(f) when coming in from outdoors.(13) The provider shall ensure that only single-use towels, an electric hand dryer, or individually labeled cloth towels are used to dry hands.
(14) The provider shall ensure that if cloth towels are used, cloth towels are:
(a) not shared; and
(b) washed daily.
(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.
(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) If a child becomes ill while in care, the provider shall:
(a) as soon as the illness is observed or suspected, contact the child's parent or, if the parent cannot be reached, an individual listed as the emergency contact; and
(b) if the child is ill with an infectious disease, make the child comfortable in a safe, supervised area that is separated from any other child until the parent arrives.
(21) The provider shall notify the parents of each child in care if any child, employee, or person in the home has an infectious disease or parasite on the day the illness is discovered.
(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 illness is discovered.
(23) To prevent contamination of food, the spread of foodborne illnesses, and other diseases, the provider shall ensure that an individual with an infectious disease, or showing symptoms including diarrhea, fever, coughing, or vomiting, does not prepare or serve foods.
R430-50-16. Food and Nutrition.
(1) The provider shall ensure that each child two years old and older is offered a meal or snack at least once every three hours.
(2) If the provider supplies food for children's meals or snacks, the provider shall ensure that:
(a) the meal service meets local health department food service rules;
(b) the foods that are served meet the nutritional requirements of the USDA Child and Adult Care Food Program (CACFP) whether or not the provider participates in the CACFP;
(c) the provider uses the CACFP meal pattern requirements, the standard OL-approved menus, or menus approved by a registered dietitian, and that dietitian approval is noted and dated on the menus, and current within the past five years;
(d) the current week's menu is posted for review by parents and OL; and
(e) if not participating or in good standing with the CACFP, keep a six-week record of foods served at each meal and snack.
(3) The provider shall ensure that the individual who serves food to a child:
(a) is aware of each child in their assigned group who has any food allergy or sensitivity; and
(b) ensures that a child is not served the food that the child is allergic or sensitive to.
(4) The provider may not place a child's food on a bare table, and shall serve a child's food on a dish, napkin, or sanitary highchair tray, except an individual finger food, including a cracker, that may be placed directly in a child's hand.
(5) If a parent brings food and drink for their child's use, the provider shall ensure that the food and drink is:
(a) consumed only by that child;
(b) labeled with the child's name; and
(c) refrigerated if needed.
