Cited finding
Children’s hand washing: Center shall ensure staff assist children in personal hygiene. For each infant or child with a disability, a separate cloth for washing and one for rinsing may be used in place of running water. Children’s hands shall be washed:Immediately before eating or participating in food service activity.After using the restroom or being diapered.After handling animals. For a few minutes One staff was in the program room changing a child's diaper, leaving the other staff in the play room with six children. This made the staff with six children out of ratio. The staff didn't wash the child's hands after diaper changing. The diaper changing table wasn't cleaned and disinfected after the diaper change. I discussed the need for hand washing after diaper changing with staff and the need for cleaning/disinfecting the diaper changing table. The staff said they disinfect the diaper changing table before they do a diaper change on the next child. I am recommending that your program look at placing a diaper changing table in the play room to eliminate the need for staff leaving to go to the program room for diaper changing which would leave the play room out of ratio. You will need to explore a sink (Don't use a portable sink) for hand washing after diaper changing in the play area. Please provide training for diaper changing and hand washing to staff. I would recommend that the diaper changing table be cleaned and disinfected after each diaper change and not wait until the next child needs a diaper change.