28. Diapering and Soiled Clothes

Question 1

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Answer 1

When children in diapers are in care, child care personnel must follow specific procedures for diapering and handwashing.

Question 2

Diaper-changing Area

Answer 2

~ a diaper-changing area with an impermeable surface must be available
~ any surface that has been touched during diapering must be cleaned and sanitized or disinfected after each time a child’s diaper is changed
~ the diaper-changing area must be physically separated from the food preparation, food service, and feeding areas
~ diaper-changing procedures must be posted in the changing area and followed

Question 3

Hand-washing Station

Answer 3

~ a handwashing station must be available in the room, or an adjoining room that opens into the room
~ the handwashing station must include a sink with running water, soap, a trash receptacle, and disposable towels or a properly installed hand-drying machine
~ the hands of staff and children must be washed and dried thoroughly after each diaper change or use of a toilet

Question 4

Supervision

Answer 4

~ children must be directly attended to at all times when being diapered or when changing clothes to prevent falls or injuries
~ a safety strap or harness cannot be used in place of providing direct care for the child being changed
~ there must be a supply of clean diapers, clothing, and linens available at all times, and any items not related to diaper changing shall not be stored in the diaper-changing area or placed on the diaper-changing station

Question 5

When diapers, clothing, or linens become soiled or wet, they must be changed immediately and properly handled as follows:

Answer 5

• Soiled or wet diapers must be disposed of in a plastic-lined, securely covered container that is not accessible to children, which is emptied, cleaned, and sanitized or disinfected at least daily
• Soiled cloth diapers must be emptied of feces in the toilet and placed in a securely covered container that is not accessible to children, which is emptied, cleaned, and sanitized or disinfected at least daily
• Soiled clothing must not be rinsed in the toilet or elsewhere; it should be placed in a plastic-lined, hands-free plastic bag so it can be sent home to be cleaned