1. A. A written hand washing procedure approved by the office shall be posted at each sink used for washing hands.

2. B. Hands shall be washed according to the posted approved procedure by the provider, each staff member, each volunteer, each substitute, and each child in care at least:

   1. (1) After toileting or diapering;
   2. (2) Before food preparation or eating; and
   3. (3) After an outdoor activity or handling an animal.
3. C. Diapering shall be performed in accordance with a written diapering procedure approved by the office.

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: February 6, 2012 (39:2 Md. R. 142)

Regulation .02B amended effective January 13, 2020 (47:1 Md. R. 17)

Regulation .03B amended effective January 13, 2020 (47:1 Md. R. 17)

Regulation .04 amended effective June 24, 2013 (40:12 Md. R. 1043)

Regulation .04F amended effective January 13, 2020 (47:1 Md. R. 17)

Regulation .04I adopted as an emergency provision effective August 31, 2023 (50:20 Md. R. 885); adopted permanently effective February 5, 2024 (51:2 Md. R. 76)

Regulation .05 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Regulation .06 repealed as an emergency provision effective August 31, 2023 (50:20 Md. R. 885); repealed permanently effective February 5, 2024 (51:2 Md. R. 76)