Section R430-90-24 - Infant and Toddler Care(1) The provider shall ensure that each awake infant and toddler receives positive physical and verbal interaction with a caregiver at least once every 20 minutes.(2) To stimulate their healthy development, the provider shall ensure that infants receive daily interactions with adults, including on the ground interaction and closely supervised time spent in the prone position for infants less than six months old.(3) The provider shall ensure that caregivers respond promptly to infants and toddlers who are in emotional distress due to conditions including hunger, fatigue, a wet or soiled diaper, fear, teething, or illness.(4) For their healthy development, the provider shall make safe toys available and accessible for each infant and toddler to engage in play.(5) The provider shall ensure that mobile infants and toddlers have freedom of movement in a safe area.(6) The provider may not confine an awake infant or toddler in any piece of equipment, including a swing, high chair, crib, playpen, or other similar piece of equipment for more than 30 minutes.(7) The provider shall ensure that only one infant or toddler occupies any one piece of equipment at a time, unless the equipment has individual seats for more than one child.(8) The provider shall make objects made of styrofoam inaccessible to infants and toddlers.(9) The provider shall allow each infant and toddler to eat and sleep on their own schedule.(10) The provider shall ensure that baby food, formula, or breast milk that is brought from home for an individual infants and toddlers use is: (a) labeled with the child's name;(b) labeled with the date and time of preparation or opening of the container, including a jar of baby food;(c) refrigerated if needed; and(d) discarded within 24 hours of preparation or opening, except for unprepared powdered formula or dry food.(11) If an infant cannot sit upright and hold their own bottle, the provider shall ensure that a caregiver is within arm's reach of each infant during bottle feeding and that bottles are not propped.(12) The provider shall ensure that the caregiver swirls and tests warm bottles for temperature before feeding to children.(13) The provider shall discard formula and milk, including breast milk, after feeding or within two hours of starting a feeding.(14) The provider shall ensure that caregivers cut solid foods for infants into pieces no larger than 1/4 inch in diameter, and cut solid foods for toddlers into pieces no larger than 1/2 inch in diameter.(15) The provider shall ensure that infants sleep in equipment designed for sleep including a crib, bassinet, porta-crib or playpen, and that infants are not placed to sleep on a mat, cot, pillow, bouncer, swing, car seat, or other similar piece of equipment.(16) The provider shall place infants on their backs for sleeping unless there is documentation from a health care provider requiring a different sleep position.(17) The provider may not place soft toys, loose blankets, or other objects in sleep equipment while in use by sleeping infants.Utah Admin. Code R430-90-24
Amended by Utah State Bulletin Number 2016-4, effective 1/31/2016Amended by Utah State Bulletin Number 2018-1, effective 12/28/2017Amended by Utah State Bulletin Number 2018-16, effective 8/10/2018Adopted by Utah State Bulletin Number 2020-17, effective 9/1/2020Amended by Utah State Bulletin Number 2022-12, effective 6/1/2022Amended by Utah State Bulletin Number 2023-22, effective 11/9/2023