# Responsibility for Providing Care and Supervision for Infants

(a) In addition to Section 101229, the following shall apply: 

   (1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. 

   (2) Sleeping infants shall be directly observed by sight and sound at all times. 

      (A) This shall include when the infants are going to sleep, are sleeping, or are in the process of waking up. 

      (B) Staff shall physically check on sleeping infants every 15 minutes and document the following: 

         1\. Labored breathing. 

         2\. Signs of distress, which includes but is not limited to flushed skin color, increase in body temperature, and restlessness. 

        3\. Infants up to 12 months of age who are sleeping in a position other than on their back. 

            a. If the infant’s Individual Infant Sleeping Plan \[LIC 9227 (3/20)] does not have Section C completed, staff shall return the infant to their back for sleeping. 

         4\. If staff observes labored breathing or signs of distress as specified in Subsection (a)(2)(B)2., staff shall obtain emergency medical treatment and immediately notify the infant’s authorized representative. 

      (C) Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: 

         1\. Date. 

         2\. Infant’s name. 

         3\. Time of each 15-minute check. 

         4\. Initials of staff person who conducted each check. 

      (D) In the event a separately walled room is used as a designated sleeping area, staff must adhere to the staff-infant ratio requirements, as specified in Section 101416.5(d), unless there is a half-wall or transparent wall that allows for constant audial and visual supervision.

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