Ohio Administrative Code
Title 5101:2 - Division of Social Services
Chapter 5101:2-13 - Licensing Family Care Homes
Section 5101:2-13-23 - Infant care and diaper care for a licensed family child care provider
Universal Citation: OH Admin Code 5101:2-13-23
Current through all regulations passed and filed through September 16, 2024
(A) What are the requirements for infant daily care?
(1) The
licensed family child care provider 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 or
playpen, 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 or playpen 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 family child care provider shall:
(1) Prepare and serve infant food in a manner
appropriate to the developmental needs of each child. The family child care
provider shall introduce new foods only after consultation with the parent. The
provider 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
the provider prepares infant formula they shall do so according to the
manufacturer's instructions or instructions from the infant's physician,
physician 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 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. Providers shall
follow the chart in appendix A to this rule for storing breast milk.
(C) What are the requirements for diapering?
(1) The family child care provider
shall change a child's diaper immediately when wet or soiled.
(2) Clothing shall be changed immediately
when wet or soiled.
(3) When
changing diapers the provider is to comply with the following:
(a) The provider 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 using gloves
while diapering, the provider is to use non-latex gloves.
(4) The family child care provider
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 provider 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 provider shall store soiled diapers
and diapering washcloths, which are to be laundered in the provider's home, in
a covered container with sanitizing solution.
(c) If soiled diapers are to be commercially
laundered, the provider shall hold them for laundering pickup for no longer
than seven days.
(d) The provider
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 provider is laundering diapers,
the provider 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 provider 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.
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