Infant and Toddler Care
Infant and Toddler Care
- The provider shall not mix infants and toddlers with older children, unless there are 8 or fewer children present in the group.
- Infants and toddlers shall not use outdoor play areas at the same time as older children unless there are 8 or fewer children present in the group.
- If an infant is not able to sit upright and hold their own bottle, a caregiver shall hold the infant during bottle feeding. Bottles shall not be propped.
- The provider shall clean and sanitize high chair trays prior to each use.
- The provider shall cut solid foods for infants into pieces no larger than 1/4 inch in diameter. The provider shall cut solid foods for toddlers into pieces no larger than 1/2 inch in diameter.
- Baby food, formula, and breast milk that is brought from home for an individual child’s use must be:
- labeled with the child’s name;
- labeled with the date and time of preparation or opening of the container, such as a jar of baby food;
- kept refrigerated if needed; and
- discarded within 24 hours of preparation or opening, except that powdered formula or dry foods which are opened, but are not mixed, are not considered prepared.
- Formula and milk, including breast milk, shall be discarded after feeding, or within two hours of initiating a feeding.
- To prevent burns, heated bottles shall be shaken and tested for temperature before being fed to children.
- Pacifiers, bottles, and non-disposable drinking cups shall be labeled with each child’s name, and shall not be shared.
- Only one infant or toddler shall occupy any one piece of equipment at any time, unless the equipment has individual seats for more than one child.
- Infants shall sleep in equipment designed for sleep such as a crib, bassinet, porta-crib or play pen. Infants shall not be placed to sleep on mats or cots, or in bouncers, swings, car seats, or other similar pieces of equipment.
- Cribs must:
- have tight fitting mattresses;
- have slats spaced no more than 2-3/8 inches apart;
- have at least 20 inches from the top of the mattress to the top of the crib rail; and
- not have strings, cords, ropes, or other entanglement hazards strung across the crib rails.
- Infants shall not be placed on their stomachs for sleeping, unless there is documentation from a health care provider for treatment of a medical condition.
- Each infant and toddler shall follow their own pattern of sleeping and eating.
- Caregivers shall keep a written record daily for each infant documenting their eating and sleeping patterns.The record shall be completed within an hour of each feeding or nap, and shall include the child’s name, the food and beverages eaten, and the times the child slept.
- Walkers with wheels are prohibited.
- Infants and toddlers shall not have access to objects made of styrofoam.
- Caregivers shall respond as promptly as possible to infants and toddlers who are in emotional distress due to conditions such as hunger, fatigue, wet or soiled diapers, fear, teething, or illness.
- Awake infants and toddlers shall receive positive physical stimulation and positive verbal interaction with a caregiver at least once every 20 minutes.
- Awake infants and toddlers shall not be confined for more than 30 minutes in one piece of equipment, such as swings, high chairs, cribs, play pens, or other similar pieces of equipment.
- Mobile infants and toddlers shall have freedom of movement in a safe area.
- To stimulate their healthy development, there shall be safe toys accessible to infants and toddlers. There shall be enough toys for each child in the group to be engaged in play with toys.
- All toys used by infants and toddlers shall be cleaned and sanitized:
- after being put in a child’s mouth before another child plays with it; and
- after being contaminated by body fluids.