(1) ONB providers must comply with the following handwashing procedures or those defined by the United States Centers for Disease Control and Prevention, and children should strongly be encouraged to:

(a) Wet hands with warm water;

(b) Apply soap to the hands;

(c) Rub hands together to wash for at least 20 seconds;

(d) Thoroughly rinse hands with water;

(e) Dry hands with a paper towel, single-use cloth towel, or air hand dryer. ONB programs may use cotton roll towels, or otherwise ensure that children do not use the same part of reusable cloth towels;

(f) Turn water faucet off using a paper towel or single-use cloth towel unless it turns off automatically;

(g) Properly discard paper single-use cloth towels after each use; and

(h) ONB programs with a permanently located outdoor classroom must provide children with an opportunity to wash hands and rinse using running water after toileting and before eating, and warm water is encouraged. Hand sanitizer may be used only after soil and dirt have been cleaned from the hands.

(2) ONB providers must wash and sanitize cloth towels after a single use. Soiled and used towels must be inaccessible to children.

(3) Except for ONB programs that enroll only school-age children and operate on public or private school premises, air hand dryers must have a heat guard (barrier that prevents user from touching heating element) and be equipped to turn off automatically to prevent children from being burned.

(4) ONB providers must wash their hands following the handwashing procedures listed above:

(a) When arriving at work;

(b) After toileting a child;

(c) Before and after diapering a child using a wet wipe in place of handwashing during the middle of diapering, if needed;

(d) After personal toileting;

(e) After attending to an ill child;

(f) Before and after preparing, serving, or eating food;

(g) After handling raw or undercooked meat, poultry, or fish;

(h) After egg gathering;

(i) Before and after giving medication or applying topical ointment;

(j) After handling or feeding animals, handling an animal's toys or equipment, or cleaning up after animals;

(k) After handling bodily fluids;

(l) After using tobacco or vapor products;

(m) After gardening activities;

(n) After handling garbage and garbage receptacles; and

(o) As needed or required by the circumstances.

(5) ONB providers must direct, assist, teach, and coach children to wash their hands using the steps listed above:

(a) When arriving at the ONB program;

(b) After using the toilet;

(c) After diapering;

(d) Upon entering a licensed indoor early learning or school-age space;

(e) After gardening activities;

(f) After playing with animals;

(g) After egg gathering;

(h) After touching body fluids such as blood or after nose blowing or sneezing;

(i) Before and after eating or participating in food activities including table setting; and

(j) As needed or required by the circumstances.

(6) Hand sanitizers or hand wipes with alcohol may be used for adults and children under the following conditions:

(a) When proper handwashing facilities are not available; and

(b) Hands are not visibly soiled or dirty.

(7) Children must be actively supervised when using hand sanitizers to avoid ingestion or contact with eyes, nose, or mouth.

(a) Hand sanitizer must not be used in place of proper handwashing.

(b) An alcohol-based hand sanitizer must contain 60 to 90 percent alcohol to be effective.