Ill. Admin. Code tit. 89, § 407.340 - Diapering and Toileting Procedures
a)
Each area serving children wearing diapers or disposable pull-ups shall have a
designated diapering area that includes at least the following:
1) An accessible hand-washing sink within the
same room without barriers such as doors, unless the before and school program
is exempt per Section 2.09(a)(ii) of the Child Care Act.
2) A changing surface that has an impervious,
non-absorbent surface.
3) Covered
receptacles conveniently located close to the changing surfaces for the
disposal of soiled diapers. These receptacles shall be washable, plastic lined
and tightly covered. There shall be separate containers for disposable diapers,
cloth diapers (if used) and soiled clothes and linens.
4) A supply of disposable latex
gloves.
5) Clearly posted
procedures for diaper changing, consistent with the following:
A) Have the following supplies ready before
bringing the child to the diapering area:
i)
Disposable wipes or fresh, wet paper towels;
ii) Diapers;
iii) Skin preparations prescribed by the
child 's doctor or requested by the child 's parent; and
iv) Disinfecting solution and paper towels
for cleaning up.
B) Lay
the child on the changing surface, taking care to minimize contact with the
child if his/her outer clothes are soiled.
C) Put on protective gloves.
D) Remove diaper and any soiled
clothes.
E) Clean the child 's
bottom from front to back with a fresh disposable wipe or a damp paper towel.
Aerosol or roll-on products shall not be used.
F) Dispose of disposable diapers, paper
towels and diaper wipes in covered receptacle. Put soiled clothes and cloth
diapers into a plastic bag to be sent home with the parent .
G) Remove disposable gloves. Wash hands or
wipe hands with a premoistened towelette and use another towelette to clean the
child 's hands.
H) Place clean
diaper on the child . Make sure child 's clothing is clean and dry. If not,
change child 's clothing.
J) Return the child to a supervised
area.
K) Clean visible soil from
the changing table with paper towels or disposable wipes.
L) Clean and disinfect the diapering
area.
M) Wash adult hands, using
procedures outlined in Section 407.320.
b) The diapering area shall be separate from
any food preparation areas, and shall never be used for the temporary placement
or serving of food.
c) Changing
surfaces shall be cleaned and sanitized between each diaper change.
d) Diaper receptacles shall be cleaned and
sanitized daily.
e) Diapers shall
be able to contain urine and stool and minimize fecal contamination of the
child , caregivers, environmental surfaces and objects of the child care
center.
f) If cloth diapers are
used, soiled cloth diapers and/or soiled training pants shall never be rinsed.
The fecal content may be placed in the toilet, but the diaper shall not be
rinsed.
g) Toilet-training
equipment shall be provided for children being toilet-trained.
1) Child -sized toilets or safe and cleanable
step aids and modified toilet seats shall be available.
2) If used, the contents of potty chairs
shall be dumped in the toilet, and the potty chair shall be cleaned and
sanitized between each use.
3)
Toilet-training equipment shall not be counted as toilets in the toilet/child
ratio.
h) Lavatories
(hand-washing sinks) and toilet facilities shall be provided in the ratios
specified below. Although potty chairs are allowed when children are being
toilet-trained, potty chairs are not counted when determining compliance with
these ratios. Partially exempt programs are exempt from this standard. For
restrooms used exclusively by school-age children, urinals may constitute 25
percent of the required toilets in day care centers with restrooms shared by
both genders and 50 percent of the required toilets in boys' restrooms in day
care centers with gender-specific restrooms.
Capacity of |
Number of Toilets |
Number of Lavatories |
||
(excluding infants) |
||||
1 to 10 |
1 |
1 |
||
11 to 25 |
2 |
2 |
||
26 to 50 |
3 |
3 |
||
51 to 75 |
4 |
4 |
||
76 to 100 |
5 |
5 |
||
101 to 125 |
6 |
6 |
||
126 to 150 |
7 |
7 |
||
151 to 175 |
8 |
8 |
||
Per every 25 more children |
1 more |
1 more |
i) Toilets and lavatories shall be
readily accessible to the children. If toilets are not located near the
children's activity areas, an adult shall accompany children 4 years of age or
younger.
j) If toilets and
lavatories are not child -sized, non-absorbent safe steps shall be
provided.
k) Hot and cold running
water shall be provided.
1) Hot water supplied
to plumbing fixtures used by children shall be tempered or thermostatically
controlled to less than 115° F.
2) In areas serving infants and toddlers,
water shall be mixed through one mixing valve.
l) Mild liquid soap and single-use towels or
automatic dryers shall be provided. Towels may be disposable. Automatic dryers
shall not be used for infants and toddlers.
m) Toilet and hand-washing areas for
school-age children shall be enclosed to provide for privacy.
n) Toilets and lavatories shall be readily
accessible for staff use.
o)
Children and staff shall wash hands thoroughly according to Section
407.320 after using
the toilet or assisting in toileting, and after each diaper change.
Notes
Amended at 34 Ill. Reg. 4700, effective March 22, 2010
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