The State's rules explain what to do. The text immediately following explains how and why...
9502.0435 SANITATION AND HEALTH.
Subp. 13. Diapers. Children in diapers shall be kept clean and dry. The following sanitary procedures must be used to reduce the spread of communicable disease.
A. An adequate supply of clean diapers must be available for each child and stored in a clean place inaccessible to children. If cloth diapers are used, parents must provide a change of the outer plastic pants for each fecally soiled diaper change. Cloth diapers, except those supplied by a commercial diaper service, and plastic pants, if supplied by parents, must be labeled with the child's name.
B. Diapers and clothing must be changed when wet or soiled.
C. For disposable diapers, a covered diaper disposal container must be located in the diaper changing area and lined with a disposable plastic bag. The container must be emptied when full, and at least daily.
D. Diapering must not take place in a food preparation area. The diaper changing area must be covered with a smooth, nonabsorbent surface. If the surface is not disposable and is wet or soiled, it must be washed with soap and water to remove debris and then disinfected with a solution of at least two teaspoons of chlorine bleach to one quart of water. If the surface is not soiled with feces or urine, then it must be disinfected with the solution of chlorine bleach and water after each diapering.
E. Single service disposable wipes or freshly laundered cloths must be used for washing a soiled child. A child who has soiled or wet must be washed with a disposable wipe or a freshly laundered cloth before rediapering.
F. Cloth diapers, except those supplied by a commercial diaper service, plastic pants, and soiled clothing must be placed in the plastic bag after removal and sent home with the parent daily.
Subp. 14. Toilet training chairs. Toilet training chairs, chairs, stools, and seats must be washed with soap and water when soiled, and at least daily.
Subp. 15. Hand washing. A child's hands must be washed with soap and water when soiled, after the use of a toilet or toilet training chair, and before eating a meal or snack. The provider shall monitor and assist the child who needs help.
A. In sinks and tubs accessible to children, the water temperature must not exceed 120 degrees Fahrenheit to prevent children from scalding themselves while washing.
B. Caregivers shall wash their hands with soap and water after each diaper change, after assisting a child on the toilet, after washing the diapering surface, and before food preparation. Hands must be dried on a single use towel.
Recipe for Weaker Bleach Disinfecting Solution
(For use on toys, eating utensils, etc.)
Routine cleaning with soap and water is the most useful method for removing germs from surfaces in the child care setting. Good mechanical cleaning (scrubbing with soap and water) physically reduces the numbers of germs from the surface, just as hand washing reduces the numbers of germs from the hands. Removing germs in the child care setting is especially important for soiled surfaces which cannot be treated with chemical disinfectants, such as some upholstery fabrics.
However, some items and surfaces should receive an additional step, disinfection, to kill germs after cleaning with soap and and rinsing with clear water. Items that can be washed in a dishwasher or hot cycle of a washing machine do not have to be disinfected because these machines use water that is hot enough for a long enough period of time to kill most germs. The disinfection process uses chemicals that are stronger than soap and water. Disinfection also usually requires soaking or drenching the item for several minutes to give the chemical time to kill the remaining germs.
A solution of bleach and water loses its strength very quickly and easily. It is weakened by organic material, evaporation, heat, and sunlight. Therefore, bleach solution should be mixed fresh each day to make sure it is effective. Any leftover solution should be discarded at the end of the day. Keep the bleach solution you mix each day in a cool place out of direct sunlight and out of the reach of children. (Be aware that some infectious agents are not killed by bleach. For example, cryptosporidia is only killed by ammonia or hydrogen peroxide.)
Important! NEVER mix bleach with anything but fresh tap water! Other chemicals may react with bleach and create and release a toxic chlorine gas.
Hard plastic toys that are washed in a dishwasher or cloth toys washed in the hot water cycle of a washing machine do not need to be additionally disinfected.
Stuffed toys used by only a single child should be cleaned in a washing machine every week, or more frequently if heavily soiled.
Be sure to replace batteries as they become weakened and you will not have to try to salvage a toy.
What has happened is your battery is dying slowly, and unfortunately, as it dies, leaks out an alkaline: Potassium Hydroxide. This is a corrosive base, much like lye. The way to neutralize the leakage is to removed the batteries, and if you can get to the inner workings of the toys' circuit board, wash all of the affected areas with a solution containing a 50/50 mixture of white vinegar and pure water. Scrub carefully with a good toothbrush or very gently with a cotton swab, and then rinse with pure water and force dry with a hair dryer. Replace with fresh batteries, and then give the toy a try. If it still doesn't work then the damage has been extensive and you will have to throw out the toy.
Bathroom surfaces, such as faucet handles and toilet seats, should be washed and disinfected several times a day, if possible, but at least once a day or when soiled.
Surfaces should be drenched or soaked with the disinfectant for at least 10 minutes. Surfaces likely to be mouthed should be thoroughly wiped with a fresh towel moistened with tap water.
After each diaper change:
Do not wash or rinse clothing soiled with fecal material in the child care setting. You may empty solid stool into the toilet, but be careful not to splash or touch toilet water with your hands. Put the soiled clothes in a plastic bag and seal the bag to await pick up by the child's parent or guardian at the end of the day. Always wash your hands after handling soiled clothing.
Explain to parents that washing or rinsing soiled diapers and clothing increases the chances that you and the children may be exposed to germs that cause diseases. Although receiving soiled clothes isn't pleasant, remind parents that this policy protects the health of all children and providers.
Each item of sleep equipment, including cribs, cots, mattresses, blankets, sheets, etc., should be cleaned and sanitized before being assigned to a specific child.
The bedding items should be labeled with that child's name, and should only be used by that child.
Children should not share bedding.
Most experts agree that the single most effective practice that prevents the spread of germs in the child care setting is good handwashing by child care providers, children, and others. Some activities in particular expose children and providers to germs or the opportunity to spread them. You can stop the spread of germs by washing your hands and teaching the children in your care good handwashing practices.
When Hands Should Be Washed
*If gloves are being used, hands should be washed immediately after gloves are removed even if hands are not visibly contaminated. Use of gloves alone will not prevent contamination of hands or spread of germs and should not be considered a substitute for hand washing.
A child care provider may use a towelette to clean hands while diapering a child who cannot be left alone on a changing table that is not within reach of running water. However, hands should be washed as soon as diapering is completed and child is removed from the changing table.
Water basins should not be used as an alternative to running water. If forced to use a water basin as a temporary measure, clean and disinfect the basin between each use. Outbreaks have been linked with sharing wash water and washbasins.
How to Wash Hands
The Use of Hand Sanitizers in Place of Washing with Soap and Water
"Typically, people carry between 10,000 and 10 million bacteria on each hand. We all know the importance of good hand washing in reducing harmful microorganisms on the skin, but what about those times when there is no access to hand washing facilities or not enough time to wash thoroughly? Can a hand sanitizer (alcohol gel) serve as a suitable alternative to hand washing? ... Alcohol works immediately and effectively to kill bacteria and most viruses. Solutions containing 60-95% alcohol are most effective. Higher concentrations are less potent because proteins are not denatured easily in the absence of water. Alcohol gels work by stripping away the outer layer of oil on the skin, thereby destroying any 'transient' microorganisms present on the surface of the hands....
How do the "alcohol-based hand rubs" compare to soap and water? While alcohol gels are convenient and popular, they are not meant to replace soap and water. Alcohol gels do not work to remove pieces of dirt and food... Hand sanitizers should primarily be used only as an optional follow-up to traditional hand washing with soap and water, except in situations where soap and water are not available. In those instances, use of an alcohol gel is certainly better than nothing at all." SourceBack to Top
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