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Diapering, Handwashing , Disinfecting and Sanitizing in Child Care

Diapering, Handwashing , Disinfecting and Sanitizing in Child Care. St. Louis City Department of Health Child Care Safety and Licensure. General Info. Children are together for long periods of time in child care Close proximity + prolonged contact = GERMS

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Diapering, Handwashing , Disinfecting and Sanitizing in Child Care

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  1. Diapering, Handwashing, Disinfecting and Sanitizing in Child Care St. Louis City Department of Health Child Care Safety and Licensure

  2. General Info • Children are together for long periods of time in child care • Close proximity + prolonged contact = GERMS • Germs can be controlled by frequent, effective HANDWASHING and cleaning, sanitizing, and disinfecting objects which come in contact with children • Proper handling and disposal of contaminated items are necessary to prevent the spread of infections

  3. Definitions • Cleaning – Mechanical process (scrubbing), using soap or detergent and water, that removes dirt, debris and most germs. • Sanitizing – Destroys harmful germs from mouthed toys, eating utensils and food contact surfaces with food grade chemical or high temperature.

  4. Definitions Cont. • Food-Contact Surfaces – Anything that touches food or that is put in the mouth (i.e. dishes, utensils, high chair trays where children eat, teething toys, or anything that touches food/ drink or is put in the mouth). • Disinfecting – Destroys harmful germs on non food contact surfaces. If it is made with the same chemical as the sanitizer, the disinfectant is usually stronger than the sanitizer and not safe for food-contact surfaces.

  5. CLEANING • Wear disposable gloves when handling blood or bloody items, if you have open cuts, sores or cracked skin and when cleaning bathrooms, diapering area, or any areas contaminated with stool, vomit, or urine. • For spills, wipe up the area to remove blood or body fluids. Use disposable towels and discard in a plastic-lined trash can. • Clean objects and surfaces by scrubbing with detergent and fresh water to remove debris.

  6. CLEANING Cont. • Rinse objects (under running water when possible) • Follow cleaning with disinfecting or sanitizing of the area/objects • Remove gloves and discard after each use, wash hands IMMEDIATELY, even if gloves have been worn. Wash thoroughly and vigorously with soap and water, under warm running water for at least 20 seconds.

  7. DISINFECTING • A recommended disinfectant for child care settings is a solution of household bleach and water • Safe • Effective • Inexpensive • Readily available

  8. DISINFECTING Cont. • Clean with soapy water and rinse with clean water prior to disinfecting. • Submerge the item or spray the area thoroughly with disinfecting solution, Wipe with paper towel. • Discard used paper towels or soak mop in disinfecting solution for 10 – 30 minutes. Wring and hang to dry. • Launder rags after one use. • Place cleaning materials in locked cabinet. • Wash your hands.

  9. DISINFECTING SOLUTION • ¼ cup bleach in 1 gallon of water (pail) or • 1 tablespoon bleach in 1 quart of water (spray bottle) • Prepare solution fresh daily because it loses its ability to kill germs.

  10. SANITIZING • Clean with soapy water and rinse with clear water prior to sanitizing. • Submerge the item and soak for 2 minutes or spray the item if it is too large to soak. • Wiping rags/ dishrags used to wipe food-contact surfaces should be kept on a bucket of freshly made sanitizing solution. • DO NOT RINSE AFTER SANITIZING. • AIR DRY COMPLETELY. Do not towel dry. Test strips must be used to check sanitizer concentration.

  11. SANITIZING SOLUTION • 1 teaspoon bleach in 1 gallon of water OR • ¼ teaspoon bleach in 1 quart of water

  12. HANDWASHING • Everyone should wash their hands: • Upon arrival • After toileting • After playing outdoors • After handling, feeding, or playing with pets • After coughing, sneezing, or wiping nose • Before preparing food or drink • Before eating or drinking • Before and after water play

  13. ADULT HANDWASHING • Adult should wash their hands: • Before preparing or serving food • After cleaning away dirty dishes and utensils • After any cleaning activity • After emptying garbage • After diapering a child • After helping a child with toileting • Before and after caring for an injury • After coming in contact with bodily secretions • After wiping a child nose, mouth, or bottom • Before and after giving medication • After handling money

  14. PROPER HANDWASHING TECHNIQUE • Remove jewelry; push up sleeves. Wet hands with warm running water. • Apply liquid soap. • Wash hands for 20 seconds include palms, backs between fingers, thumbs, fingernails, and wrists. Use nail brush after contact with stool or if a food handler. • Rinse well with fingertips pointed down. • Dry hands with a hot air dryer or paper towel • Turn off faucet with paper towel. This avoids recontamination. Throw paper towel into plastic-lined waste container.

