1. The staff of
each facility shall:
(a) Provide appropriate
and adequate seating for the children at the facility during snacks and
meals;
(b) If a high chair is used,
ensure that the chair:
(1) Is in good
condition;
(2) Has a wide base;
and
(3) Has a safety belt for the
child;
(c) Wash with a
detergent and disinfect before and after each use of any table that is used
during a snack or meal;
(d) Allow,
encourage and assist each child to feed himself or herself, including, without
limitation, encouraging a child to hold and drink from a cup, use a spoon and
use his or her fingers to feed himself or herself;
(e) Offer each child drinking water at times
other than during his or her regular feedings;
(f) Discard any food that is left in a dish
after a meal;
(g) Ensure that
bottles and containers of food are not kept in water longer than 5 minutes, and
stir, shake and test a bottle or container of food before using the bottle or
container to feed an infant;
(h)
Not hold an infant while preparing food;
(i) On a daily basis, empty, clean and
sanitize any pot used to warm a bottle or food;
(j) Store each bottle of formula and
container of food in accordance with the instructions from the manufacturer of
the formula or food;
(k) Label each
bottle of formula and container of food with the name of the child to whom it
belongs and the date the formula or food was prepared by the facility or was
prepared or purchased by the parent;
(l) Immediately refrigerate and label each
container of breast milk provided by a parent;
(m) Return each bottle to the appropriate
parent each day;
(n) Return any
unused, open container of food to the appropriate parent each day if the child
was not fed directly from the container of food; and
(o) Develop with the parents of a child a
plan for feeding the child, which must include, without limitation:
(1) Instructions for feeding;
(2) Any special dietary restrictions,
including, without limitation, any allergies to food;
(3) A schedule of times for
feeding;
(4) Whether the child will
be fed breast milk, formula or solid food;
(5) If the child will be fed breast milk or
formula, when to begin feeding solid food; and
(6) Likes and dislikes of certain
foods.
2. A
child who is fed with a bottle and does not hold his or her own bottle must be
held by a caregiver while being fed with a bottle. The bottle must not be
propped for feeding. A child who demonstrates a preference for holding a bottle
during feeding may hold his or her own bottle and need not be held by a
caregiver if the caregiver is directly observing the child.
3. The staff of a facility may feed a child
commercially prepared baby food directly from the jar in which it was packaged
or from a separate dish. If the staff feeds the child from the jar, the staff
shall discard the jar after it is used.
Added to NAC by Bd.
for Child Care by R203-97, eff. 4-1-98; A by R047-98, 6-10-98; R072-98, 8-3-98;
R112-06, 4-23-2009; A by
R092-16AP,
eff. 9/21/2017
