Current through Vol. 42, No. 1, September 16, 2024
(a)
Responding to needs. The
caregiver holds, cuddles, talks, and sings to infants and toddlers, while
understanding and responding to the child's particular needs.
(b)
Daily routine. The daily
routine is adapted to each infant and toddler's individual needs, accommodating
the schedule set by the parent, as much as possible.
(1) The daily schedule is accessible and
followed with reasonable regularity.
(2) Awake children do not remain for more
than 20 minute increments in equipment restricting freedom of movement, such as
rest equipment, swings, high chairs, or stationary activity centers, except
while eating in high chairs or similar stationary equipment.
(c)
Bottle-feeding.
Bottles are not propped by any means at any time.
(1) Infants six months of age and younger are
held while bottle-fed.
(2) Infants
seven months of age and older are held while bottle-fed until able to hold
bottles securely without assistance.
(3) Children are not given bottles in cribs
or moving swings due to increased risk of choking, ear infections, and tooth
decay.
(4) Breast milk is
refrigerated or frozen until immediately before feeding.
(5) Bottles of premixed formula are
refrigerated until immediately before feeding.
(6) Breast milk is not reused after two hours
from serving.
(7) Formula is not
reused after one hour from serving.
(8) Bottles of formula or breast milk are not
warmed in a microwave.
(d)
Chokeable, unsafe, and new
foods. For safety:
(1) the caregiver
works closely with parents to introduce new foods;
(2) infants are not fed honey or peanut
butter;
(3) children 1 year of age
are fed thinly spread peanut butter, if served; and
(4) children 1 year of age and younger are:
(A) not fed foods that may cause choking,
such as candies, gum, marshmallows, raw carrots, raw peas, celery, whole
grapes, nuts, seeds, popcorn, rice cakes, and chips; and
(B) fed other foods cut into small pieces no
larger than:
(i) 1/4 inch cubes for infants;
and
(ii) 1/2 inch cubes for
1-year-olds.
(e)
Diaper-changing. Diapers are
changed promptly when wet or soiled.
(1) A
clean nonporous surface or pad is used for diaper changes and sanitized after
each use. Care is taken to prevent spread of germs.
(2) Caregivers wash hands thoroughly with
soap and warm running water after each diaper change.
(3) Children are not left unattended on a
diaper-changing surface.
(f)
Availability and disposal of
diapers. For proper hygiene:
(1)
sufficient quantities of clean diapers are available; and
(2) a closed container for soiled diapers is
used.
(g)
Toilet
learning. Toilet learning is a relaxed, pleasant activity.
(1) Parents are informed of the child's
toilet learning progress.
(2)
Training pants or underwear are changed promptly when wet or soiled.
(3) Fecal content may be disposed of in a
toilet, but soiled diapers or training pants are not rinsed in the
toilet.
(4) Children are encouraged
by regular use of a toilet or potty chair for short periods of time not
exceeding 10 minutes.
(h)
Potty chairs. Potty chair
contents and rinse water are emptied into the toilet. After each use, potty
chairs are cleaned and disinfected in a sanitary manner.
(i)
Infant car seats. Infants
are not permitted in infant car seats except during emergency drills,
transportation, and arrival and departure with parents.
Amended at 10 Ok Reg
107, eff 10-13-92 (emergency); Amended at 10 Ok Reg 2287, eff 6-11-93; Amended
at 17 Ok Reg 1607, eff 5-25-00; Amended at 25 Ok Reg 22, eff 10-1-07
(emergency); Amended at 25 Ok Reg 1962, eff 7-1-08; Amended at 34 Ok Reg 200,
eff 11-22-16 (emergency)
