(a) The licensee shall ensure that staff use universal health precautions and preventive health practices including the following:
(1) Wear latex gloves and eye protective gear when dealing with bleeding wounds or handling objects contaminated with blood.
(2) Wash hands before and after diapering, after handling objects contaminated with secretions (saliva, blood, nasal discharge) or excreta, and before and after meals.
(3) Ensure that the children wash their hands after toileting and before meals.
(4) Thoroughly wash bedding, towels, and washcloths used on or by infants daily or more often, if necessary.
(5) Thoroughly wash toys.
(A) Clean and disinfect daily all frequently touched toys in rooms occupied by diapered children.
(B) Clean and disinfect weekly, and when soiled, toys in rooms occupied by non-diapered children.
(6) Dispose of potentially infectious waste in containers that are closed and inaccessible to children.
(7) Cover open wounds, cuts, or sores with bandages.
(8) Wipe noses with disposable, one-use tissues.
(9) Clean up blood spills promptly with a freshly prepared solution of ¼ cup household bleach to one gallon of water or equally effective commercial disinfecting solution.
(10) Dispose of all blood and secretion contaminated items in containers that cannot be opened by the children.
(11) Keep all items used by animals beyond the reach of infants.
(b) Staff shall clean those areas used by staff that care for infants or which infants have access as follows:
(1) Vacuum or sweep, and mop with a disinfectant the uncarpeted floors at least daily or more often if soiled.
(2) Vacuum carpeted floors and large unwashable throw rugs at least daily and clean them at least every six months or more often if soiled.
(3) Shake or vacuum small washable rugs at least daily and wash them at least weekly or more often if soiled.
(4) Wash walls and portable partitions with a disinfectant at least weekly or more often if soiled.
(5) Wash and disinfect high chairs, feeding tables, food preparation areas, bathtubs, changing areas, toilets, and potty chairs at least daily.
(6) Wash and disinfect at least daily, or more often if soiled, objects mouthed by infants, including but not limited to, toys and blankets.
(7) Use washing/disinfecting solutions as follows:
(A) Freshly prepare the solution each day, using ¼ cup of bleach per gallon of water, or
(B) Use commercial disinfecting solutions according to label directions.
(c) Infant bedding shall meet the following standards:
(1) Each infant shall have bedding replaced when wet or soiled.
(2) Staff shall wipe crib mattresses with a detergent/disinfectant daily and when soiled or wet.
(3) Staff shall place soiled bedding in a suitable container that is inaccessible to children.
(d) Staff shall handle soiled disposable diapers as follows:
(1) Discard them as recommended on the packaging, or
(2) Place them in an airtight container for daily disposal outside the crisis nursery and
(3) Sanitize any soiled diaper containers daily.
(e) Staff shall handle soiled cloth diapers as follows:
(1) Place them in an airtight container.
(2) Rinse, wash, and sanitize them daily.
(3) If the crisis nursery uses a diaper service, staff shall place the diapers in the diaper service company's container for pickup, as instructed by the diaper service.
(f) After each diaper change, staff shall wash and disinfect soiled items and surfaces around the diaper changing area, including, but not limited to, the following:
(1) Walls and floors surrounding the immediate diaper changing area.
(2) Dispensers for talc, lotion, soap, and paper towels.
(3) Countertops, sinks, drawers, and cabinets.
(4) Sinks used to wash infants or to rinse soiled clothing or diapers.
Credits
Note: Authority cited: Section 1530, Health and Safety Code. Reference: Sections 1501, 1516 and 1531, Health and Safety Code; and Section 11467.1, Welfare and Institutions Code.
History
1. New section filed 10-26-2006 as an emergency; operative 10-26-2006 (Register 2006, No. 43). Pursuant to Statutes 2004, chapter 664, section 11 (SB 855) this regulatory action is deemed to be an emergency and necessary for the immediate preservation of the public peace, health, safety, or general welfare, exempt from review by OAL. A Certificate of Compliance must be transmitted to OAL by 2-23-2007 or emergency language will be repealed by operation of law on the following day.
2. New section refiled 2-23-2007 as an emergency; operative 2-23-2007 (Register 2007, No. 8). Pursuant to Statutes 2004, chapter 664, section 11 (SB 855) this regulatory action is deemed to be an emergency and necessary for the immediate preservation of the public peace, health, safety, or general welfare, exempt from review by OAL. A Certificate of Compliance must be transmitted to OAL by 6-25-2007 or emergency language will be repealed by operation of law on the following day.
3. Certificate of Compliance as to 2-23-2007 order transmitted to OAL 6-25-2007 and disapproved 8-7-2007; Notice of Disapproval of Certificate of Compliance and Order of Deletion filed 8-7-2007 (Register 2007, No. 32).
4. New section refiled 8-7-2007 as an emergency; operative 8-7-2007 (Register 2007, No. 32). Pursuant to Statutes 2004, chapter 664, section 11 (SB 855) this regulatory action is deemed to be an emergency and necessary for the immediate preservation of the public peace, health, safety, or general welfare, and is exempt from OAL review and approval. A Certificate of Compliance must be transmitted to OAL by 12-5-2007 or emergency language will be repealed by operation of law on the following day.
5. Certificate of Compliance as to 8-7-2007 order, including amendment of section, transmitted to OAL 11-21-2007 and filed 12-31-2007 (Register 2008, No. 1).
This database is current through 5/10/24 Register 2024, No. 19.
