D.C. Mun. Regs. tit. 5-A, § 144
Health, Safety and Welfare: Hand Hygiene
Effective Dec 2, 201663 DCR 14640Authority: Sections 3(b)(6A), 3(b)(9), 3(b)(9A), 3(b)(11) of the State Education Office Establishment Act of 2000, effective October 21, 2000 (D.C. Law 13-176; D.C. Official Code §§ 38-2602(b)(6A), (b)(9), (b)(9A), and (b)(11)) (2012 Repl. & 2016 Supp.)); the Day Care Policy Act of 1979, effective September 19, 1979 (D.C. Law 3-16; D.C. Official Code §§ 4-401 et seq. (2012 Repl. & 2016 Supp.)) (“Day Care Act”); Mayor’s Order 2009-3, dated January 15, 2009; the Child Development Facilities Regulation Act of 1998, effective April 13, 1999 (D.C. Law 12-215; D.C. Official Code §§ 7-2031 et seq. (2012 Repl.)) (“Facilities Act”); Mayor’s Order 2009-130, dated July 16, 2009; Sections 503 and 504 of the Early Intervention Program Establishment Act of 2004, effective April 13, 2005 (D.C. Law 15-353; D.C. Official Code §§ 7-863.03 and 7-863.04 (2012 Repl.)); Mayor’s Order 2009-167, dated September 28, 2009; Titles I and II of the Child and Youth, Safety and Health Omnibus Amendment Act of 2004 (“CYSHA”), effective April 13, 2005 (D.C. Law 15-353; D.C. Official Code §§ 1-620.31 et seq. and §§ 4-1501.01 et seq. (2012 Repl. & 2016 Supp.)); and the Healthy Tots Act of 2014, effective February 26, 2015 (D.C. Law 20-155; D.C. Official Code §§ 38-281 et seq. (2016 Supp.)); and pursuant to the Social Security Act, approved February 22, 2012 (Pub.L. 112-96; 42 U.S.C. § 618(c)); the Child Care and Development Block Grant Act of 2014 (“CCDBG Act”), approved November 19, 2014 (Pub.L. 113-186; 42 U.S.C. §§ 9858 et seq.), and regulations promulgated thereunder at 45 C.F.R. Parts 98 and 99. Source: Final Rulemaking at 63 DCR 14640 (December 2, 2016).District of Columbia, Office of the Secretary
144
HEALTH, SAFETY AND WELFARE HAND HYGIENE
100144.1 A Licensee shall establish and implement a written policy regarding hand washing that addresses the following areas:
- (a) Under what circumstances hand washing and hand sanitizing are required for staff, volunteers, and children;
- (b) Specific hand washing and hand sanitizing procedures; and
- (c) Ongoing monitoring by the Center Director or Caregiver to ensure that proper hand washing procedures are followed by staff, volunteers, and children.
100144.2 A Licensee shall post in all food preparation, diapering, toileting areas, and other designated hand washing areas the circumstances when children and staff shall perform hand hygiene.
100144.3 A Licensee shall ensure that all staff and volunteers wash their hands in, at least, the following circumstances:
- (a) Upon arrival for the day, after breaks or when moving from one group to another;
- (b) Before and after:
- (1) Preparing food or beverages;
- (2) Eating, drinking or handling food;
- (3) Handling clean utensils or equipment;
- (4) Diapering;
- (5) Assisting or training a child in feeding or toileting; or
- (6) Providing any medication or applying any medical ointment or cream.
- (c) After:
- (1) Personal use of the toilet;
- (2) Handling or contact with body secretions, such as blood, urine,
stool, mucus, saliva, or drainage from wounds;
(3) Removing disposable gloves;
(4) Caring for a sick child;
(5) Handling animals or cleaning up animal excrement; or
(6) Cleaning or handling garbage.
100144.4 A Licensee shall ensure that all children wash their hands in, at least, the following circumstances:
(a) Upon arrival for the day, after breaks or when moving from one group to another;
(b) Before and after eating, drinking, or handling food;
(c) After:
(1) Personal use of the toilet;
(2) Outdoor activities; or
(3) Handling animals.
100144.5 A Licensee shall ensure that designated hand washing areas are equipped with sinks with running water, soap, single-use paper towels or an air hand dryer, and are restricted from use for washing utensils and bottles.
SOURCE: Final Rulemaking at 63 DCR 14640 (December 2, 2016).