8 Colo. Code Regs. § 1402-1-2.324

Current through Register Vol. 47, No. 11, June 10, 2024

Section 8 CCR 1402-1-2.324 - PERSONAL HYGIENE, HAND WASHING AND BATHING, DIAPERING AND TOILETING, AND CLEANING TOYS

A. Hand Washing and Bathing

1. Primary providers, applicant 2, equally qualified providers, qualified substitutes, staff members, and children must wash their hands using the following procedures:

a. Moisten hands with warm running water;

b. Apply soap;

c. Rub hands vigorously until a soapy lather appears;

d. Continue washing for at least twenty (20) seconds outside of the water, rubbing areas between fingers, around nail beds, under fingernails, under jewelry and the backs of hands;

e. Rinse hands under warm running water until they are free of soap and dirt; and

f. Dry hands with a disposable towel, a clean cloth towel laundered after use, or a mechanical drying device.

2. Primary providers, applicant 2, equally qualified providers, qualified substitutes, staff members, and children toddler-aged and older must wash their hands at the following times:

a. Upon arrival for the day;

b. Before and after:

1) Preparing food or beverages;

2) Eating, handling food, or feeding a child;

3) Giving medication, applying a medical ointment or cream, or administering first aid; and

4) Setup or use of sensory materials.

c. After:

1) Using the toilet or assisting a child with toileting;

2) Diapering each child;

3) Handling body fluids;

4) Handling animals or cleaning up animal waste;

5) Coming in from outdoors;

6) Cleaning or handling garbage; and

7) At any other time the hands become soiled.

3. Infants must have their hands washed with:

a. Soap and running water;

b. A clean cloth that contains soap and is laundered after each use; or

c. The use of soap and warm water solution dispensed from a clean spray bottle, followed by a rinse before drying with a clean cloth or disposable towel.

4. Infants hands must be washed:

a. Before and after meals and snacks; and

b. After:

1) Having their diaper changed;

2) Coming in from outdoors; and

3) Whenever their hands become soiled.

5. Hand washing areas should promote self-help skills to include, but not be limited to, sturdy and age-appropriate step stools, soap, and single-use or disposable towels accessible to children.

6. Hand washing areas shall be routinely disinfected when visibly dirty and after any use of the area for tasks other than hand washing including immediately after the sink is used to clean tanks, feeders, water containers and any equipment used by pets or animals.

7. Hand sanitizers and wipes are not acceptable alternatives to hand washing except on outings where running water may be unavailable. Alcohol based hand sanitizers shall not be used for children under three (3) years of age.

8. When a child is bathing, the bath water must be between ninety (90) and one hundred and twenty (120) degrees. Children under five (5) years of age must not be left unattended while being bathed. For children over five (5) years of age, primary providers or staff members must periodically check on the child and be able to hear children at all times while bathing.

9. If towels are used for bathing or recreational activities, each child must have an assigned towel that is used consistently, doesn't touch other towels, and is laundered weekly or more often if needed.

10. Children's towels and drinking cups must not be shared.

B. Diapering and Toileting

1. The family child care home must comply with the following for toileting needs:

a. Toilets must be flushed between uses; and

b. Non-flushing toilets and toilet inserts must be disinfected after each use.

2. The family child care home must have a designated diaper change area for all children in need of diaper changing. The diaper change area must:

a. Have a smooth, durable, nonabsorbent, and easily cleanable surface;

b. Be large enough to accommodate the size of the child being changed;

c. Be located to the closest handwashing sink that is not used for food preparation;

3. The following procedure must be followed each time a diaper is changed:

a. Diapers must be checked for wetness or feces at least every two (2) hours, or whenever the child indicates discomfort or exhibits behavior that suggests a soiled or wet diaper. Soiled or wet diapers and clothing must be changed promptly and be replaced with clean diapers and clothing whenever necessary;

b. Children being diapered must be within arm's reach of the provider or staff member and actively supervised throughout the diapering process;

c. All supplies needed for diaper changing must be placed at the diaper changing area before the child is brought to the changing area;

d. The child must be placed on a clean, disinfected, dry changing table or mat;

e. Primary providers, applicant 2, equally qualified providers, qualified substitutes, and staff members must use single use disposable gloves;

f. Use closest hand washing sink to the diaper changing area that is not used for food preparation;

g. Children's hands must be washed with soap and water after diapering;

h. Primary providers, applicant 2, equally qualified providers, qualified substitutes, and staff members must clean and disinfect the diaper changing area after each diaper change;

i. Primary providers, applicant 2, equally qualified providers, qualified substitutes, and staff members must vigorously clean all parts of their hands with soap and warm running water and dry their hands with single-use or disposable towels after diapering each child;

j. During child care hours, clothing soiled by bodily fluids must be placed in a leak proof container. The container must be stored inaccessible to children and sent home on a daily basis;

k. Parent(s) or provider(s) must provide extra clothing; and

l. For each child who is learning to use a toilet, the primary provider must accommodate the child's individual developmental abilities and needs, and as contained in the provider's written policies and procedures;

C. Cleaning Toys

1. Toys that are not mouthed or otherwise contaminated by body fluids must be cleaned and sanitized at least once a week and whenever visibly soiled.

2. Toys that are placed in children's mouths or are otherwise contaminated by body fluids must be cleaned and sanitized prior to use by another child.

3. Toys that are contaminated by feces, urine, vomit, blood, or other bodily fluids must be cleaned and disinfected.

4. Toys, tables, or any item that could be placed in children's mouths must be rinsed after disinfection.

8 CCR 1402-1-2.324

47 CR 04, February 25, 2024, effective 3/16/2024