Utah Admin. Code R381-40-15 - 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 ensure that any fabric toy and item, including any stuffed animal, cloth doll, pillow cover, and dress-up clothing, is machine washable and washed weekly, and as needed.

(4) 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; and

(b) after being contaminated by a body fluid.

(5) The provider shall clean and sanitize each water play table or tub daily, if used by a child.

(6) The provider shall clean and sanitize each bathroom surface including any toilet, sink, faucet, and counter.

(7) The provider shall ensure that toilet paper is accessible and kept in a dispenser.

(8) The provider shall post handwashing procedures that are readily visible from each handwashing sink and shall ensure that each staff follow the procedures.

(9) The provider shall ensure that each staff and volunteer washes their hands thoroughly with liquid soap and running water at required times, including:

(a) after cleaning up or taking out garbage;

(b) after contact with a body fluid;

(c) after diapering a child;

(d) after using the toilet or helping a child use the toilet;

(e) before administering any medication to a child;

(f) before and after eating a meal or snack or feeding a child;

(g) upon arrival; and

(h) when coming in from outdoors.

(10) 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.

(11) The provider shall ensure that each child washes their hands thoroughly with liquid soap and running water at required times, including:

(a) after contact with a body fluid;

(b) after using the toilet;

(c) before eating a snack;

(d) before using a water play table or tub;

(e) upon arrival; 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 are used to dry hands.

(13) 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.

(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 a child'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 thrown away with parental consent.

(16) The provider shall ensure that staff take precautions when cleaning any floor, furniture, or other surface contaminated by blood, urine, feces, or vomit. Except for toileting accidents, staff 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.

(17) The provider may not care for a child who is ill with an infectious disease 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 any other child 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 any child or employee 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 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.

Notes

Utah Admin. Code R381-40-15

Adopted by Utah State Bulletin Number 2021-07, effective 3/22/2021 Amended by Utah State Bulletin Number 2022-12, effective 6/1/2022 Amended by Utah State Bulletin Number 2023-22, effective 11/9/2023 Amended by Utah State Bulletin Number 2025-10, effective 5/8/2025