  15. GLOVING • Put on a CLEAN pair of gloves. • Provide appropriate care or task • Remove each glove carefully. Grab the first glove at the palm and strip the glove off. (Touch dirty surfaces only to dirty surfaces). • Ball-up the dirty glove in the palm of the other hand. • With the clean hand, strip the glove off from underneath at the wrist, turning the glove inside out. (Touch clean surfaces only to clean surfaces). • Discard the dirty gloves immediately in a waste can and WASH YOUR HANDS!!!!!

  16. DIAPERING • Babies and toddlers do pose special problems. Whenever young children are in diapers (or if a child has toileting accidents or diarrhea), the following steps can be taken to help prevent the spread of illness: • Always change children’s diapers or clothing on a clean surface. If you use a changing table or counter top clean it with soap and water, then a sanitizing solution after each diaper change.

  17. DIAPERING Cont. • When changing dirty diapers, shake any solid matter into the toilet stool and flush it away. Carefully fold and wrap empty disposable diaper and put it in plastic trash bag for disposal. Carefully fold and place emptied cloth diapers in a plastic bag for parents to take home.

  18. DIAPERING Cont. • When diapering and clean-up is completed, thoroughly WASH YOUR HANDS with soap and water, being sure to work up a good lather. Clean under the fingernails, washing all the way up your wrists and rinsing well. Also, wash children’s hands before they return to activity. • If you use a towel or blanket on the floor, use it for one child, folding it between uses to keep it clean. Change it when it comes wet or dirty and use a clean one every day.

  19. GUIDELINES TO FOLLOW • Surfaces and objects contaminated with blood, urine, vomit, or stool should be cleaned with detergent and water and disinfected immediately. • Objects handled or mouthed by young children should be cleaned and sanitized at least daily and when soiled.

  20. GUIDELINES TO FOLLOW Cont. • Table tops and high chair trays where children eat should be sanitized immediately before seating children for a meal. • Thermometers should be cleansed and sanitized after each use. • Food-contact surfaces should be cleaned and sanitized after each use.

  21. GUIDELINES TO FOLLOW Cont. • Clean insides of bottles, caps, and nipples with a bottle brush and soapy water. Squirt water through nipple. Sanitize by washing in dishwasher or by boiling for 5 minutes just prior to filling. Store nipples in a closed container when COMPLETELY air dried. • Pacifiers and teething toys should be cleaned after each use. If teething toys are stored in freezer, they should be wrapped or contained so they are protected from contamination.

  22. GUIDELINES TO FOLLOW Cont. • Wiping rags/ dishrags that are used to clean counters and other food-contact surfaces should be stored in a bucket of food grade sanitized while in use. Launder at least daily. • Water play tables can serve as a source of contamination and their use is discouraged. • Diapering area should be cleansed and disinfected after each diaper change and air dry daily.

  23. GUIDELINES TO FOLLOW Cont. • Indoor surfaces where children’s activities occur should be cleaned and disinfected when soiled and once a week. • Classroom table tops and counters that are not used for preparing or serving food should be cleaned and disinfected daily or more often if needed.

  24. GUIDELINES TO FOLLOW Cont. • Uncarpeted floors should be vacuumed, or swept, and mopped with a cleaning solution at least daily and when soiled. Different when dealing with blood or bodily fluids. • Mops should be cleaned thoroughly in fresh water and detergent. Soak in a disinfectant solution for 10-30 minutes after use. Wring and hang to dry

  25. CARPETS • Carpet should be free from visible soil. Vacuum daily. Shampoo carpets every 6 months or more often if necessary (3-4 months for infants/ toddler rooms). Clean carpets when children are not present. Vacuum after cleaning. Spot clean when necessary.

  26. UTILITY GLOVES • If utility gloves are used for cleaning and disinfecting, they should be cleaned with soap and water after each use and then dip in a disinfectant solution up to the wrist. Hang to dry.

  27. ALWAYS REMEMBER TO WASH YOUR HANDS!!! Make Your Daycare A Healthy Place To Be

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