Oregon Administrative Rules › Chapter 414 - DEPARTMENT OF EARLY LEARNING AND CARE › Division 305 - CERTIFIED CHILD CARE CENTERS › Section 414-305-0610 - Feeding Infants and Toddlers

Current through Register Vol. 63, No. 7, July 1, 2024
(1) If serving
			 children under 12 months of age, a certified child care center must comply with
			 the following requirements for each child under 12 months of age:
(a) The center must have and follow a written
			 feeding plan and schedule that includes the types and amounts of formula, human
			 milk, and food that is obtained from the child's parent(s) and updated
			 regularly.
(b) The center must feed
			 the child on their own feeding schedule and fed when hungry.
(c) The center must clearly mark formula,
			 human milk, bottles, and food provided by the parent(s) with the child's full
			 name and date and refrigerated if required.
(d) The center may not give infant formula to
			 an infant who consumes human milk, without parental consent.
(e) The center must give human milk only to
			 the child specified to receive it by the parent(s).
(f) Human milk must:
(A) Be labeled with the child's full name and
			 the date expressed;
(B) Be stored
			 for no more than:
(i) 24 hours in the
			 refrigerator when thawed or defrosting; or
(ii) Six months from the expression date in
			 the freezer.
(C) Be
			 refrigerated or frozen until immediately before warming;
(D) Not be warmed in a microwave;
(E) Not reused after 2 hours from
			 serving;
(F) Not be returned to the
			 refrigerator, freezer, or re-warmed once warmed.
(g) If human milk or formula is given to the
			 wrong child, parents of both children must be immediately notified and the
			 incident documented as an accident/incident.
(h) Human milk that has not been served, must
			 be returned to the parent in the bottle or container that it was provided
			 in.
(i) Prepared formula not used
			 may be returned to the parent or discarded daily, based on the preference of
			 the parent.
(j) When formula is
			 provided by the center, it must be either:
(A)
			 Commercially prepared, iron-enriched, ready-to-feed type; or
(B) Prepared from powder or concentrate and
			 diluted according to manufacturers' instructions.
(k) When formula is prepared on site, it must
			 be mixed in a kitchen or classroom food preparation area approved by the
			 environmental health specialist.
(l) When formula is provided by parents:
(A) It must come in sealed containers;
			 and
(B) The caregiver must follow
			 the manufacturer's instructions for mixing and storing of any formula
			 preparation, unless requested by the child's parent(s) and with a medical
			 practitioner's written permission.
(m) Whole milk, skim milk, 1 percent milk,
			 and 2 percent milk must not be served unless requested by the child's parent(s)
			 and with a medical practitioner's written permission.
(n) The center must not serve juice, of any
			 kind, to infants.
(o) Infant
			 formula cannot be mixed with cereal, fruit juice, or other foods without a
			 medical practitioner's written permission.
(p) The center must not give infants, under
			 six months of age, water to drink, without written approval by a medical
			 professional.
(q) The center must
			 warm bottles only in one of the following ways: under running, warm tap water;
			 using a commercial bottle warmer; stove top warming methods, or slow-cooking
			 device; or by placing them in a container of warm water.
(A) Bottles must not be warmed in microwave
			 ovens.
(B) Once warmed, a bottle
			 must not be returned to the refrigerator or re-warmed.
(C) Warming devices must remain inaccessible
			 to children.
(r)
			 Bottles, bottle caps, nipples and other equipment used for bottle feeding that
			 a certified child care center provides must be cleaned and sanitized by washing
			 in a dishwasher or by washing, rinsing and boiling for 1 minute. Nipples must
			 be stored in a closed container after sanitizing.
(s) Solid foods fed to infants must be
			 selected from the Child and Adult Care Food Program Meal Pattern (CACFP):
(A) Solid foods must not be fed to infants
			 less than four months of age;
(B)
			 Commercially packaged baby food must be served from a dish and not directly
			 from the factory-sealed container;
(C) Leftovers in the serving container must
			 be discarded;
(D) Solid foods, with
			 the exception of finger foods, must be fed with a spoon; and
(E) Food must be cut into small pieces no
			 larger than 1/4 inch cubes for infants and 1/2 inch cubes for
			 1-year-olds.
(t)
			 Partially served containers of baby food must be either sent home with parents
			 or the contents discarded daily.