R381-60-23. Diapering

  If the provider accepts children who wear diapers:

  (1) The provider shall post diapering procedures at each diapering station and ensure that they are followed.

  (2) Caregivers shall ensure that each child's diaper is:

  (a) checked at least once every 2 hours,

  (b) promptly changed when wet or soiled, and

  (c) checked as soon as a sleeping child awakens.

  (3) Caregivers shall change children's diapers at a diapering station. Diapers shall not be changed on surfaces used for any other purpose.

  (4) The diapering surface shall be smooth, waterproof, and in good repair.

  (5) Each diapering station shall be equipped with railings to prevent a child from falling when being diapered.

  (6) Caregivers shall not leave children unattended on the diapering surface.

  (7) Caregivers shall clean and sanitize the diapering surface after each diaper change, or use a disposable, waterproof diapering surface that is thrown away after each diaper change.

  (8) Caregivers shall wash their hands after each diaper change.

  (9) Caregivers shall place wet and soiled disposable diapers:

  (a) in a container that has a disposable plastic lining and a tight-fitting lid,

  (b) directly in an outdoor garbage container that has a tight-fitting lid, or

  (c) in a container that is inaccessible to children.

  (10) Indoor containers where wet and soiled diapers are placed shall be cleaned and sanitized each day.

  (11) If cloth diapers are used:

  (a) they shall not be rinsed at the facility; and

  (b) they shall be placed directly into a leakproof container that is inaccessible to any child and labeled with the child's name, or placed in a leakproof diapering service container.