# Infant Care Personal Services

(a) There shall be a written toilet-training plan for infants being toilet trained. 

   (1) The infant's authorized representative and the director or the assistant director shall develop the plan. 

   (2) The plan shall include the following: 

      (A) Methods of toilet training; 

      (B) Introduction and use of appropriate training equipment; and 

      (C) Introduction and use of appropriate clothing. 

   (3) Infants who are being toilet trained shall not be required to wear diapers unless specifically indicated in the plan. 

   (4) The center shall follow the plan in toilet training the infant. 

   (5) Center staff shall have ready access to the toilet-training plan for infants in their care. 

(b) The infant shall be kept clean and dry at all times. 

   (1) The infant care center shall ensure that the infant has sufficient changes of clothing and diapers so that his/her clothing and diapers can be clean and dry at all times. 

   (2) Each infant's clothing and diapers shall be changed as often as necessary to ensure that the infant is clean and dry at all times. 

(c) Soiled or wet clothing or cloth diapers provided by the infant's authorized representative shall be placed in an airtight container and returned to the authorized representative at the end of each day. 

   (1) The airtight container shall prevent the escape of fluids and odors and be portable enough to give to the authorized representative. 

(d) When changing an infant's diapers, the following shall apply: 

   (1) Each infant shall be diapered on a changing table. 

      (A) No infant shall be left unattended while on a changing table.

   (2) Infants may be diapered on a changing pad placed on the floor that meets the requirements of Section 101439(h). 

   (3) Soiled disposable diapers shall either be disposed of as recommended on the packaging or placed in an airtight container for daily disposal outside of the center. 

      (A) Containers shall be sanitized daily. 

   (4) Soiled cloth diapers shall be placed in an airtight container. 

   (5) Diapers provided by the center, when soiled, shall be rinsed, washed and sanitized on a daily basis. If a diaper service is utilized, the diapers shall be placed in the diaper service company container, as instructed, for pickup by the diaper service. 

   (6) Towels and washcloths used for cleaning infants shall not be shared with other infants or staff and shall be washed after each use. 

   (7) The changing table and changing pads shall be disinfected after each use even when disposal covers are used. 

      (A) Infant changing tables may be covered with disposable paper towels or a similar covering that shall be discarded after each diaper change. 

      (B) The floor space used for diaper changing, if soiled, shall be disinfected after each use. 

(e) Whenever a potty chair is used, the following requirements shall be met: 

   (1) The potty chair shall be placed on the floor and used in accordance with the manufacturer's instructions. 

   (2) After each use, the potty chair shall be promptly emptied into a flushing toilet, and all surfaces shall be thoroughly cleaned and disinfected. 

   (3) No infant shall be left unattended while on a potty chair or seat. 

(f) As part of toilet training, each infant shall receive instruction and assistance in hand washing after use of the toilet.

> NOTE: Authority cited: Section 1596.81, Health and Safety Code. Reference: Sections 1596.72, 1596.73, 1596.81 and 1597.05, Health and Safety Code.


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