Ohio Administrative Code
Title 5101:2 - Division of Social Services
Chapter 5101:2-12 - Licensing of Child Care Centers
Section 5101:2-12-23 - Infant care and diaper care for a licensed child care center
Universal Citation: OH Admin Code 5101:2-12-23
Current through all regulations passed and filed through March 18, 2024
(A) What are the requirements for infant daily care?
(1) The
center shall:
(a) Allow infants to safely and
comfortably sit, crawl, toddle, walk and play according to the infant's stage
of development.
(b) Remove each
infant from the crib, swing, infant seat, exercise seat or other equipment
throughout the day for individual attention.
(c) Provide each non-crawling infant the
opportunity for tummy time, outside of their
crib, each day.
(d) Maintain
a daily written record for each infant that is provided to the infant's parent
or person picking up the infant on a daily basis. The record shall include the
following information:
(i) Food
intake.
(ii) Sleeping
patterns.
(iii) Times and results
of diaper changes.
(iv) Information
about daily activities.
(2) Each infant shall be removed from his or
her crib for all feedings. Infants shall be held or fed sitting up for bottled
feedings. At no time shall a bottle be propped for an infant.
(B) What are the requirements for infant bottle and food preparation?
The center shall:
(1)
Prepare and serve infant food in a manner appropriate to the developmental
needs of each child. The center shall introduce new foods only after
consultation with the parent. The center shall comply with written feeding
instructions from the infant's parent, physician, physician's assistant, or
certified nurse practitioner (CNP) which shall include the following:
(a) Type of food and/or formula/breast
milk.
(b) Amount of food and/or
formula/breast milk.
(c) Feeding
times or frequency of feedings.
(2) Require the parent to update the written
feeding instructions as needed.
(3)
Not feed any foods, other than formula or breast milk, to infants under four
months of age, unless there is written documentation on file from a physician,
physician's assistant or CNP.
(4)
Ensure that formula, breast milk, or other liquids in a bottle are not heated
in a microwave oven.
(a) If formula or breast
milk is to be warmed, bottles shall be placed in a container of water not
hotter than one hundred twenty degrees or be placed in a commercial bottle
warmer. The container of water shall be kept out of reach of children and shall
be emptied and cleaned each day. The bottle shall be shaken well, and the
formula or breast milk temperature tested before feeding.
(b) Frozen breast milk shall be thawed under
cold running water or in the refrigerator.
(5) Ensure that the unused portion of
formula, breast milk or food remaining in a container from which the infant has
been directly fed shall not be reheated or served again.
(6) If
provider prepares infant formula they shall do so according to the
manufacturer's instructions or instructions from the infant's physician,
physician's assistant or CNP.
(7) Ensure that open
containers of ready-to-feed and concentrated formula shall be covered, dated
and refrigerated according to the manufacturer's instructions. Prepared formula
and food shall be discarded or sent home daily if not used.
(8)
Label all bottles or prepared food with the infant's name and date of
preparation. All formula shall be refrigerated immediately after preparation or
upon arrival if the formula is prepared by the parent. All commercially
prepared food shall be stored according to the manufacturer's instructions and
not served after the expiration date.
(9) Ensure that if
breast milk is provided by the parent, it shall be labeled with the infant's
name, the date pumped, and the date the bottle was prepared. Centers shall
follow the chart in appendix A to this rule for storing breast milk.
(C) What are the requirements for diapering?
(1) Diapers shall be changed
immediately when wet or soiled.
(2)
Clothing shall be changed immediately when wet or soiled.
(3) When changing diapers the center
is to
comply with the following:
(a) The center
shall wash all soiled areas of the child's body with either a wash cloth, which
is then appropriately sanitized, or a disposable wipe.
(b) If a diaper-changing surface is used to
change more than one child, the provider shall place a disposable separation
material between the child and the changing surface. A different separation
material shall be used for each diaper change.
(c) If
a diapering product is used on more than one child:
(i) The container shall not touch the child
to avoid cross contamination.
(ii)
The product shall be administered to avoid cross contamination.
(d) No child shall be
left unattended on the diaper changing table.
(e) If restrooms are
used for diapering, children who are waiting for toileting and diapering shall
not be placed or required to sit directly on the floor.
(f)
If using gloves
while diapering, the center is to use non-latex gloves.
(4) The center shall store and
launder soiled diapers or clothing as follows:
(a) If soiled diapers or clothing are to be
sent home with a parent, the center shall store the diapers or clothing for no
longer than one day in an individual covered container or plastic bag away from
the child's belongings and out of the reach of children.
(b) The center shall store soiled diapers and
diapering washcloths, which are to be laundered by the center, in a covered
container with sanitizing solution.
(c) If soiled diapers are to be commercially
laundered, the center shall hold them for laundering pickup for no longer than
seven days.
(d) The center shall
store soiled disposable diapers in a plastic-lined covered container that
prevents hand contamination and is not easily accessible to children and
discard diapers daily or more frequently as needed to eliminate odor.
(e) If the center is laundering diapers, the
center shall follow the manufacturer's guidelines.
(5) Toilet training shall occur based on a
child's readiness and consultation with the parent regarding practices in the
child's home. The center shall ensure that toilet training is never forced.
Disclaimer: These regulations may not be the most recent version. Ohio may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.