Current through Register Vol. XLI, No. 50, December 13, 2024
Section 78-1-17 - Sanitation17.1. Personal Hygiene. All individuals on the center premises or participating in center activities shall practice good personal hygiene, including: 17.1.a. Hand Washing. 17.1.a.1. Staff members shall wash their hands before starting work; and17.1.a.2. Staff members and children shall wash their hands with soap and warm, running water for at least 20 seconds: 17.1.a.2.A. When hands are contaminated with body fluids;17.1.a.2.B. Before preparing, handling, or serving food, or setting the table;17.1.a.2.C. After toileting, handling diapers, or assisting a child with toilet use;17.1.a.2.D. Before and after eating meals or snacks;17.1.a.2.E. After handling pets or other animals;17.1.a.2.F. Before giving medication;17.1.a.2.G. After playing outdoors;17.1.a.2.H. After handling garbage; and17.1.a.2.I. After removing gloves used for any purpose.17.1.b. Universal Precautions. With the exception of breast milk, staff members shall adopt universal precautions when exposed to blood and body fluids that might contain blood; and17.1.c. Diapering and Toileting. A center shall ensure that diapering and toilet training follow the guidelines in Appendix 78-1-D of this rule.17.1.c.1. Toilet Training.17.1.c.1.A. A center shall discuss with the parent and document in the child's record the toilet-training methods to be used with the child being trained.17.1.c.1.B. Staff members shall not use any form of punishment in connection with toilet training.17.1.c.1.C. Staff members shall not force a child to sit on a potty or training chair.17.1.c.2. Toilet Equipment and Fixtures. 17.1.c.2.A. A center shall disinfect the potty or training chairs after each use; and17.1.c.2.B. A center shall provide toilet fixtures that are sized so that the child can use them without assistance, and provide step stools, or modified toilet seats that are safe and easily disinfected.17.2. Physical Facilities. 17.2.a. A center shall keep all areas of the premises and all equipment clean and in a neat and orderly condition at all times.17.2.b. The center shall ensure that floors, walls, and ceiling are of easily cleanable material.17.2.c. The center shall ensure that the floor area immediately adjacent to the diaper changing table has a moisture-resistant, non-absorbent surface extending three feet from the base of the table on all sides, except when one side of the table is against a wall.17.2.d. The center shall have a hand-washing sink located in the immediate area of the diaper-changing space. Centers licensed prior to the effective date of this rule are not out of compliance with this requirement if the existing diaper-changing space does not include a hand-washing sink in the immediate area. Upon the effective date of this rule, the Department shall not approve an additional diaper-changing space without a sink in the immediate area.