Current through November, 2024
Section 17-800-44 - Sleeping areas for children in care(a) For a child less than one year of age, the provider shall ensure the following: (1) Areas where children sleep are kept ventilated and at a safe temperature;(2) That each child has a separate crib or playpen;(3) That cribs or playpens used for care have not been recalled by the United States consumer product safety commission; provided that a recalled item may be used if repaired in accordance with the manufacturer's standards, and the provider maintains a record of the repair;(4) Not allowing for any other sleeping arrangement, including bed-sharing;(5) Placing the child on his or her back to sleep, unless written instructions for an alternative sleep position are on file from one of the following:(A) A physician who is licensed to practice medicine or osteopathic medicine (M.D. or O.D.);(B) A physician assistant (PA);(C) An advanced practice registered nurse (APRN) licensed to practice in any of the states or territories of the United States; or(D) A nurse practitioner (NP) licensed by the State of Hawaii.(6) Moving the child to a crib or playpen for the remainder of the nap when the child falls asleep in a location or in equipment other than a crib or playpen;(7) Monitoring and periodically checking on a sleeping child;(8) The crib or playpen has a clean, tightly-fitted sheet; and(9) The crib or playpen does not have any bedding or toys placed in with a child.(b) For a child one year of age and older, the provider shall ensure the following: (1) Areas where children sleep are kept ventilated and at a safe temperature; and(2) Individual napping arrangements, where each child shall have his or her own mat, rug, cot, bed, or blanket.[Eff 8/6/2021] (Auth: HRS §§ 346-14 and 346-152.5) (Imp: §§ 346-14 and 346-152.5; 45 C.F.R. Part 98)