Cleaning, Sanitizing/Disinfecting

Transcription

1 ing, Sanitizing/Disinfecting Intent Statement All surfaces and objects that come in contact with children and staff can harbor disease-causing germs. An environment that is routinely cleaned and d/ed reduces the number of disease causing germs and thus, reduces the spread of communicable disease. The procedures and practices outlined in this policy will reduce the spread of illness and promote the maintenance of a hygienic facility that is pleasant for working, playing and learning and will be done safely to protect staff and the children in their care. Procedure and Practice ing with detergent and water is the most common method for removing some germs from surfaces in the child care setting. However, most items and surfaces in a child care setting require sanitizing or ing after cleaning to further reduce the number of germs on a surface to a level that is unlikely to transmit disease. Other routine cleaning tasks include, vacuuming, sweeping, and mopping. Sanitizer is a product that reduces but does not eliminate germs on inanimate surfaces to levels considered safe by public health codes or regulations. A r may be appropriate to use on food contact surfaces (dishes, utensils, cutting boards, high chair trays), toys that children may place in their mouths, and pacifiers. Sanitizing solutions can be made by mixing bleach and water in specific proportions. Disinfectant is a product that destroys or inactivates germs (but not spores) on an inanimate object. A ant may be appropriate to use on hard, non-porous surfaces such as diaper change tables, counter tops, door & cabinet handles, and toilets and other bathroom surfaces. Disinfecting solutions can be made by mixing bleach and water in specific proportions. Assigning staff Staff members who are supervising children should not be cleaning and sanitizing/ing at the same time. There is to be enough staff available to clean and / without compromising proper supervision of children. Staff members should know who is responsible for each cleaning and sanitizing/ing task and how often each task should be performed. They should know the proper procedure for carrying out the task, and know the appropriate use and location of supplies. 1

2 Recommended Solutions Soap Solution for ing Follow a 3- step ing/ Rinsing/Sanitizing or Disinfecting process. All surfaces must be cleaned of visible soil with a soap solution and rinsed with clean water before sanitizing/ing. Soil will block the effectiveness of the sanitizing/ing solution. Soap Solution Water Liquid detergent 1 gallon (16 cups) ¼ cup 1 quart (4 cups) 1 tablespoon Make fresh weekly Bleach Solutions There are two formulas for bleach solution that are required to or surfaces and objects. Bleach Solution #1 Disinfecting Solution Make fresh daily For use on diaper changing tables, hand washing sinks, bathrooms, door & cabinet handles Water Regular bleach (6-6.25%) Concentrated bleach (8.25%) 1 gallon (16 cups) ¼ cups 2 ½ tablespoons 1 quart (4 cups) 1 tablespoon 2 teaspoons 1 pint (2 cups) 1 ½ teaspoons 1 teaspoons Bleach solution #2 Sanitizing Solution Make fresh daily For use on eating utensils, food use contact surfaces, mixed use tables, high chair trays, plastic mouthed toys and pacifiers Water Regular bleach (6-6.25%) Concentrated bleach (8.25%) 1 gallon (16 cups) 2 teaspoons 1-2 teaspoons 1 quart (4 cups) ½ teaspoon ½ teaspoon 1 pint (2 cups) ¼ teaspoon ¼ teaspoon Mixing Bleach Mix solution when children are not present Because bleach solutions lose strength over time, make solutions fresh daily Wear gloves and eye protection when mixing Add bleach to water rather than water to bleach Use a funnel 2

3 Make sure the room is well ventilated when mixing bleach Never mix ammonia with bleach products Using Bleach Solutions Apply when children are not present Adjust spray bottle to a heavy spray rather than a mist Allow bleach solution to remain on the surface for at least 2 minutes and completely air dry or wipe dry before allowing children back into the area Make sure the room is well ventilated when using bleach solution Labeling Label solution containers with date and contents. Date bleach bottle when opened, and do not keep longer than 3 months. Storage Store out of reach of children and in a way they will not tip or spill Store away from heat Never store ammonia with bleach products Discard unused solution at the end of the day Alternatives to bleach If using Sanitizer or Disinfectant solution other than bleach it must Have an EPA registration number on the label Be effective against Staphylococcus aureus, Salmonella choleraesuis, Pseudomonas aeruginosa as indicated on the label Be effective against HIV and hepatitis B as indicated on the label Be listed as tuberculocidal or effective against Mycobacterium tuberculosis Have a 10 minute or less contact time to kill microorganisms Be safe to use on food surfaces Have clear manufacturer s directions for mixing and use *Important: If using an EPA-registered product, follow the manufacturer's instructions on the label for diluting the product for sanitizing or ing, as well as for the contact time. Instructions on how to determine this for the EPA-registered product you are using can be found here: Some products also require a final rinse. Laundry Contaminated laundry is bagged where it became soiled. Unbagged, contaminated laundry is not carried across the facility. Soiled clothing will not be rinsed at the facility. Bulk stool or vomit may be dumped into a toilet. Clothing will be placed in a plastic bag, labeled with the child s name, placed in a plastic-lined container specified for this purpose, and sent home with the 3

