Section 7.10.1060. Additional provisions for entities licensed to provide care for children.

	(a)  In addition to other applicable requirements of 7 AAC 10.1000 - 7 AAC 10.1095, an entity licensed to provide care for infants and children shall  
		(1) if infants or toddlers are in care, install and use safety gates to prevent access to stairs;  
		(2) install outlet covers in all electrical outlets that are not in use and that are accessible to children under age five; and  
		(3) use safe and sanitary equipment and supplies for diapering and toileting, including easy accessibility for the caregiver to wash the caregiver's hands after changing a diaper or assisting a child with toileting.  
	(b)  An entity that provides care for more than one child who uses bottles and pacifiers shall label the bottles and pacifiers with each child's name.  
	(c)  An entity that reuses bottles, bottle caps, and nipples shall, before reuse,  
		(1) wash them in a dishwasher, using a long wash cycle with hot water, and a heated drying cycle; or  
		(2) boil them in water for at least five minutes.  
	(d)  An entity that provides diapering shall develop, and ensure that each caregiver follows, written diaper changing procedures that minimize the spread of disease and the risk of contamination to hands and surfaces. Except as provided in 7 AAC 10.1000(c), a foster home or foster group home is not required to have written procedures, but must ensure that procedures used minimize the spread of disease and the risk of contamination.  
	(e)  In addition to the requirements of (d) of this section, an entity other than a foster home or foster group home shall ensure that  
		(1) the diaper changing area  
			(A) is not located in a food preparation area and is not used for temporary placement or serving of food; and  
			(B) has one accessible handsink located in, or immediately adjacent to, that area;  
		(2) each surface used for changing diapers is smooth, durable, nonabsorbent, and easily cleanable;  
		(3) sufficient quantities of clean diapers are available and are neatly stored;  
		(4) nonlatex gloves and handwashing supplies are available to prevent contamination, and are used in accordance with universal precautions described in 7 AAC 10.1045;  
		(5) for soiled clothing or cloth diapers, solid waste contents are disposed of by dumping the contents into a toilet and placing the diapers, without rinsing, in  
			(A) an impervious bag to be given to the parent for laundering, if applicable; or  
			(B) an easily cleanable container with a firmly fitted cover; the container must be  
				(i) lined with plastic;  
				(ii) designed to prevent the caregiver from contaminating the exterior surface of the container or the caregiver when inserting a soiled diaper;  
				(iii) provided within the caregiver's reach of the diaper changing area; and  
				(iv) emptied, cleaned, and sanitized daily;  
		(6) each diaper changing surface is cleaned and sanitized after each use; if a single-use, disposable cover is placed on the diapering surface before diapering, the entity shall ensure that the cover is disposed of immediately after diapering; the use of a single-use, disposable cover does not preclude or substitute for cleaning and sanitizing the surface or area after each use even if the surface or area is not visibly contaminated;  
		(7) after a soiled disposable diaper is removed, it is folded inward and resealed before disposal into a container described in (5)(B) of this subsection;  
		(8) if single-use, disposable wipes are used during diapering, the disposable wipes are discarded after use; if a nondisposable cloth is used, that cloth must be placed immediately, without rinsing, in  
			(A) an impervious bag to be given to the parent for laundering, if applicable; or  
			(B) a container described in (5)(B) of this subsection;  
		(9) diaper changing supplies, including containers of cream and lotion, are kept clean and sanitary; and  
		(10) children do not handle diaper changing supplies.  
	(f)  The entity shall ensure that individual cloth towels used for bathing, toothbrushes, and combs used by a child in care are stored separately to prevent contamination and are labeled with the child's name. If a storage rack is used, the rack must be cleaned and sanitized or replaced when visibly soiled and after contamination with blood or another body fluid. Except as provided in 7 AAC 10.1000(c), the requirements of this subsection do not apply to a foster home or foster group home.  
	(g)  Except for toys brought by children for personal use, the entity shall ensure that  
		(1) toys used by children are kept clean and sanitary;  
		(2) if a toy has been mouthed or is otherwise contaminated, that toy is cleaned and sanitized before use by another child; except as provided in 7 AAC 10.1000(c), the requirements of this paragraph do not apply to a foster home or foster group home; and  
		(3) toys used by children age three or older are cleaned at least once every seven days or when soiled; except as provided in 7 AAC 10.1000(c), the requirements of this paragraph do not apply to a foster home or foster group home.  
	(h)  If a water play table is used by children, the entity shall ensure that  
		(1) water in the table is maintained at 2 - 10 parts per million chlorine solution during use; the entity shall frequently use chemical test strips to ensure that proper chlorine concentration levels are maintained;  
		(2) each child using the table has hands washed before and after playing at the water play table;  
		(3) a child with open sores or wounds does not play at the table;  
		(4) water is discarded after each day of use; and  
		(5) the table is cleaned and sanitized after each day of use.  
	(i)  Except as provided in (k) of this section, an entity that provides a play area for use by children in care shall ensure that the play area is free of hazards that can cause injury, including  
		(1) selecting and maintaining play equipment so that it  
			(A) is securely anchored, unless it is portable and self supporting;  
			(B) is free of entrapment, pinch, or crush points;  
			(C) is free of sharp points, corners, or edges; and  
			(D) provides clearance between the equipment and any objects that may cause injury; and  
		(2) covering areas around and under play equipment that has a fall height of three feet or more with shock absorbing material such as pea gravel, sand, or sawdust; concrete or asphalt may not be used under play equipment; in this paragraph, "fall height" means the vertical distance between a play surface and the area around and under the play equipment.  
	(j)  Subject to (k) of this section, an entity shall ensure that each crib, crib mattress, cot, mat, and play yard is cleaned and sanitized  
		(1) at least once every seven days;  
		(2) before assignment to another child in care; and  
		(3) whenever soiled.  
	(k)  Except as provided in 7 AAC 10.1000(c), the requirements of (i) and (j) of this section do not apply to a foster home or foster group home.