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(e) The height of play equipment shall be developmentally and size appropriate; (f) Sand in a sand box shall be securely covered when not in use and, if outdoors, constructed to provide for drainage; (g) Indoor recreational equipment and furnishings shall be cleaned and disinfected when they are soiled or at least once weekly and shall be of safe construction and free of sharp edges and loose or rusty points; (h) Mobile walkers are not permitted; (i) The facility shall provide eating utensils and cups, infant seats, high chairs, car seats, strollers, rocking chairs, tables and seating and other furnishings and equipment appropriate for size and developmental level and the needs of children under 6 years of age. (7) Infant and Toddler Indoor Space and Conditions. (a) Indoor space shall be protected from general walkways where crawling children may be on the floor. (b) Protective gates shall be of the type that do not block emergency entrances and exits and that prevent finger pinching and head or limb entrapment. (c) Children shall not have access to a door that swings open to a descending stairwell or outside steps, unless there is a landing that is at least as wide as the doorway at the top of the stairs. (d) Interior stairs that are not enclosed shall have a barrier to prevent falls. (e) Electrical outlets shall be securely covered with childproof covers or safety plugs when not in use in all areas accessible to children. (f) No electrical device accessible to children shall be located so that it could be plugged into the outlet while in contact with a water source, such as sinks, tubs, shower areas, or swimming/wading pools, unless ground fault devices are utilized. (g) Infants and toddlers shall not be left unattended in a bathtub or shower. (h) The following items shall be secured or inaccessible to children for whom they are not age appropriate: (i) Items that may cause strangulation such as blind cords, plastic bags, necklaces, and drawstrings on clothing and string; (ii) Items that may cause suffocation such as sand, beanbag chairs, pillows, soft bedding, and stuffed animals; and (iii) Items that may cause choking such as materials smaller than 1 1/4 inch in diameter, items with removable parts smaller than 1 1/4 inch in diameter, Styrofoam objects and latex balloons. D. Requirements for a Qualified Residential Treatment Program. APPLICABILITY: A child care institution licensed as a Qualified Residential Treatment Program must meet these additional requirements. (1) A Qualified Residential Treatment Program (QRTP) must be a child care institution that: (a) Has a trauma-informed treatment model that is designed to address the needs, including clinical needs as appropriate, of children with serious emotional or behavioral disorders or disturbances and are able to implement the treatment identified for the child in the required 30 day assessment of the appropriateness of the QRTP placement. (b) To the extent appropriate, and in accordance with the child’s best interest, facilitates participation of family members in the child’s treatment program. (c) Facilitates outreach to the family members of the child, including siblings, documents information for any known biological family and fictive kin of the child. (d) Documents how family members are integrated into the treatment process for the child, including post-discharge planning and family-based aftercare support for at least six months post- discharge. (e) Is licensed by the state in accordance with title IV-E requirements and is accredited by any of the following independent, not-for-profit organizations: The Commission on Accreditation of Rehabilitation Facilities (CARF), the Joint Commission on Accreditation of Healthcare Organiza-