(a) Safe conditions: - (i) There shall be a minimum of 50 square feet per infant or toddler if play and sleep space is combined. When not combined, 35 square feet of available play space shall be provided per child.
- (ii) When cribs, bassinets or play pens are used, the following applies:
- (A) Shall be separated by a space of not less than three (3) feet;
- (B) Shall comply with the manufacturer's instructions and in accordance with the Consumer Product Safety Commission's (CPSC) current standards: https://www.cpsc.gov/en/Safety-Education/Safety-Guides/Kids-and-Babies/Cribs/; and
- (C) Stacking cribs shall not be used.
(b) Sleeping infants shall: - (i) Be placed on their backs for sleeping, unless a licensed health care provider signs a waiver. If the infant has not been observed turning repeatedly from stomach to back and back to stomach by the provider, the infant shall be returned to his/her back for sleeping;
- (ii) Be placed on a firm, flat surface for sleeping;
- (iii) Have nothing placed in or over the crib, bassinet, or play pen;
- (iv) Pacifiers shall only be used when provided by the parent(s);
- (v) Have nothing placed over his/her head or face while sleeping;
- (vi) Be placed in the same or adjacent room with enough light to see each infant's face, to view the color of the infant's skin and to check on the infant's breathing;
- (vii) Be actively supervised by staff in an ongoing manner by checking on them for the above every five (5) minutes;
- (viii) Not be swaddled without a licensed health care professional statement, including instructions and a time frame for swaddling an infant, on file. Swaddling is prohibited for infants that have the ability to roll over independently. A one-piece sleeper or sack equipped with an attached system that fastens securely only across the upper torso may be used; however shall not restrict the arms, hips, or legs of the infant. The sleeper or sack shall be used to manufacturer's guidelines and shall not slide up around the infant's face; and
- (ix) Be moved as soon as possible if he/she falls asleep in any piece of infant equipment other than a crib.
(c) When four (4) or more infants are present, the facility shall have a staff person responsible who shall: - (i) Hold an Infant/Toddler Director Credential recognized by the Department;
- (ii) Be available for at least 50% of the work week, unless an exception by the licenser for good cause is given; and
- (iii) Require two (2) staff be in the facility at all times.
(d) Food Service for Infants: - (i) Staff may prepare bottles, when doing so must use an approved water source as outlined in Chapter 8, Section 2. Formula shall be stored in its original container and the manufacturer's mixing instructions shall be followed and any deviation from these instructions shall be accompanied by written instructions from a licensed health care provider.
- (ii) Expressed human milk shall:
- (A) Be labeled with a water-resistant label with the child's name and the date and time the milk was expressed; and
- (B) Be refrigerated immediately upon arrival at the facility.
- (iii) Bottle propping shall not be permitted. Infants shall receive individual direct care during feeding. Bottles shall not be left with a sleeping infant.
- (iv) Infants shall be fed on demand unless the parent provides written instructions otherwise.
- (v) All infant feeding shall be documented and available to parents daily.
049-4 Wyo. Code R. § 4-19