8 Va. Admin. Code § 20-790-760 - Hand washing and toileting procedures
A. When hand washing, the following shall
apply.
1. Children's hands shall be washed
with soap and running water or disposable wipes before and after eating meals
or snacks.
2. Children's hands
shall be washed with soap and running water after toileting and any contact
with blood, feces, or urine.
3.
Staff shall wash their hands with soap and running water before and after
helping a child use the toilet or changing a diaper, after the staff member
uses the toilet, after any contact with body fluids, and before feeding or
helping children with feeding, and before preparing or serving food or
beverages.
4. If running water is
not available, a germicidal cleansing agent administered per manufacturer's
instruction may be used.
B. Diapering requirements are as follows:
1. The diapering area shall be accessible and
within the building used by children.
2. There shall be sight and sound supervision
for all children when a child is being diapered.
3. The diapering area shall have:
a. Access to a sink with running warm water
not to exceed 120&°F;
b.
Soap, disposable towels, and single-use gloves such as surgical or examination
gloves;
c. A nonabsorbent surface
for diapering or changing shall be used. For children younger than three years,
this surface shall be a changing table or countertop designated for
changing;
d. The appropriate
disposal container as required by subdivision 6 of this subsection;
and
e. A leak-proof covered
receptacle for soiled linens.
4. When a child's clothing or diaper becomes
wet or soiled, the child shall be cleaned and changed immediately upon
discovery.
5. Disposable diapers
shall be used unless the child's skin reacts adversely to disposable
diapers.
6. Disposable diapers
shall be disposed in a leak-proof or plastic-lined storage system that is
either foot-operated or used in such a way that neither the staff member's hand
nor the soiled diaper touches an exterior surface of the storage system during
disposal.
7. When cloth diapers are
used, a separate leak-proof storage system as specified in subdivision 6 of
this subsection shall be used.
8.
The diapering surface shall be used only for diapering or cleaning children,
and it shall be cleaned with soap and at least room temperature water and
sanitized after each use. Tables used for children's activities or meals shall
not be used for changing diapers. Individual disposable barriers may be used
between each diaper change. If the changing surface becomes soiled, the surface
shall be cleaned and sanitized before another child is diapered.
9. Staff shall ensure the immediate safety of
a child during diapering.
C. For every 10 children in the process of
being toilet trained, there shall be at least one toilet chair or one
child-sized toilet, or at least one adult sized toilet with a platform or steps
and adapter seat.
1. The location of these
items shall allow for sight and sound supervision of children in the classroom
if necessary for the required staff-to-children ratios to be
maintained.
2. Toilet chairs shall
be emptied promptly and cleaned and sanitized after each use.
Notes
Statutory Authority: §§ 22.1-16 and 22.1-289.046 of the Code of Virginia.
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