Utah Admin. Code R381-100-15 - Health and Infection Control
(1) The provider shall maintain the building,
furnishings, equipment, and outdoor area including keeping:
(a) any frequently touched surface, including
each doorknob and light switch, clean and sanitized;
(b) each area and any equipment used for the
storage, preparation, and service of food clean and sanitized;
(c) each surface free of rotting food or a
build-up of food;
(d) each wall and
floor clean and free of spills, dirt, and grime;
(e) the building and grounds free of a
build-up of litter and garbage; and
(f) the building and grounds 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) The provider shall clean and sanitize any
toy and material used by a child:
(a) at least
once a week 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) The provider
shall ensure that any fabric toy and item including any stuffed animal, cloth
doll, pillow cover, and dress-up clothing is machine washable and if used,
washed at least each week or as needed.
(5) The provider shall clean and sanitize
each highchair tray before each use.
(6) The provider shall clean and sanitize
each water play table or tub daily, if used by a child.
(7) The provider shall clean and sanitize
each bathroom surface including each toilet, sink, faucet, toilet and sink
handle, and counter each business day.
(8) The provider shall clean and sanitize
each potty chair after each use.
(9) The provider shall ensure that toilet
paper is accessible and kept in a dispenser that is accessible to each
child.
(10) The provider shall post
handwashing procedures that are readily visible from each handwashing sink and
shall ensure that each staff follow the procedures.
(11) The provider shall ensure that each
staff member and volunteer washes their hands thoroughly with liquid soap and
running water:
(a) after cleaning up or taking
out garbage;
(b) after contact with
a body fluid;
(c) after using the
toilet or helping a child use the toilet;
(d) before and after eating meals and snacks
or feeding a child;
(e) before
handling or preparing food or bottles;
(f) upon arrival; and
(g) when coming in from outdoors.
(12) The provider shall ensure
that each caregiver teaches each child how to wash the child's hands thoroughly
and that the caregiver oversees handwashing when possible.
(13) The provider shall ensure that each
child washes their hands thoroughly with liquid soap and running water:
(a) after contact with a body
fluid;
(b) after using the
toilet;
(c) before and after eating
meals and snacks;
(d) before using
a water play table or tub;
(e) upon
arrival; and
(f) when coming in
from outdoors.
(14) The
provider shall ensure that only single-use towels from a covered dispenser or
an electric hand dryer is used to dry hands.
(15) The provider shall ensure that any
personal hygiene items, including a toothbrush, comb, and hair accessory, are
not shared and are stored so they do not touch each other or they are sanitized
between each use.
(16) The provider
shall ensure that any pacifier, bottle, and nondisposable drinking cup is:
(a) labeled with each child's name or
individually identified; and
(b)
not shared, or washed and sanitized before being used by another
child.
(17) The provider
shall ensure the prompt change of a child's clothing if the child has a
toileting accident.
(18) The
provider shall ensure that a child's clothing that is wet or soiled from a body
fluid is:
(a) not rinsed or washed at the
center;
(b) placed in a leakproof
container that is labeled with the child's name; and
(c) returned to the parent or thrown away
with parental consent.
(19) The provider shall ensure that staff
take precautions when cleaning any floor, furniture, or other surface
contaminated by blood, urine, feces, or vomit, and ensure that, except for
diaper changes and toileting accidents, staff cleaning these bodily fluids
shall:
(a) clean the surface using a detergent
solution;
(b) rinse the surface
with clean water;
(c) sanitize the
surface;
(d) throw away, in a
leakproof plastic bag, any disposable material, including paper towels, that
were used to clean up the body fluid;
(e) wash and sanitize any non-disposable
material used to clean up the body fluid, including any cleaning cloth, mop, or
reusable rubber glove, before reusing it;
(f) wear waterproof gloves; and
(g) wash their hands after cleaning up the
body fluid.
(20) The
provider may not care for a child who is ill with an infectious disease at the
center except when the child shows signs of illness after arriving at the
center.
(21) If a child becomes ill
while in care:
(a) the provider shall contact
the child's parent or, if the parent cannot be reached, an individual listed as
the emergency contact to immediately pick up the child; and
(b) if the child is ill with an infectious
disease, the provider shall make the child comfortable in a safe, supervised
area that is separated from any other child until the parent arrives.
(22) If 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
provider discovers the illness.
(23) If any staff member or child has an
infectious disease or parasite, the provider shall post a notice at the center
that:
(a) does not disclose any personal
identifiable information;
(b) is
posted and dated on the same day that the disease or parasite is
discovered;
(c) is posted in a
conspicuous place where it can be seen by parents; and
(d) remains posted for at least five business
days.
