Cal. Code Regs. Tit. 22, § 102425 - Infant Safe Sleep
(a)
There shall be one crib or play yard for each infant who is unable to climb out
of the crib or play yard.
(1) All cribs or
play yards shall meet the United States Consumer Product Safety Commission
safety standards.
(2) Placement of
cribs or play yards shall not hinder entrance or exit to and from the space
where infants are sleeping.
(3)
Mattresses shall be firm and covered with a fitted sheet that is appropriate to
the mattress size, fits tightly on the mattress, and overlaps the underside of
the mattress so it cannot be dislodged.
(4) Mattresses shall be made specifically for
the size crib or play yard in which they are placed.
(5) Fitted sheets shall be replaced when wet
or soiled.
(6) Each infant's
bedding shall be used for him/her only. Bedding that touches the infant's skin
shall be cleaned at least weekly or before use by another infant.
(7) Soiled bedding shall be placed in a
closed container and made inaccessible to infants until
washed.
(b) Cribs or play
yards shall be free from all loose articles and objects.
(1) Pacifiers shall be allowed in the crib or
play yard if the following provisions are in place:
(A) There shall not be anything attached to
the pacifier.
(B) The pacifier
shall be specific to the infant it is being given to.
(2) Bumper pads shall not be used.
(3) There shall be no objects hanging above
or attached to the side of the crib.
(c) An Individual Infant Sleeping Plan [LIC
9227 (3/20)] shall be completed for each infant up to 12 months of age the
provider has in care and included in the infant's file at the facility.
(1) This plan shall be signed and dated by
the infant's authorized representative.
(2) The Individual Infant Sleeping Plan [LIC
9227 (3/20)] shall be maintained in the infant's file and shall be available to
the Department for review.
(d) The provider shall place infants up to 12
months of age on their backs for sleeping.
(1) This requirement shall not apply if the
infant has a written medical exemption from a licensed physician that allows
for an alternative sleep position. The exemption shall be attached to the
Individual Infant Sleeping Plan [LIC 9227 (3/20)] and contain the following
criteria:
(A) Instructions on how the infant
shall be placed to sleep, including sleep position.
(B) Duration the exemption is to be in
place.
(C) The licensed physician's
contact information.
(D) Signature
of the licensed physician and date of signature.
(2) Upon expiration of the medical exemption,
the provider shall follow all requirements set forth in Subsection
(d).
(3) The medical exemption
shall be included in the infant's file and be maintained as specified in
Section 102421.
(4) An infant with an Individual Infant
Sleeping Plan [LIC 9227 (3/20)] that has Section C of the form completed and
signed by an authorized representative shall be placed on their back when first
laid down to sleep. In the event the infant changes position, the infant may
remain in the alternative position.
(A) Upon
the provider's observation that the infant is capable of rolling from their
back to their stomach and stomach to their back, the provider shall fill out
Section D of the Individual Infant Sleeping Plan [LIC 9227 (3/20)], notify the
authorized representative, and obtain the authorized representative's signature
on the Individual Infant Sleeping Plan no later than the next business day
following observation.
(e) No infant shall be forced to sleep, to
stay awake, or to stay in the designated sleeping area.
(1) The provider is not prohibited from
scheduling sleep times for infants over 12 months old.
(f) An infant shall not be swaddled while in
care.
(g) An infant's head shall
not be covered while sleeping.
(h)
Car seats shall only be used for transportation purposes and shall not be used
for sleeping.
(i) If an infant
falls asleep before being placed in a crib or play yard, the provider shall
move the infant to a crib or play yard as soon as possible.
(j) The provider shall supervise infants
while they are sleeping and adhere to the following requirements:
(1) The provider shall physically check on
sleeping infants every 15 minutes.
(2) The provider shall document the
following:
(A) Labored breathing.
(B) Signs of distress, which includes but is
not limited to flushed skin color, increase in body temperature, and
restlessness.
(C) Infants up to 12
months of age who are sleeping in a position other than on their back.
1. If the infant's Individual Infant Sleeping
Plan [LIC 9227 (3/20)] does not have Section C completed, the provider shall
return the infant to their back for sleeping.
(D) Documentation shall be maintained in the
infant's file and be available to the Department for review. Documentation
shall include the following:
a.
Date.
b. Infant's name.
c. Time of each 15-minute
check.
(3) If
the provider observes labored breathing or signs of distress as specified in
Subsection (j)(2)(B), the provider shall do the following:
(A) Immediately notify the infant's
authorized representative.
(B)
Obtain specific instruction from the infant's authorized representative
regarding action to be taken and make prompt arrangements to obtain medical
treatment if necessary.
(C) There
shall be no delay in obtaining emergency medical treatment for the infant if
the infant's condition requires immediate attention.
(4) The provider shall be near enough to the
sleeping infant to be able to hear them wake up.
(5) If the infant is sleeping in a separate
room from where the provider is stationed, the door to the room the infant is
sleeping in shall remain open at all times.
(A) The provider shall be able to visually
observe the infant without moving the door.
(6) The provider shall be on the same floor
as the sleeping infant.
(7) A
digital video and audio monitoring device may be used in the home but shall not
be used in place of the requirements enumerated in Subsection
(j).
Notes
Note: Authority cited: Section 1596.81, Health and Safety Code. Reference: Section 1596.847, Health and Safety Code.
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