1. A. Unless specified otherwise in writing by the child’s physician, or other licensed health care provider, a child who:

   1. (1) Cannot roll over without assistance shall be placed for sleep on the child's back; or
   2. (2) Is younger than 12 months old but can roll over unassisted shall be placed for sleep on the child's back, but may be allowed to adopt whatever position the child prefers for sleep.
2. B. Unless the need for a positioning device that restricts a child’s movement while the child is resting is specified in writing by the child’s physician, or other licensed health care provider, an object or device, including, but not limited to, a strap, wedge, roll, or swaddling, that restricts movement may not be used with a child in a crib, portable crib, playpen, cot, bed, mat, or other rest furnishing.
3. C. Weighted rest items, including but not limited to blankets, sleepers, and swaddles, may not be used for a child under 12 months old.

Authority: Education Article, §§9.5-301—9.5-308, 9.5-310—9.5-312, 9.5-320, and 9.5-321;
General Provisions Article, §4-333; Human Services Article, §1-202; Annotated Code of Maryland
Agency Note: Federal Statutory Reference — Americans with Disabilities Act of 1990 (42 U.S.C. §12101 et seq.);
Pro-Children Act of 1994 (20 U.S.C. §6081 et seq.);
Child Care Development Block Grant (45 CFR Parts 98 and 99 and 42 U.S.C. 9858 et seq.);
Social Security Act §418 (42 U.S.C. 618)

Effective date: October 20, 2008 (35:21 Md. R. 1826)

Regulation .01 amended effective April 19, 2010 (37:8 Md. R. 618)

Regulation .01D, F amended effective January 13, 2020 (47:1 Md. R. 12)

Regulation .02 amended as an emergency provision effective August 31, 2023 (50:20 Md. R. 885); amended permanently effective February 5, 2024 (51:2 Md. R. 76)

Regulation .04 amended effective January 13, 2020 (47:1 Md. R. 12)

Regulation .05 amended effective April 19, 2010 (37:8 Md. R. 618)

Regulation .06 amended effective April 29, 2024 (51:8 Md. R. 367)

Regulation .06B amended effective January 13, 2020 (47:1 Md. R. 12)