144.1 A Licensee shall establish and implement a written policy regarding hand washing that addresses the following areas:
(a) Under what circumstances hand washing and hand sanitizing are required for staff, volunteers, and children;(b) Specific hand washing and hand sanitizing procedures; and(c) Ongoing monitoring by the Center Director or Caregiver to ensure that proper hand washing procedures are followed by staff, volunteers, and children.144.2 A Licensee shall post in all food preparation, diapering, toileting areas, and other designated hand washing areas the circumstances when children and staff shall perform hand hygiene.
144.3 A Licensee shall ensure that all staff and volunteers wash their hands in, at least, the following circumstances:
(a) Upon arrival for the day, after breaks or when moving from one group to another;(b) Before and after: (1) Preparing food or beverages;(2) Eating, drinking or handling food;(3) Handling clean utensils or equipment;(5) Assisting or training a child in feeding or toileting; or(6) Providing any medication or applying any medical ointment or cream.(c) After: (1) Personal use of the toilet;(2) Handling or contact with body secretions, such as blood, urine, stool, mucus, saliva, or drainage from wounds;(3) Removing disposable gloves;(4) Caring for a sick child;(5) Handling animals or cleaning up animal excrement; or(6) Cleaning or handling garbage.144.4 A Licensee shall ensure that all children wash their hands in, at least, the following circumstances:
(a) Upon arrival for the day, after breaks or when moving from one group to another;(b) Before and after eating, drinking, or handling food;(c) After: (1) Personal use of the toilet;(2) Outdoor activities; or144.5 A Licensee shall ensure that designated hand washing areas are equipped with sinks with running water, soap, single-use paper towels or an air hand dryer, and are restricted from use for washing utensils and bottles.
D.C. Mun. Regs. tit. 5, r. 5-A144
Final Rulemaking published at 63 DCR 14640 (12/2/2016)