4 child. Laundry should be washed in hot water (165 F) for 20 minutes or wash with bleach, using directions on product label. Toys Only washable toys are used. Mouthed toys are placed in a specific container after use by each child. They are cleaned, rinsed with water, and d before use by a different child. Shoes in infant play areas Before walking on surfaces that infants use for play, adults and children must remove or cover shoes that have been worn outside the play area. Individuals may wear shoes that are used only in the play area. Trash containers Trash containers in bathrooms and diaper changing areas must be lined with plastic bags. Plastic bags must be changed daily if they contain soiled items. All trash containers should be of the hands-free type, such as a foot-operated trash container, and all trash containers should be kept clean and emptied daily. Potty chairs Potty chair use is discouraged. If used, clean and after each use. ing supplies Disposable towels are preferred for cleaning. reusable rags must be laundered separately between uses. Sponges harbor bacteria and should not be used. All cleaning supplies must be inaccessible to children. Mops should be rinsed and ed after each use and hung above ground level to dry. ing schedule A cleaning schedule will be posted to assure that facilities are cleaned and d/ed routinely. 4

5 Areas Food areas Food preparation surfaces Eating utensils and dishes Before each use ing, Sanitizing/ Disinfecting Chart After each Daily Weekly Monthly Comments use (at the end of the day) Tables and highchair trays Countertops Food preparation appliances Mixed use tables Refrigerator Child Care Areas Plastic mouthed toys Use a r safe for food contact If washing the dishes and utensils by hand, use a r safe for food contact as the final step in the process. Use of an automated dishwasher will Use a r safe for food contact Before serving food Pacifiers Reserve for use by only one child. Use dishwasher or boil for one minute Hats after each use if head lice present Door and cabinet handles 5

6 Areas Before each Use After each use Daily (at the end of the Day) Weekly Monthly Comments Floor Sweep or vacuum, then damp mop (consider micro fiber damp mop to pick up most particles) Machine Launder washable cloth toys Dress-up clothes Launder Play activity centers Drinking fountains Computer keyboards Phone receivers Toilet and Diapering Areas Changing tables Potty chairs Hand washing sinks and faucets Use sanitizing wipes. Do not use spray with detergent. Rinse, Countertops Toilets Diaper pails Floors 6

7 Areas Before each Use After each use Daily (at the end of the Day) Weekly Monthly Comments Sleeping Areas Bed sheets, pillow cases, and blankets Cribs, cots and mats before use by another child before use by another child Applicable This policy applies to all staff, substitute staff, parents and volunteers in the child care setting. Communication This policy will be reviewed with staff upon implementation, at orientation, and during annual staff training. A summary copy will be included in the parent handbook. This policy will be reviewed with staff at orientation and annual staff training. References American Academy of Pediatrics, American Public Health Association, National Resource Center for Health and Safety in Child Care and Early Education 2011 Caring for our children: National health and safety performance standards; Guidelines for early care and education programs. 3rd Edition,. Elk Grove Village, IL: American Academy of Pediatrics; Washington, DC: American Public Health Association. Also available at American Academy of Pediatrics, 2008: Managing Infectious Diseases in Child Care and Schools. 2 nd Edition. Elk Grove Village, IL, American Academy of Pediatrics. Hennepin County Community Health Department, 2008: Infectious Disease in Childcare Settings and Schools. 6 th Edition. Arizona Department of Health Services, 2006: Arizona Health and Safety Policy Manual for Child Care Centers. Northern Kentucky Health Department, 2011: Prevention, Control and Management of Infectious Diseases in Child Care Settings. Kentucky Child Care Health Consultation Program kentuckycchc.org 7

8 Reviewed by: Director/Owner Board member CCHC/Health professional Staff member Parent/Guardian Effective Date/Review Date This policy is effective immediately. It will be reviewed yearly by the center director 8