RULES AND REGULATIONS - Colorado

COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT Division of Environmental Health and Sustainability 6 CCR 1010-7 ADOPTED BY STATE BOARD OF HEALTH RULES AND REGULATIONS GOVERNING

THE HEALTH AND SANITATION OF CHILD CARE FACILITIES IN THE STATE OF COLORADO EFFECTIVE, JANUARY 14, 2016

THIS COPY OF THE REGULATIONS IS PROVIDED FOR THE CONVENIENCE OF THE USER. OFFICIAL COPIES OF STATE OF COLORADO REGULATIONS ARE PUBLISHED BY THE SECRETARY OF STATE'S OFFICE AND CAN BE FOUND BY VISITING WWW.SOS.STATE.CO.US.

TABLE OF CONTENTS

7.1 Authority .................................................................................................................................. 1 7.2 Scope and Purpose ................................................................................................................. 1 7.3 Applicability............................................................................................................................. 1 7.4 Definitions................................................................................................................................ 2 7.5 Incorporation by Reference .................................................................................................. 9 7.6 Premises ................................................................................................................................. 10

7.6.1 Grounds .............................................................................................................................. 10 7.6.2 Solid Waste ........................................................................................................................ 10 7.6.3 Pools, Hot Tubs and Natural Swim Areas ................................................................... 10 7.7 Facility .................................................................................................................................... 11 7.7.1 Building............................................................................................................................... 11 7.7.2 Detached Structures and Modular Classrooms .......................................................... 13 7.8 Sanitary Facilities and Controls.......................................................................................... 13 7.8.1 Water Supply ..................................................................................................................... 13 7.8.2 Sewage................................................................................................................................ 15 7.8.3 Plumbing ............................................................................................................................ 15 7.8.4 Toilet Facilities................................................................................................................. 15 7.8.5 Handwashing/Bathing Facilities.................................................................................... 16 7.8.6 Custodial Areas ................................................................................................................. 17 7.9 Interior Design....................................................................................................................... 18 7.9.1 Personal Belongings......................................................................................................... 18 7.9.2 Play Equipment................................................................................................................. 18 7.9.3 Napping, Sleeping Areas and Equipment ................................................................... 19 7.9.4 Toys, Furnishings and Equipment ................................................................................ 19 7.9.5 Ill / Injured Child Area .................................................................................................... 20 7.10 Disease Prevention ............................................................................................................... 21 7.10.1 Personal Health ................................................................................................................ 21 7.10.2 Demonstration of Knowledge ........................................................................................ 22 7.10.3 Handwashing and Hygienic Practices .......................................................................... 23 7.10.4 Medications and First Aid............................................................................................... 25

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7.10.5 Sanitizers ........................................................................................................................... 25 7.10.6 Disinfectants ..................................................................................................................... 27 7.11 Food Service .......................................................................................................................... 28 7.11.1 Plumbing ............................................................................................................................ 28 7.11.2 Ventilation ......................................................................................................................... 30 7.11.3 Cooking and Hot Holding Equipment........................................................................... 31 7.11.4 Commercial Refrigeration Equipment ........................................................................ 31 7.11.5 Domestic Equipment ....................................................................................................... 31 7.11.6 Operational Requirements............................................................................................. 32 7.12 Infant and Toddler Programs and as Applicable to Older Children .............................. 34 7.12.1 Personal Items and Bedding .......................................................................................... 34 7.12.2 Staff Clothing for Infant Care ........................................................................................ 34 7.12.3 Feeding ............................................................................................................................... 34 7.12.4 Diapering ............................................................................................................................ 36 7.13 Care Of Animals..................................................................................................................... 37 7.13.1 Prohibited Animals .......................................................................................................... 37 7.13.2 Animal Bite Control ......................................................................................................... 38 7.13.3 Enclosures.......................................................................................................................... 38 7.13.4 Child Participation ........................................................................................................... 39 7.13.5 Designated Animal Areas................................................................................................ 39 7.14 Toxic Materials Management .............................................................................................. 39 7.14.1 Insect and Rodent Control ............................................................................................. 39 7.14.2 Poisonous or Toxic Materials......................................................................................... 40 7.14.3 Art and Science Materials .............................................................................................. 41 7.15 Compliance Procedures ....................................................................................................... 42

