Ariz. Admin. Code § 9-5-503

Current through Register Vol. 30, No. 40, October 4, 2024

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 changing 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 procedure is posted and implemented in each diaper changing area.

E. A licensee shall ensure that the written diaper changing procedure 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 running water between 86° F and 110° F before and after each diaper change;

5. Washes each enrolled child's hands with soap and running 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, documentation 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 premises for 12 months after the date of the diaper changing 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 outside the facility building.

Ariz. Admin. Code § R9-5-503

Adopted effective December 12, 1986 (Supp. 86-6). Section 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).