North Carolina Administrative Code › Title 15A - Environmental Quality › Chapter 18 - ENVIRONMENTAL HEALTH › Subchapter A - SANITATION › Section .2800 - SANITATION OF CHILD CARE CENTERS › Section 18A .2819 - DIAPERING AND DIAPER CHANGING FACILITIES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) In
				  child care centers, children in diapers shall be changed at stations designated
				  for diapering or toileting. Each diaper changing station shall include a
				  handwash lavatory. For child care centers licensed for fewer than 13 children
				  and located in a residence, and for diaper changing areas designated for school
				  age children, a handwash lavatory shall be in or next to the diaper changing
				  area.
(b) Diapering surfaces shall
				  be made of smooth, intact, nonabsorbent material and shall be kept clean and in
				  good repair. Nothing shall be placed on the diapering surface except for those
				  items required for diapering and the child whose diaper will be changed. If
				  diapering is performed on the floor in a toilet room, then a smooth, intact,
				  nonabsorbent barrier that is clean and in good repair shall be placed on the
				  floor to minimize cross-contamination.
(c) Diapering surfaces shall be disinfected
				  using an approved disinfectant. Approved disinfectants and detergent solution
				  shall be kept in separate and labeled bottles at each diaper changing station.
				  Approved disinfectants that are chlorine disinfecting solutions shall be stored
				  in hand pump spray bottles. No cloths or sponges shall be used on diapering
				  surfaces.
(d) Child care center
				  employees shall change a child's diaper as follows:
(1) gathering supplies before placing child
				  on diapering surface;
(2) donning
				  disposable gloves (if needed);
(3)
				  using disposable towelette or moistened paper towel to clean child, wiping
				  front to back;
(4) disposing of
				  gloves if used, soiled towelettes and diaper in a plastic-lined, covered
				  receptacle;
(5) wiping the child
				  care center employee's hands and the child's hands each with a separate
				  disposable towelette or moistened paper towel;
(6) sliding a clean diaper under the child,
				  applying diapering products if needed, using facial or toilet tissue, and
				  discarding the tissue in a plastic-lined, covered receptacle;
(7) fastening the diaper and placing clothing
				  on child;
(8) washing child's hands
				  in accordance with Rule .2803 of this Section, or, if child is unable to
				  support the child's head, cleaning the child's hands with a disposable
				  towelette or moistened paper towel, then drying the child's hands and returning
				  the child to a supervised area;
(9)
				  spraying entire diapering surface with detergent solution and wipe clean, using
				  disposable paper towels;
(10)
				  spraying entire diapering surface with an approved disinfectant and allowing to
				  remain on the surface for two minutes or as specified by the manufacturer, or
				  air dry; and
(11) washing hands in
				  accordance with Rule .2803 of this Section even if disposable gloves are used
				  by the child care center employee.