the surface. Subrule (1)(e) of this rule does not apply.

(3)   Diapering supplies shall be within easy reach of the designated diapering area.

(4)   A plastic-lined, tightly covered container shall be used exclusively for disposable diapers and training pants and diapering supplies that shall be emptied and sanitized at the end of each day.

(5)    Only single-use disposable wipes or other single-use cleaning cloths shall be used to clean a child during the diapering or toileting process.

(6)   Diapers and training pants shall be checked frequently and changed when wet or soiled.

(7)   Guidelines for diapering shall be posted in diapering areas.

(8)   Disposable gloves, if used for diapering, shall only be used once for a specific child and be removed and disposed of in a safe and sanitary manner immediately after each diaper change.

(9)   The following shall apply when cloth diapers or training pants are used:

(a)    Each cloth diaper shall be covered with an outer waterproof covering. Outer coverings shall be removed as a singular unit with wet or soiled diapers and with wet or soiled training pants, if used.

(b)   Diapers, training pants, and outer coverings shall not be reused until washed and sanitized.

(c)   No rinsing of the contents shall occur at the center.

(d)  Soiled diapers shall be placed in a plastic-lined, covered container and used only for that child’s soiled diapers.

(e)   Soiled diapers or training pants shall be stored and handled in a manner that will not contaminate any other child contact items and shall not be accessible to children.

(f)   Soiled diapers or training pants shall be removed from the center every day by the child’s parent.

(g)   A child’s supply of clean diapers or training pants shall only be used for that child.

(10)    Toilet learning/training shall be planned cooperatively between the child’s regular caregivers and the parent so that the toilet routine established is consistent between the center and the child’s home.

(11)     Equipment used for toilet learning/training shall be provided. All of the following equipment is acceptable for toilet learning/training:

(a)   Adult-sized toilets with safe and easily cleanable modified toilet seats and step

aids.

(b)   Child-sized toilets.

(c)   Non-flushing toilets (potty chairs) if they are all of the following:

(i)   Made of a material that is easily cleanable.

(ii)   Used only in a bathroom area.

(iii)   Used over a surface that is impervious to moisture.

(iv)   Washed, rinsed, and sanitized after each use.

History: 2013 AACS.