1. A. When hand washing, the following shall apply:

   1. 1. Children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.
   2. 2. Children's hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine.
   3. 3. Caregivers shall wash their hands with soap and running water before and after helping a child use the toilet or changing a diaper, after the caregiver uses the toilet, after any contact with body fluids, before feeding or helping children with feeding, and before preparing or serving food or beverages.
   4. 4. If running water is not available, a germicidal cleansing agent administered per manufacturer's instruction may be used.
2. B. A child shall not be left unattended on a changing table during diapering.
3. C. When a child's clothing or diaper becomes wet or soiled, the child shall be cleaned and changed immediately upon discovery.
4. D. During each diaper change or after toileting accidents, the child's genital area shall be thoroughly cleaned with a moist disposable wipe or a moist, clean individually assigned cloth if the child is allergic to disposable wipes.

5. E. The diapering surface shall be:

   1. 1. Separate from the kitchen, food preparation areas, or surfaces used for children's activities;
   2. 2. Nonabsorbent and washable; and
   3. 3. Cleaned and sanitized after each use.
6. F. Soiled disposable diapers and wipes shall be disposed of in a leak-proof or plastic-lined storage system that is either foot operated or used in such a way that neither the caregiver's hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal.
7. G. When cloth diapers are used, a separate leak-proof storage system as specified in subsection F of this section shall be used.
8. H. Children five years of age and older shall be permitted privacy when toileting.
9. I. Caregivers shall respond promptly to a child's request for toileting assistance.
10. J. Toilet chairs, when used, shall be emptied promptly, cleaned, and sanitized after each use.

Statutory Authority

§§ 22.1-16 and 22.1-289.046 of the Code of Virginia.

Historical Notes

Former 22VAC40-665-370 derived from Virginia Register Volume 35, Issue 2, eff. October 17, 2018; renumbered, Virginia Register Volume 37, Issue 24, eff. July 1, 2021.