Utah Admin. Code R381-40-15 - Health and Infection Control
(1)
The provider shall keep the building, furnishings, equipment, and outdoor area
clean and sanitary including:
(a) walls and
flooring free of spills, dirt, and grime;
(b) areas and equipment used for the storage,
preparation, and service of food;
(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; 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 ensure that fabric
toys and items including stuffed animals, cloth dolls, pillow covers, and
dress-up clothes are machine washable and washed weekly, and as
needed.
(4) The provider shall
clean and sanitize any toys and materials used by children:
(a) at least once a week or more often if
needed; and
(b) after being
contaminated by a body fluid .
(5) The provider shall ensure that water play
tables or tubs are cleaned and sanitized daily, if used by the
children.
(6) The provider shall
ensure that staff clean and sanitize bathroom surfaces including toilets,
sinks, faucets, and counters.
(7)
The provider shall ensure that toilet paper is accessible to children and kept
in a dispenser.
(8) The provider
shall post handwashing procedures that are readily visible from each
handwashing sink and shall ensure that the procedures are followed.
(9) The provider shall ensure that staff and
volunteers wash their hands thoroughly with liquid soap and running water at
required times including:
(a) upon
arrival;
(b) after using the toilet
or helping a child use the toilet;
(c) after contact with a body
fluid ;
(d) after cleaning up or
taking out garbage;
(e) after
diapering a child;
(f) before
administering medications to children;
(g) before and after eating meals and snacks
or feeding a child; and
(h) when
coming in from outdoors.
(10) The provider shall ensure that
caregivers teach children how to wash their hands thoroughly and oversee
handwashing when possible.
(11) The
provider shall ensure that children wash their hands thoroughly with liquid
soap and running water at required times including:
(a) upon arrival;
(b) after using the toilet;
(c) after contact with a body
fluid ;
(d) before using a water
play table or tub;
(e) before
eating a snack; and
(f) when coming
in from outdoors.
(12)
The provider shall ensure that only single-use towels from a covered dispenser
or an electric hand dryer is used to dry hands.
(13) The provider shall ensure that personal
hygiene items, including toothbrushes, combs, and hair accessories, are not be
shared and are stored so they do not touch each other, or they are sanitized
between each use.
(14) The provider
shall ensure the prompt change of a child's clothing if the child has a
toileting accident.
(15) 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 facility ;
(b) placed in a
leakproof container that is labeled with the child's name; and
(c) returned to the parent ; or
(d) thrown away with parental
consent.
(16) The
provider shall ensure that staff take precautions when cleaning floors,
furniture, and other surfaces contaminated by blood, urine, feces, or vomit.
Except for toileting accidents, staff shall:
(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 non-disposable
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 .
(17) The
provider shall ensure that a child who is ill with an infectious disease is not
cared for at the facility except when the child shows signs of illness after
arriving at the facility .
(18) 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.
(19) 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.
(20) If a staff member or child has an
infectious disease or parasite, the provider shall post a notice at the
facility 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.
Notes
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