Current through November 28, 2024
(a)
In addition to other applicable requirements of
7
AAC 10.1000 -
7
AAC 10.1095, an entity licensed to provide care for
infants and children shall
(1) if infants or
toddlers are in care, install and use safety gates to prevent access to
stairs;
(2) install outlet covers
in all electrical outlets that are not in use and that are accessible to
children under age five; and
(3)
use safe and sanitary equipment and supplies for diapering and toileting,
including easy accessibility for the caregiver to wash the caregiver's hands
after changing a diaper or assisting a child with toileting.
(b) An entity that provides care
for more than one child who uses bottles and pacifiers shall label the bottles
and pacifiers with each child's name.
(c) An entity that reuses bottles, bottle
caps, and nipples shall, before reuse,
(1)
wash them in a dishwasher, using a long wash cycle with hot water, and a heated
drying cycle; or
(2) boil them in
water for at least five minutes.
(d) An entity that provides diapering shall
develop, and ensure that each caregiver follows, written diaper changing
procedures that minimize the spread of disease and the risk of contamination to
hands and surfaces.
(e) In addition
to the requirements of (d) of this section, an entity shall ensure that
(1) the diaper changing area
(A) is not located in a food preparation area
and is not used for temporary placement or serving of food; and
(B) has one accessible handsink located in,
or immediately adjacent to, that area;
(2) each surface used for changing diapers is
smooth, durable, nonabsorbent, and easily cleanable;
(3) sufficient quantities of clean diapers
are available and are neatly stored;
(4) nonlatex gloves and handwashing supplies
are available to prevent contamination, and are used in accordance with
universal precautions described in
7
AAC 10.1045;
(5) for soiled clothing or cloth diapers,
solid waste contents are disposed of by dumping the contents into a toilet and
placing the diapers, without rinsing, in
(A)
an impervious bag to be given to the parent for laundering, if applicable;
or
(B) an easily cleanable
container with a firmly fitted cover; the container must be
(ii) designed to prevent the caregiver from
contaminating the exterior surface of the container or the caregiver when
inserting a soiled diaper;
(iii)
provided within the caregiver's reach of the diaper changing area;
and
(iv) emptied, cleaned, and
sanitized daily;
(6) each diaper changing surface is cleaned
and sanitized after each use; if a single-use, disposable cover is placed on
the diapering surface before diapering, the entity shall ensure that the cover
is disposed of immediately after diapering; the use of a single-use, disposable
cover does not preclude or substitute for cleaning and sanitizing the surface
or area after each use even if the surface or area is not visibly
contaminated;
(7) after a soiled
disposable diaper is removed, it is folded inward and resealed before disposal
into a container described in (5)(B) of this subsection;
(8) if single-use, disposable wipes are used
during diapering, the disposable wipes are discarded after use; if a
nondisposable cloth is used, that cloth must be placed immediately, without
rinsing, in
(A) an impervious bag to be given
to the parent for laundering, if applicable; or
(B) a container described in (5)(B) of this
subsection;
(9) diaper
changing supplies, including containers of cream and lotion, are kept clean and
sanitary; and
(10) children do not
handle diaper changing supplies.
(f) The entity shall ensure that individual
cloth towels used for bathing, toothbrushes, and combs used by a child in care
are stored separately to prevent contamination and are labeled with the child's
name. If a storage rack is used, the rack must be cleaned and sanitized or
replaced when visibly soiled and after contamination with blood or another body
fluid.
(g) Except for toys brought
by children for personal use, the entity shall ensure that
(1) toys used by children are kept clean and
sanitary;
(2) if a toy has been
mouthed or is otherwise contaminated, that toy is cleaned and sanitized before
use by another child; and
(3) toys
used by children three years of age or older are cleaned at least once every
seven days or when soiled;
(h) If a water play table is used by
children, the entity shall ensure that
(1)
water in the table is maintained at 2 - 10 parts per million chlorine solution
during use; the entity shall frequently use chemical test strips to ensure that
proper chlorine concentration levels are maintained;
(2) each child using the table has hands
washed before and after playing at the water play table;
(3) a child with open sores or wounds does
not play at the table;
(4) water is
discarded after each day of use; and
(5) the table is cleaned and sanitized after
each day of use.
(i)
Except as provided in (k) of this section, an entity that provides a play area
for use by children in care shall ensure that the play area is free of hazards
that can cause injury, including
(1)
selecting and maintaining play equipment so that it
(A) is securely anchored, unless it is
portable and self supporting;
(B)
is free of entrapment, pinch, or crush points;
(C) is free of sharp points, corners, or
edges; and
(D) provides clearance
between the equipment and any objects that may cause injury; and
(2) covering areas around and
under play equipment that has a fall height of three feet or more with shock
absorbing material such as pea gravel, sand, or sawdust; concrete or asphalt
may not be used under play equipment; in this paragraph, "fall height" means
the vertical distance between a play surface and the area around and under the
play equipment.
(j)
Subject to (k) of this section, an entity shall ensure that each crib, crib
mattress, cot, mat, and play yard is cleaned and sanitized
(1) at least once every seven days;
(2) before assignment to another child in
care; and
Authority:AS
18.05.010
AS 18.05.040
AS 44.29.020
AS 47.32.010
AS 47.32.030
AS 47.32.130
AS 47.32.140
AS 47.33.005
AS
47.33.010
