Ohio Administrative Code
Title 5101:2 - Division of Social Services
Chapter 5101:2-14 - Certified In-home Aides
Section 5101:2-14-13 - Infant care and diaper care for an in-home aide
Universal Citation: OH Admin Code 5101:2-14-13
Current through all regulations passed and filed through September 16, 2024
(A) What are the requirements for infant daily care?
(1)
The in-home aide (IHA) is to:
(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 on a daily basis. The record is to 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 is to
be removed from his or her crib or playpen for all feedings. Infants are to be
held or fed sitting up for bottled feedings. A bottle is not to be propped for
an infant at any time.
(B) What are the requirements for infant bottle and food preparation?
The IHA is to:
(1)
Prepare and serve
infant food in a manner appropriate to the developmental needs of each child.
The IHA is to introduce new foods only after consultation with the parent. The
IHA is to comply with written feeding instructions from the infant's parent,
physician, physician's assistant or certified nurse practitioner (CNP), which
is to 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)
Ensure
the parent updates 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 are to 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 is to be kept out of reach of children and is to
be emptied and cleaned each day. The bottle is to be shaken well, and the
formula or breast milk temperature tested before feeding.
(b)
Frozen breast
milk is to 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 is
not to be reheated or served again.
(6)
If the IHA
prepares infant formula it is to be prepared 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 are to be covered, dated and refrigerated according to the
manufacturer's instructions.
(8)
Label all bottles
or prepared food with the infant's name and date of preparation. All formula is
to be refrigerated immediately after preparation or if the formula is prepared
by the parent. All commercially prepared food is 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 is to be labeled with the infant's name, the date pumped, and the date the
bottle was prepared. The IHA is to follow the chart in appendix A to this rule
for storing breast milk.
(C) What are the requirements for diapering?
(1)
The IHA is to change a child's diaper immediately when
wet or soiled.
(2)
Clothing is to be changed immediately when wet or
soiled.
(3)
When changing diapers the IHA is to comply with the
following:
(a)
The IHA is to 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 IHA place a disposable separation material between the
child and the changing surface. A different separation material is to be used
for each diaper change.
(c)
If a diapering product is used on more than one
child:
(i)
The
container is not to touch the child to avoid cross
contamination.
(ii)
The product is to be administered to avoid cross
contamination.
(d)
No child is to be left unattended on the diaper
changing table.
(4)
The IHA is to
store and launder soiled diapers or clothing as follows:
(a)
The IHA is to
store soiled diapers and diapering washcloths, which are to be laundered in the
child's home, in a covered container with sanitizing solution.
(b)
If soiled diapers
are to be commercially laundered, a parent is to make the
arrangements.
(c)
The IHA is to 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.
(d)
If the IHA is laundering diapers, the IHA is to follow
the manufacturer's guidelines.
(D) Toilet training is to occur based on a child's readiness and consultation with the parent regarding practices in the child's home. The IHA is to ensure that toilet training is never forced.
Replaces: Part of 5101:2-14-04
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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