New Hampshire Code of Administrative Rules
He - Department of Health and Human Services
Subtitle He-C - Commissioner, Department of Health and Human Services
Chapter He-C 4000 - CHILD CARE LICENSING RULES
Part He-C 4002 - NH CHILD CARE PROGRAM LICENSING RULES
Section He-C 4002.29 - Diapering and Toilet Learning

(a) Programs serving diapered children and children who are not toilet trained shall have a designated diaper changing area, which shall:

(b) In addition to the requirements in (a) above, in center-based programs the diaper changing area shall be:

(c) Programs shall not use a sink for hand washing after diapering or toileting if food preparation or washing dishes or eating utensils occurs in the sink.

(d) At least every 2 hours, child care staff shall check children in diapers and change diapers and clothing if they are soiled or wet.

(e) During each diaper change, soiled areas of children shall be washed with disposable, single use cleansing articles such as baby wipes or soft paper towels that have been moistened with water.

(f) If an elevated diaper changing surface is used child care staff shall remain at the elevated diaper changing surface and keep one hand on the child at all times while a child is on it.

(g) For each child there shall be a supply of clean diapers, clothing, and bedding for use as needed.

(h) When non-disposable diapers are used:

(i) Soiled disposable diapers and cleansing articles shall immediately be placed in a plastic bag lined, hands-free receptacle.

(j) The plastic bag containing the soiled diapers and cleansing articles shall be removed daily, securely closed, and placed outside in covered garbage cans for collection or removal at regular intervals.

(k) Covered hands-free receptacles used to dispose of diapers and cleansing articles shall be cleaned and sanitized at least once each day.

(l) Soiled non-disposable diapers shall:

(m) Programs using a commercial diaper service shall handle soiled diapers in accordance with written instructions from the service.

(n) A copy of the written instructions required in (m) above shall be available for review by the department upon request.

(o) Toilet learning shall be individualized, developmentally appropriate, conducted in accordance with a plan developed by each child's parents and child care staff, and never forced.