Current through Vol. 42, No. 1, September 16, 2024
(a)
Place to
rest.
(1) Each child has an
appropriately sized, individual place to rest, such as a crib, playpen, play
yard, bed, cot, or mat, with clean, individual bedding. The place to rest is
maintained in a clean, sanitary condition, and in good repair.
(2) Waterbeds, sofas, soft mattresses,
inflatable mats, bassinettes, stacked cribs, pillows, beanbag chairs, and other
soft surfaces are prohibited as infant sleeping surfaces.
(b)
Mats. Mats are not used for
overnight care. When used for rest time, each mat is at least one-inch thick
and covered with a fitted, durable, washable, waterproof material.
(c)
Cribs, play yards, and
playpens. A crib, port-a-crib, play yard, or playpen with a
properly-fitted firm waterproof mattress or pad and a tight-fitting sheet is
used for each child younger than 1 year of age.
(d)
Crib, port-a-crib playpen, and play
yard safety features and sleep environments. Infants sleep in
appropriate rest equipment and environments described in (1) through (9) of
this subsection.
(1) Cribs, including portable
cribs that can be folded or collapsed without being disassembled, meet the
current Consumer Product Safety Commission (CPSC) full-size and non-full size
crib standards, per Sections
1219 and
1220 of Title 16 of the Code of
Federal Regulations.
(2)
Verification of compliance with CPSC standards is maintained for duration of
crib use.
(3) Mattresses are
tight-fitting with no more than one inch between the mattress and
crib.
(4) Pillows, covers,
blankets, quilts, comforters, sheepskins, bumper pads, stuffed toys, and other
soft products or bedding, are not permitted inside and on the side of infant
rest equipment.
(5) While in rest
equipment:
(A) only pacifiers without
attachments are used, and pacifiers are not attached to the infant or his or
her clothing; and
(B) bibs are not
placed around the infant's neck.
(6) Sleep positioners and elevated mattresses
are prohibited, unless a medical reason documented by a licensed physician is
provided. Documentation is maintained at the child care home.
(7) Play equipment, and other items, except
for pacifiers, are not placed inside, above, or attached to the sides of infant
rest equipment, unless there is a medical reason documented by a licensed
physician for a monitor or other device. Documentation is maintained at the
facility. Mobiles may be securely attached or hung above the crib provided no
part of the mobile is within the child's reach.
(8) When an infant arrives asleep or falls
asleep in inappropriate rest equipment, the infant is immediately moved to
appropriate rest equipment.
(9)
Infants are protected from overheating by adjusting room temperature and
clothing.
(e)
Sleep positioning.
(1) To reduce
the risk of Sudden Infant Death Syndrome (SIDS), infants younger than 12 months
of age are placed on their back for sleeping unless a medical reason is
documented by a licensed physician requesting the infant not sleep in this
position. Documentation is maintained at the facility.
(2) Infants able to turn themselves over are
placed initially on their back for sleeping but allowed to sleep in a position
they prefer.
(3) Children's heads
and faces are not covered.
(f)
Swaddling. Infants, birth
through three months of age, may be swaddled with an infant-sized, thin fabric,
such as a receiving blanket, only when:
(1)
the infant is not mobile enough to move the fabric over his or her face;
and
(2) requested in writing by the
parents. Requests are maintained by the caregiver.
(g)
After resting. Once children
have rested, they are not forced to remain on the rest equipment and are
provided quiet activities until rest time is over.
Added at 25 Ok Reg 22, eff 10-1-07
(emergency); Added at 25 Ok Reg 1962, eff 7-1-08; Amended at 30 Ok Reg 1386,
eff 7-1-13
