R430-90-15. Health and Infection Control

  (1) The building, furnishings, equipment, and outdoor area shall be kept clean and sanitary including:

  (a) walls, and flooring shall be clean and free of spills, dirt, and grime;

  (b) areas and equipment used for the storage, preparation, and service of food shall be clean and sanitary;

  (c) surfaces used by children shall be free of rotting food or a build-up of food;

  (d) the building and grounds shall be free of a build-up of litter, trash, and garbage; and

  (e) the facility shall be free of animal feces.

  (2) The provider shall take safe and effective measures to prevent and eliminate the presence of insects, rodents, and other pests.

  (3) All toys and materials including those used by infants and toddlers shall be cleaned:

  (a) at least weekly or more often if needed,

  (b) after being put in a child's mouth and before another child plays with the toy, and

  (c) after being contaminated by a body fluid.

  (4) Fabric toys and items such as stuffed animals, cloth dolls, pillow covers, and dress-up clothes shall be machine washable and washed weekly, and as needed.

  (5) Highchair trays shall be cleaned and sanitized before each use.

  (6) Water play tables or tubs shall be cleaned and sanitized daily, if used by the children.

  (7) Bathroom surfaces including toilets, sinks, faucets, and counters shall be cleaned and sanitized each day.

  (8) Potty chairs shall be cleaned and sanitized after each use.

  (9) Toilet paper shall be accessible to children and kept in a dispenser.

  (10) Only single-use paper towels or individually labeled cloth towels shall be used to dry a child's hands.

  (11) If cloth towels are used:

  (a) they shall not be shared by children, caregivers, or volunteers; and

  (b) towels shall be washed daily.

  (12) Staff and volunteers shall wash their hands thoroughly with soap and running water at required times including:

  (a) before handling or preparing food or bottles,

  (b) before and after eating meals and snacks or feeding a child,

  (c) after using the toilet or helping a child use the toilet,

  (d) after contact with a body fluid,

  (e) when coming in from outdoors, and

  (f) after cleaning up or taking out garbage.

  (13) Caregivers shall teach children how to wash their hands thoroughly and shall oversee handwashing whenever possible.

  (14) The provider shall ensure that children wash their hands thoroughly with soap and running water at required times including:

  (a) before and after eating meals and snacks,

  (b) after using the toilet,

  (c) after contact with a body fluid,

  (d) before using a water play table or tub, and

  (e) when coming in from outdoors.

  (15) Personal hygiene items, such as toothbrushes, combs, and hair accessories, shall not be shared and shall be stored so they do not touch each other, or they shall be sanitized between each use.

  (16) Pacifiers, bottles, and nondisposable drinking cups shall:

  (a) be labeled with each child's name or individually identified; and

  (b) not shared, or washed and sanitized before being used by another child.

  (17) A child's clothing shall be promptly changed if the child has a toileting accident.

  (18) If a child's clothing is wet or soiled from a body fluid, the provider shall ensure that:

  (a) the clothing is washed and dried, or

  (b) the clothing is placed in a leakproof container that is labeled with the child's name and returned to the parent.

  (19) Staff shall take precautions when cleaning floors, furniture, and other surfaces contaminated by blood, urine, feces, and vomit. Except for diaper changes and toileting accidents, staff shall:

  (a) wear waterproof gloves;

  (b) clean the surface using a detergent solution;

  (c) rinse the surface with clean water;

  (d) sanitize the surface;

  (e) throw away in a leakproof plastic bag the disposable materials, such as paper towels, that were used to clean up the body fluid;

  (f) wash and sanitize any nondisposable materials used to clean up the body fluid, such as cleaning cloths, mops, or reusable rubber gloves, before reusing them; and

  (g) wash their hands after cleaning up the body fluid.

  (20) A child who becomes ill with an infectious disease while in care shall be made comfortable in a safe, supervised area that is separated from the other children.

  (21) If a child becomes ill while in care, the provider shall contact the child's parent as soon as the illness is observed or suspected.

  (22) The parents of every child in care shall be informed when any child, employee, or person in the home has an infectious disease or parasite. Parents shall be notified on the day the illness is discovered.

  (23) When any child or employee has an infectious disease, an unusual or serious illness, or a sudden onset of an illness, the provider shall notify the local health department on the day the illness is discovered.