(1) Licensees:

(a) Must:

(i) Separate areas where diapers or incontinence supplies are changed from food preparation and dining areas;

(ii) Have diaper changing areas that are adjacent to a handwashing sink;

(iii) Regularly monitor a child's or youth's diaper or training pants during waking hours based on the child's or youth's developmental capabilities and replace when wet or soiled by following DOH diaper-changing guidelines;

(iv) Provide appropriate, specialized toileting equipment for children and youth in care when needed based on their developmental capabilities;

(v) Regularly maintain specialized toileting equipment by:

(A) Keeping it in sanitary condition; and

(B) Placing it on a washable, water-resistant surface when in use;

(vi) Disinfect diaper-changing areas and specialized toileting equipment between each use by following DOH cleaning and disinfecting guidelines; and

(vii) Develop a plan for youth using incontinence supplies that includes monitoring and replacing them based on their developmental capabilities; and

(b) May use disposable diapers or reusable diapers. If reusable diapers are used, they must:

(i) Not be rinsed;

(ii) Be placed in a sealed moisture barrier bag;

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

(iv) Either be:

(A) Delivered to a commercial laundry service; or

(B) Returned to the child's parents or guardians.

(2) Licensees must follow DOH handwashing guidelines for diaper changing, except for those caring for medically fragile children and youth which must follow WAC 110-145-3480.