1. (1)    A provider serving children under 12 months of age shall comply with the following requirements for those children:
   (a)    A provider must have and follow a written feeding plan and schedule that includes the types and amounts of formula, human milk, and food that is obtained from the child’s parent(s) and updated regularly.
   (b)    A provider must feed the child on their own feeding schedule and fed when hungry.
   (c)    A provider must clearly mark formula, human milk, bottles, and food provided by the parent(s) with the child's full name and date and refrigerated if required.
   (d)    A provider may not give infant formula to an infant who consumes human milk, without parental consent.
   (e)    A provider must give human milk only to the child specified to receive it by the parent(s).
   (f)    Human milk must:
   (A)    Be labeled with the child's full name and the date expressed;
   (B)    Be stored for no more than:
   (i)    24 hours in the refrigerator when thawed or defrosting; or
   (ii)    Six months from the expression date in the freezer.
   (C)    Be refrigerated or frozen until immediately before warming; and
   (D)    Not reused after 2 hours from serving.
   (g)    When formula is served, the caregiver must follow the manufacturer's instructions for mixing, storing, and discarding of any formula , unless requested by the child’s parent(s) and with a medical practitioner’s written permission.
   (h)    Whole milk, skim milk, 1 percent milk, and 2 percent milk must not be served unless requested by the child's parent(s) and with a medical practitioner’s written permission.
   (i)    A provider must not serve juice of any kind to infants, unless advised by a medical practitioner.
   (j)   When bottle feeding, bottles may only contain formula or human milk, and may not be combined with cereal, fruit juice, or other foods without a medical practitioner’s written permission
   (k)    A provider must not give infants, under six months of age, water to drink, without written approval by a medical professional.
   (l)    A provider must warm bottles only in one of the following ways: under running, warm tap water; using a commercial bottle warmer; stove top warming methods, or slow-cooking device; or by placing them in a container of warm water.
   (A)    Bottles must not be warmed in microwave ovens.
   (B)    Once warmed, a bottle must not be returned to the refrigerator or re-warmed.
   (m)    Solid foods fed to infants must be selected from the Child and Adult Care Food Program Meal Pattern (CACFP):
   (A)    Solid foods must not be fed to infants less than four months of age;
   (B)    Commercially packaged baby food must be served from a dish and not directly from the factory-sealed container;
   (C)    Leftovers in the serving container must be discarded; and
   (D)    Solid foods, with the exception of finger foods, must be fed with a spoon.
   (n)    Honey or food containing honey must not be served to infants.
   (2)    When bottle feeding, a provider must:
   (a)    Hold infants up to 6 months of age and older children who cannot hold their own bottles or sit alone; and
   (b)    Ensure the infant’s head is elevated while being fed.
   (3)    A provider must not lay a child of any age down with a bottle or training cup.
   (4)    A provider must not prop a bottle by any means at any time.
   (5)    When feeding solid foods, a provider must ensure that infants are fed in an upright position.

Statutory/Other Authority

ORS 329A.260

Statutes/Other Implemented

ORS 329A.280

History

DELC 138-2024, adopt filed 12/11/2024, effective 07/01/2025