(24) To prevent
contamination of food, the spread of foodborne illnesses, and other diseases,
the provider shall ensure that:
(a) an
individual who cares for any diapered child only prepares food for the children
in their care, and they do not:
(i) prepare
food outside of the room used by any diapered child; or
(ii) prepare food for any other child and
adult in the facility;
(b) an individual who prepares food in the
kitchen does not help in toileting any child; and
(c) an individual with an infectious disease,
or showing symptoms including diarrhea, fever, coughing, or vomiting, does not
prepare or serve foods.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
(1) The provider shall keep the building, furnishings, equipment, and outdoor area clean and sanitary including:
(a) walls and flooring clean and free of spills, dirt, and grime;
(b) areas and equipment used for the storage, preparation, and service of food clean and sanitary;
(c) surfaces free of rotting food or a build-up of food;
(d) the building and grounds free of a build-up of litter, trash, and garbage;
(e) frequently touched surfaces, including doorknobs and light switches, cleaned and sanitized; and
(f) the facility 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) The provider shall clean and sanitize any toys and materials used by children:
(a) at least once a week 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) The provider shall ensure that fabric toys and items including stuffed animals, cloth dolls, pillow covers, and dress-up clothes are machine washable and if used, washed at least each week or as needed.
(5) The provider shall clean and sanitize highchair trays before each use.
(6) The provider shall clean and sanitize water play tables or tubs daily if used by the children.
(7) The provider shall clean and sanitize bathroom surfaces including toilets, sinks, faucets, toilet and sink handles, and counters each day the facility is open for business.
(8) The provider shall clean and sanitize potty chairs after each use.
(9) The provider shall keep toilet paper in a dispenser that is accessible to children.
(10) The provider shall post handwashing procedures that are readily visible from each handwashing sink and shall ensure that each staff follow the procedures.
(11) The provider shall ensure that staff and volunteers wash their hands thoroughly with liquid soap and running water:
(a) upon arrival;
(b) before handling or preparing food or bottles;
(c) before and after eating meals and snacks or feeding a child;
(d) after using the toilet or helping a child use the toilet;
(e) after contact with a body fluid ;
(f) when coming in from outdoors; and
(g) after cleaning up or taking out garbage.
(12) The provider shall ensure that caregivers teach children how to wash their hands thoroughly and oversee handwashing when possible.
(13) The provider shall ensure that children wash their hands thoroughly with liquid soap and running water:
(a) upon arrival;
(b) before and after eating meals and snacks;
(c) after using the toilet;
(d) after contact with a body fluid ;
(e) before using a water play table or tub; and
(f) when coming in from outdoors.
(14) The provider shall ensure that only single-use towels from a covered dispenser or an electric hand dryer is used to dry hands.
(15) The provider shall store personal hygiene items, including toothbrushes, combs, and hair accessories separate, so they do not touch each other, and ensure they are not shared or they are sanitized between each use.
(16) The provider shall ensure that pacifiers, bottles, and nondisposable drinking cups are:
(a) labeled with each child's name or individually identified; and
(b) not shared, or washed and sanitized before being used by another child.
(17) The provider shall ensure the prompt change of a child's clothing if the child has a toileting accident.
(18) The provider shall ensure that children's clothing that is wet or soiled from a body fluid is:
(a) not rinsed or washed at the center;
(b) placed in a leakproof container that is labeled with the child's name; and
(c) returned to the parent , or thrown away with parental consent.
(19) The provider shall take precautions when cleaning floors, furniture, and other surfaces contaminated by blood, urine, feces, or vomit, and ensure that, except for diaper changes and toileting accidents, staff cleaning these bodily fluids:
(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, including 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 , including cleaning cloths, mops, or reusable rubber gloves, before reusing them; and
(g) wash their hands after cleaning up the body fluid .
(20) The provider may not care for a child who is ill with an infectious disease at the center except when the child shows signs of illness after arriving at the center.
(21) If a child becomes ill while in care:
(a) the provider shall contact the child's parent or, if the parent cannot be reached, an individual listed as the emergency contact to immediately pick up the child; and
(b) if the child is ill with an infectious disease , the provider shall make the child comfortable in a safe, supervised area that is separated from the other children until the parent arrives.
(22) If 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 provider discovers the illness.
(23) If any staff member or child has an infectious disease or parasite, the provider shall post a notice at the center that:
(a) does not disclose any personal identifiable information;
(b) is posted in a conspicuous place where it can be seen by parents;
(c) is posted and dated on the same day that the disease or parasite is discovered; and
(d) remains posted for at least five business days.
(24) To prevent contamination of food, the spread of foodborne illnesses, and other diseases, the provider shall ensure that:
(a) individuals who prepare food in the kitchen do not change diapers or help in toileting children;
(b) caregivers who care for diapered children only prepare food for the children in their care, and they do not prepare food outside of the room used by the diapered children or prepare food for other children and adults in the facility ; and
(c) individuals with an infectious disease or showing symptoms including diarrhea, fever, coughing, or vomiting do not prepare or serve foods.