Current through Register Vol. 39, No. 6, September 16, 2024
(a) To assure the health of children through
proper sanitation, the family child care home operator shall:
(1) collect and submit samples of water from
each well used for the children's water supply for bacteriological analysis to
the local health department or a laboratory certified to analyze drinking water
for public water supplies by the North Carolina State Laboratory of Public
Health every two years. Results of the analysis shall be on file in the
home;
(2) collect and submit
samples of water from each water outlet used for drinking or food preparation
for lead analysis to the local health department or a laboratory certified to
analyze for lead in drinking water by the North Carolina State Laboratory of
Public Health. Results of the analysis shall be on file in the home. For
operators that submit an application for licensure after the effective date of
this Rule, water samples shall be collected by the operator and tested during
the application process. For all other family child care homes, water samples
shall be collected by the operator and tested within 12 months of the effective
date of this Rule;
(3) wash his or
her hands prior to caring for children each day;
(4) ensure that each child's hands are washed
upon arrival at the home each day;
(5) have sanitary toilet, diaper changing,
and hand washing facilities as follows:
(A)
diaper changing areas shall be separate from food preparation areas;
(B) toileting areas shall have toilet tissue
available at all times;
(C) all
toilet fixtures shall be cleanable and in good repair;
(D) handwashing areas shall have soap and
paper towels or other drying devices available at all times;
(E) diapering surfaces shall be smooth,
intact, nonabsorbent, and cleanable; and
(F) potty chairs and diapering surfaces shall
be cleaned after each use.
(6) use sanitary diapering procedures.
Diapers shall be changed whenever they become soiled or wet. The operator
shall:
(A) gather all supplies before placing
a child on the diapering surface;
(B) wash his or her hands before, as well as
after, diapering each child;
(C)
ensure the child's hands are washed after diapering the child; and
(D) place soiled diapers in a covered, leak
proof container which is emptied and cleaned daily;
(7) use sanitary procedures when preparing
and serving food. The operator shall:
(A) wash
his or her hands before and after handling food and feeding the children;
and
(B) ensure the child's hands
are washed before and after the child is fed;
(8) wash his or her hands, and ensure the
child's hands are washed, after toileting or handling bodily fluids;
(9) handwashing procedures shall include:
(A) using liquid soap and water;
(B) rubbing hands vigorously with soap and
water for 15 seconds;
(C) washing
all surfaces of the hands, to include the backs of hands, palms, wrists, under
fingernails and between fingers;
(D) rinsing well for 10 seconds;
(E) drying hands with a paper towel or other
hand drying device; and
(F) turning
off faucet with a paper towel or other method without recontaminating
hands;
(10) refrigerate
all perishable food and beverages. The refrigerator shall be in good repair and
maintain a temperature of 45 degrees Fahrenheit or below. A refrigerator
thermometer is required to monitor the temperature;
(11) have a house that is free of
rodents;
(12) screen all windows
and doors used for ventilation; and
(13) store garbage in waterproof containers
with tight fitting covers.
(b) If reusable, cloth diapers are used,
place soiled cloth diaper, after disposing of feces in toilet without rinsing,
in a tightly closed plastic bag or other equivalent container approved by the
Division, stored out of reach of children and sent daily to the child's home to
be laundered or to a laundry service.
(c) The operator shall not force children to
use the toilet and the operator shall consider the developmental readiness of
each child when toilet training. The operator shall provide assistance to each
child to ensure proper hygiene, as needed.
(d) The operator shall ensure that clean
clothes are available in the event that a child's clothes become wet or soiled.
The change of clothing may be provided by the operator or by the child's
parents.
