Section 5-A144. HEALTH, SAFETY AND WELFARE: HAND HYGIENE

 

144.1 A Licensee shall establish and implement a written policy regarding hand washing that addresses the following areas:

 

(a) Under what circumstances hand washing and hand sanitizing are required for staff, volunteers, and children;

 

(b) Specific hand washing and hand sanitizing procedures; and

 

(c) Ongoing monitoring by the Center Director or Caregiver to ensure that proper hand washing procedures are followed by staff, volunteers, and children.

 

144.2 A Licensee shall post in all food preparation, diapering, toileting areas, and other designated hand washing areas the circumstances when children and staff shall perform hand hygiene.

 

144.3 A Licensee shall ensure that all staff and volunteers wash their hands in, at least, the following circumstances:

 

(a) Upon arrival for the day, after breaks or when moving from one group to another; 

 

(b) Before and after:

 

(1) Preparing food or beverages;

 

(2) Eating, drinking or handling food;

 

(3) Handling clean utensils or equipment;

 

(4) Diapering;

 

(5) Assisting or training a child in feeding or toileting; or

 

(6) Providing any medication or applying any medical ointment or cream.

 

(c) After:

 

(1) Personal use of the toilet;

 

(2) Handling or contact with body secretions, such as blood, urine, stool, mucus, saliva, or drainage from wounds;

 

(3) Removing disposable gloves;

 

(4) Caring for a sick child;

 

(5) Handling animals or cleaning up animal excrement; or

 

(6) Cleaning or handling garbage.

 

144.4 A Licensee shall ensure that all children wash their hands in, at least, the following circumstances:

 

(a) Upon arrival for the day, after breaks or when moving from one group to another; 

 

(b) Before and after eating, drinking, or handling food;

 

(c) After:

 

(1) Personal use of the toilet;

 

(2) Outdoor activities; or

 

(3) Handling animals.

 

144.5 A Licensee shall ensure that designated hand washing areas are equipped with sinks with running water, soap, single-use paper towels or an air hand dryer, and are restricted from use for washing utensils and bottles.

 

 

authority

Sections 3(b)(6A), 3(b)(9), 3(b)(9A), 3(b)(11) of the State Education Office Establishment Act of 2000, effective October 21, 2000 (D.C. Law 13-176; D.C. Official Code §§ 38-2602(b)(6A), (b)(9), (b)(9A), and (b)(11)) (2012 Repl. & 2016 Supp.)); the Day Care Policy Act of 1979, effective September 19, 1979 (D.C. Law 3-16; D.C. Official Code §§ 4-401 et seq. (2012 Repl. & 2016 Supp.)) (“Day Care Act”); Mayor’s Order 2009-3, dated January 15, 2009; the Child Development Facilities Regulation Act of 1998, effective April 13, 1999 (D.C. Law 12-215; D.C. Official Code §§ 7-2031 et seq. (2012 Repl.)) (“Facilities Act”); Mayor’s Order 2009-130, dated July 16, 2009; Sections 503 and 504 of the Early Intervention Program Establishment Act of 2004, effective April 13, 2005 (D.C. Law 15-353; D.C. Official Code §§ 7-863.03 and 7-863.04 (2012 Repl.)); Mayor’s Order 2009-167, dated September 28, 2009; Titles I and II of the Child and Youth, Safety and Health Omnibus Amendment Act of 2004 (“CYSHA”), effective April 13, 2005 (D.C. Law 15-353; D.C. Official Code §§ 1-620.31 et seq. and §§ 4-1501.01 et seq. (2012 Repl. & 2016 Supp.)); and the Healthy Tots Act of 2014, effective February 26, 2015 (D.C. Law 20-155; D.C. Official Code §§ 38-281 et seq. (2016 Supp.)); and pursuant to the Social Security Act, approved February 22, 2012 (Pub.L. 112-96; 42 U.S.C. § 618(c)); the Child Care and Development Block Grant Act of 2014 (“CCDBG Act”), approved November 19, 2014 (Pub.L. 113-186; 42 U.S.C. §§ 9858 et seq.), and regulations promulgated thereunder at 45 C.F.R. Parts 98 and 99.

source

Final Rulemaking at 63 DCR 14640 (December 2, 2016).