Page 43
(e) All warmed bottles shall be shaken well and the temperature tested before feeding to a child. (f) Baby formula, juice, and food served in a bottle shall be prepared, ready to feed, identified, and packaged for single use for the appropriate user. Any excess formula, juice, or food shall be discarded after each feeding. Formula, juice and food requiring refrigeration shall be maintained at 45 degrees Fahrenheit or below. (g) Infants and toddlers shall not sleep with bottles in their mouths. (h) Toddlers shall be offered water routinely throughout the day. (i) Breast milk and formula shall be dated and labeled with the child’s name and refrigerated until ready to use. (j) Food for infants shall be cut in pieces one-quarter inch or less. (k) Food for toddlers shall be cut in pieces one-half inch or less. (4) Feeding chairs (a) Feeding chairs shall have a stable base. (b) Feeding chairs shall have a T-shaped safety strap that prevents the child from slipping or climbing out of the chair. The safety strap shall be used at all times the child is in the chair. (c) Feeding chair trays shall be in good repair and made of an easily cleanable surface and shall not have chips or cracks. (d) Feeding chairs shall be used only for eating or a specific, short time-limited tabletop play activity. (e) Seat heights of feeding chairs shall be appropriate to the age and development of the child. Feeding chairs shall be in good repair and children shall be constantly supervised. (5) Sleeping (a) Infants shall be placed on their backs to sleep. (b) Crib mobiles shall not be permitted for infants or toddlers who can sit. (c) Cribs shall be spaced so that there is at least three feet of space on two sides of the crib. Cribs shall not be placed next to each other so that one child may reach into the other child’s crib. (d) Stacked cribs are not permitted. (6) Equipment and materials (a) The infant and toddler room shall have chairs for staff persons to sit while holding and feeding children. (b) Indoor space shall be protected from general walkways where crawling children may be on the floor. (c) Mobile walkers are not permitted. B. Care for mildly ill children (1) Parent notification and instructions (a) If a child becomes ill while in care, the center shall notify the parent or responsible party immediately. (b) If a child may have been exposed to a serious communicable disease that is spread through casual contact, the center shall notify the parents of all potentially exposed children about the nature of the illness and the potential exposure to the illness, and recommend consultation with the child’s physician. (c) If a center chooses to provide care to a mildly ill child, the center shall receive instructions from the parent for any special care needs of the child. (2) Policies and procedures (a) If a center chooses to provide care to a mildly ill child, the center shall have written policies and procedures specifying inclusion and exclusion from the group, communication with parents, recording of illness and care provided, specific types of illnesses and symptoms which prohibit care from being provided, special staff training required and emergency health procedures.