NAC432A.412. Written procedures for washing of hands.

     1. Each facility must have written procedures concerning the washing of hands.

     2. The staff of a facility shall follow the procedures of the facility concerning the washing of hands and shall instruct, monitor and assist the children being cared for at the facility to ensure that the children follow the procedures.

     3. The procedures concerning the washing of hands must require, without limitation, that:

     (a) The staff of the facility wash their hands with soap from a dispenser and warm water:

          (1) Any time that their hands come into contact with blood, mucus, vomit, feces or urine;

          (2) Before preparing or handling food;

          (3) Before engaging in any activity related to serving food, including, without limitation, setting the table;

          (4) Before and after eating a meal or snack;

          (5) After using the toilet, helping a child use the toilet or changing a diaper with or without gloves;

          (6) After attending to an ill child;

          (7) After handling an animal;

          (8) Before and after giving medication to a child; and

          (9) After cleaning a container used to store garbage or handling garbage.

     (b) The children being cared for in the facility wash their hands with soap from a dispenser and warm water:

          (1) Any time that their hands come into contact with blood, mucus, vomit, feces or urine;

          (2) Before handling food;

          (3) Before and after eating a meal or snack;

          (4) After handling an animal;

          (5) After the diaper or underwear of the child is changed;

          (6) After playing in water; and

          (7) After playing in a sandbox.

     (c) The staff of the facility shall ensure that:

          (1) Each bathroom has running water, soap and single-use or disposable towels; and

          (2) Any common basin or sink which is filled with standing water is not used for the washing of hands.

     (Added to NAC by Bd. for Child Care by R203-97, eff. 4-1-98; A by R047-98, 6-10-98; R112-06, 4-23-2009)