1. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:

   1. 1. A nonabsorbent, sanitizable diaper changing surface that is:

      1. a. Seamless and smooth, and
      2. b. Kept clear of items not required for diaper changing;

   2. 2. A hand-washing sink next to the diaper changing surface for staff use when changing diapers and for washing an enrolled child during or after diapering, that provides:

      1. a. Running water between 86° F and 110° F,
      2. b. Soap from a dispenser, and
      3. c. Single-use paper hand towels from a dispenser;
   3. 3. At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled diapers; and
   4. 4. At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled clothing.

2. B. A licensee shall ensure that a staff member does not:

   1. 1. Permit a bottle, formula, food, eating utensil, or food preparation in a diaper changing area;
   2. 2. Draw water for human consumption from a diaper changing area sink; or
   3. 3. Change diapers until food preparation duties have been completed for the day.
3. C. A licensee shall ensure that a written diaper changing procedure is posted and implemented in each diaper changing area.

4. D. A licensee shall ensure that the written diaper changing procedure in subsection (C) states that an enrolled child’s diaper is changed as soon as it is soiled, and that a staff member, when diapering:

   1. 1. Uses a separate wash cloth and towel only once for each enrolled child;
   2. 2. Washes and dries the enrolled child using the enrolled child’s individual personal products labeled with the enrolled child’s name;
   3. 3. Uses single-use non-porous gloves;
   4. 4. Washes the staff member’s own hands with soap and running water between 86° F and 110° F before and after each diaper change;
   5. 5. Washes each enrolled child’s hands with soap and running water between 86° F and 110° F after each diaper change;
   6. 6. Cleans, sanitizes, and dries the diaper changing surface following each diaper change; and
   7. 7. Uses single-use paper towels from a dispenser to dry the diaper changing surface or the hands of the enrolled child or staff member.

5. E. A licensee shall ensure that in an activity area with a diaper changing area:

   1. 1. The container required in subsection (A)(3) and (4) are inaccessible, and

   2. 2. A staff member:

      1. a. Documents each diaper change with the date and time, for an:

         1. i. Infant, in the infant’s dated, daily, documentation required in R9-5-502(C)(1)(d); or
         2. ii. Enrolled child who is not an infant, in a dated diaper changing log.
      2. b. Maintains the diaper changing log on facility premises for 12 months after the date of the diaper changing log;
      3. c. Empties clothing soiled with feces into a flush toilet without rinsing;
      4. d. Places an enrolled child’s clothing soiled by feces or urine in a plastic bag labeled with the enrolled child’s name, stores the clothing in a container used for this purpose, and sends the clothing home with the enrolled child’s parent; and
      5. e. Removes disposable diapers and disposable training pants from a diaper changing area as needed or at least twice every 24 hours to a waste receptacle outside the facility building.

Historical Note

Adopted effective December 12, 1986 (Supp. 86-6). Section repealed; new Section adopted effective October 17, 1997 (Supp. 97-4). Amended by exempt rulemaking at 16 A.A.R. 1564, effective September 30, 2010 (Supp. 10-3). Amended by final rulemaking at 31 A.A.R. 2015 (June 27, 2025), effective August 3, 2025 (Supp. 25-2).