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COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT

Division of Environmental Health and Sustainability

6 CCR 1010-7

STATE BOARD OF HEALTH

RULES AND REGULATIONS GOVERNING THE HEALTH AND SANITATION OF CHILD CARE FACILITIES

IN THE STATE OF COLORADO

Adopted by the Board of Health on November 18, 2015 _

7.1 Authority

These rules and regulations are promulgated pursuant to Sections 25-1.5-101(1)(a), (h), (k), and (l), 25-1.5-102(1)(a) and (d), and 25-1-108(1)(c)(I), C.R.S.

7.2 Scope and Purpose

A. This regulation shall govern minimum health and sanitation requirements for the operation and maintenance of child care facilities in order to protect the health of children and staff in these facilities.

B. This regulation does not apply to:

1. Family child care homes as defined in Section 26-6-102(4), C.R.S.;

2. Cradle care homes, foster care homes, medical foster care, therapeutic foster care, and treatment foster care as defined in Section 26-6-102(2.4), (4.5), (5.6), (11), and (12) C.R.S.; and,

3. Neighborhood youth organizations as defined in Section 26-6-102(5.8), C.R.S.

7.3 Applicability

A. These rules and regulations shall apply to all child care facilities as defined in Sections 26-6-102(1.5), (2.2)(a), (2.5)(a), (5), (5.1), (6.7), (8), (9), and (10)(a), C.R.S. and definition 7.4(A)(6) of this regulation.

1. Child care facilities in operation prior to the effective date of these regulations, which would require capital expenditures to fully meet all design, construction and equipment requirements of the regulations, shall be deemed acceptable if in good repair and capable of being maintained in a sanitary condition and pose no hazard to the health of the facility occupants.

2. Any child care facility operator shall have the right to seek a variance to any

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section of these rules and regulations which, in his/her opinion, presents an undue hardship on the person, facility, or the community so long as minimum health and sanitation requirements are met. All variance requests shall be submitted to the Colorado Department of Public Health And Environment in writing, stating the section for which the variance is being requested and the reason for the request.

B. The Department may require detailed plans and specifications of a child care facility proposed to be newly constructed, and/or the affected areas of any existing child care facility proposed to be extensively remodeled. Each child care provider, person intending to become a child care provider or designee shall be responsible for submitting the requested plans and specifications. Approval of requested plans and specifications is necessary before construction begins. Any revision of plans shall be submitted to the Department for review and modification or approval. Plans shall include: a plan-view scale drawing of the facility; the location of all equipment, plumbing fixtures and connections, ventilation systems, and other pertinent information.

7.4 Definitions

A. The following definitions shall apply in the interpretations and the enforcement of these regulations unless the context clearly states otherwise:

1. Advanced Food Preparation means cooking or assembling of potentially hazardous food either in its finished state or partially finished state, more than four hours in advance of serving. This practice requires temperature control to limit the growth of pathogenic organisms.

2. Approved means acceptable to the Colorado Department of Public Health and Environment or its authorized agents or employees based upon determination of conformance with these and other appropriate standards and good public health practice.

3. Bacteria means organisms with a cell wall that can survive inside and outside of the body.

4. Body fluids shall include urine, feces, saliva, blood, nasal discharge, eye discharge and injury or tissue discharge.

5. Certificate of Immunization means an official Colorado Certificate of Immunization or an Alternate Certificate of Immunization that has been approved by the Colorado Department of Public Health and Environment and shall include one of the following forms of documentation that include the dates and type of immunizations administered to a child or the dates and types of exemption taken:

a. A paper document that includes information transferred from the records of a licensed physician, registered nurse, or public health official; or,

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