(1) An ONB provider must have a designated diaper changing area, including stand-up diapering, for every child or group of children who require diapering.

(a) A diaper changing area must:

(i) Be separate from areas where food is stored, prepared, or served;

(ii) Be separate from where children play or eat;

(iii) Have an approved handwashing method readily available, pursuant to WAC 110-302-0200;

(iv) Have a sturdy surface or mat that:

(A) Is not torn or repaired with tape;

(B) Is washable;

(C) Has a moisture resistant surface that is cleanable; and

(D) Is large enough to prevent the area underneath the diaper changing area from being contaminated with bodily fluids; and

(b) ONB providers must not leave children unattended on diaper changing surfaces or mats during the diaper changing process.

(c) ONB providers must not use safety belts on diaper changing tables because they are neither cleanable nor safe.

(d) ONB providers must have and follow each step described in a diaper changing procedure to ensure diaper changing and disposal practices prevent cross-contamination.

(e) ONB providers must prevent the viewing of a partially or fully undressed child during diaper changes by members of the public. For the purpose of this subsection, "members of the public" means anyone not affiliated with the providers' ONB program.

(2) If ONB providers use a diaper changing station, the station must:

(a) Be a stand alone or vertically mounted diaper changing station that meets manufacturer guidelines and specifications;

(b) Be large enough to accommodate the length of the child; and

(c) Have a protective barrier at least three and one-half inches high on all sides from the surface where the child lays.

(3) If ONB providers use reusable or cloth diapers, the diapers must:

(a) Not be rinsed;

(b) Be placed in a securely sealed moisture impervious bag;

(c) Be stored in a separate disposal container; and

(d) Be delivered to a commercial laundry service or given to the child's parent or guardian at least daily.

(4) ONB providers must provide a container designated for disposing of soiled diapers and diapering supplies only. The diaper disposal container must be:

(a) Inaccessible to children;

(b) Hands-free and covered with a lid to prevent cross contamination;

(c) Lined with a disposable plastic trash bag; and

(d) Within arm's length of the diaper changing area.