Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 5 - DEPARTMENT OF HEALTH SERVICES LOAN REPAYMENT › Article 5 - FACILITY PROGRAM AND EQUIPMENT › Section R9-5-502 - Supplemental Standards for Infants

Current through Register Vol. 30, No. 28, July 12, 2024
A. A licensee providing child care services
				for infants shall:
1. Provide a wall-enclosed
				room for infants that provides exits required by
				R9-5-601(1);
2. Provide age-appropriate active and quiet
				activities for each infant;
3.
				Provide age-appropriate indoor and outdoor activities for each
				infant;
4. Permit an infant to
				maintain the infant's pattern of sleeping and waking;
5. Develop, document, and implement tummy
				time policies and procedures that:
a. Provide
				an opportunity for a non-crawling infant to experience tummy time each day:
i. While the infant is awake, and
ii. On the infant's
				stomach;
b. Ensure a
				staff member who is supervising a non-crawling infant while the infant is flat
				on their stomach and on the floor:
i. Is
				within reach of the infant;
ii.
				Does not perform any other duties while supervising the infant;
iii. Does not allow the use of pillows,
				comforters, sheepskins, stuffed toys, or other soft products in the same floor
				space as the infant; and
iv. Does
				not allow any product specified in subsection (A)(5)(b)(iii) to be within reach
				of the infant;
c. Require
				continuous interaction between a non-crawling infant and the staff member who
				is supervising the non-crawling infant during tummy time;
d. Ensure, as an infant demonstrates ability
				and strength to control physical movement and greater sensory perception and
				social interaction, an assigned staff member provide a tummy-time period to:
i. A 2 - 3 month old infant of no more than
				15 minutes;
ii. A 3 - 4 month old
				infant of no more than 20 minutes; and
iii. A 5 - 6 month old infant of 20 minutes;
				and
e. Ensure a
				non-crawling infant's tummy time period specified in subsection (A)(5)(d):
i. Is determined by the assigned staff
				member's assessment of the infant;
ii. Is gradually increased as the infant's
				ability, strength, and perception increases; and
iii. Does not exceed tummy time periods
				specified in subsection (5)(D)(i) through (iii).
6. Provide an outdoor activity area or an
				indoor activity area for large muscle development substituted for an outdoor
				activity area that is used by infants when enrolled children older than infants
				are not present;
7. Provide space,
				materials, and equipment in an infant room that includes the following:
a. An area with nonabrasive flooring for
				sitting, crawling, and playing;
b.
				Toys, materials, and equipment, that are too large for a child to swallow and
				free from sharp edges and points, in a quantity sufficient to meet the needs of
				the infants in attendance that include:
i.
				Toys to enhance physical development such as toys for stacking, pulling, and
				grasping;
ii. Soft toys;
iii. Books;
iv. Toys to enhance visual development such
				as crib mobiles and activity mats with an object or objects suspended above the
				infant's head; and
v. Unbreakable
				mirrors; and
c. At least
				one adult-size chair for use by a:
i. Staff
				member when holding or feeding an infant, or
ii. Nursing mother when breastfeeding her
				infant;
8.
				Provide a crib for each infant that:
a. Has
				bars or openings spaced no more than 2 3/8 inches apart and a crib mattress
				measured to fit not more than 1/2 inch from the crib side;
b. Has a commercially waterproofed mattress;
				and
c. Is furnished with clean,
				sanitized, crib-size bedding, including a fitted sheet and top sheet or a
				blanket;
9. Prohibit the
				use of stacked cribs;
10. Ensure
				that an occupied crib with a crib side that does not have a non-porous barrier
				is placed at least 2 feet from another occupied crib side that does not have a
				non-porous barrier; and
11. Label
				each food container received from the parent with the infant's name.