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sinks with running water, soap, single-use paper towels or an air hand dryer, and are restricted from use for washing utensils and bottles.

145 HEALTH, SAFETY AND WELFARE: DIAPERING

145.1 A Licensee shall maintain diaper-changing areas within close proximity of a properly maintained source of potable, running hot and cold water and soap, and that is not in or near the Facility’s kitchen or eating areas.

145.2 A Licensee shall store soiled diapers and training pants in designated and labeled containers separate from all other waste, including soiled clothes and linens. A Licensee shall provide a washable, plastic lined, tightly covered receptacle that can be operated by a hands-free opening mechanism, within arm reach of each diaper changing table, for the disposal of soiled diapers or training pants.

145.3 A Licensee shall provide an area for the storage of clean diapers and training pants that is clean and designated exclusively for that exclusive use, with the exception that the clean diaper and training pants storage area and the storage area for enrolled children’s clean clothes may be combined.

145.4 A Licensee shall only use cloth diapers for a child if the child’s parent(s) or guardian(s) provides the Facility with a written statement accompanied by supporting written documentation from a licensed health care practitioner, explaining that cloth diapers are required by a special medical circumstance of that child. This statement shall remain in the child’s record at the Facility.

145.5 Staff members of a licensed Facility shall ensure that each child’s diaper or training pant is checked for wetness and feces at least hourly and whenever the child indicates discomfort or exhibits behavior which suggests a wet or soiled diaper. A Licensee shall ensure that upon learning that diapers and training pants are wet or soiled, that they are changed.

145.6 A Licensee shall provide one (1) or more diaper-changing areas that have surfaces made of non-porous material.

145.7 A Licensee shall ensure that infants and toddlers are diapered only at designated diaper changing areas.

145.8 A Licensee shall ensure that children are never left unattended at a diaper changing area.

145.9 A Licensee shall ensure that, for each diaper changing area, the diaper changing surface is cleaned and sanitized with a bleach solution or other appropriate germicide after each diaper change.

145.10 A Licensee shall ensure that the bleach solution or other germicide used for