Policies and Procedures

Policy:

To ensure the health, safety, and dignity of all children during diaper changing and potty training, while promoting independence and hygiene practices.

Parents are to supply diapers or pull ups, wipes and diaper cream for their child/ren

Diaper Changing Policy & Procedure:

1. Preparation

• Gather all necessary supplies (clean diaper, wipes, diaper cream if needed, gloves, designated area).

• Disinfect the Mat

• Wash Hands

• Wear disposable gloves (only for Bowel Movement (BM) changes, if needed)

1. Diaper Changing Process:

• Place the child on a designated, sanitized changing area.

• Remove clothing to access diaper. If soiled, place clothes into plastic bag

• Remove the soiled diaper and clean the child with wipes, wiping front to back.

• Dispose of the soiled diaper and wipes in a sealed diaper pail.

• Apply diaper cream if necessary, using a clean glove or applicator.

• Put on a fresh diaper and redress the child. Encourage older Children to pull up their pants

• Remove gloves and wash hands thoroughly.

• Spray diapering surface with bleach-water solution and wait more than 10 seconds before wiping with disposable towel and allow to air dry. It should be noted that the recommended practice is to wait for 2 minutes to allow the solution to kill the germs. However, if there is a delay of at least 10 seconds before the solution is wiped from the surface, this will be considered adequate. The surface cannot be sprayed and immediately wiped.  

• Wash hands again.

• Document the diaper change in Lillio App and communicate with parents about any concerns (e.g., rash, unusual stool).

1. Hygiene & Safety Measures:

   • Always wash hands before and after each diaper change.

   • Ensure the changing area is cleaned and sanitized after each use.

   • Never leave a child unattended on the changing table, always keep a hand on the child if you are moving. Never take your hand off.

   • Use individual diapering supplies for each child to prevent cross-contamination.

2. Additional Precautions

• The diapering surface must be sanitized after each diaper change with a bleach-water or other approved sanitizing solution (all surfaces must be sanitized – e.g., no quilted pads or safety straps, no containers that are stored on the diapering surface). The bleach-water solution must be allowed to stay on the surface for more than 10 seconds, and ideally 2 minutes, to kill the germs. So it is best for staff to spray the surface as the last step of the diapering procedure before washing their own hands. After the time lapse, the surface can be dried (no additional handwashing required at this time) or allowed to air dry (and wiped dry if still damp) before use with another child.

• Diapers are disposed of in a hands-free covered can (usually one that has a step pedal that lifts the lid) to prevent further contamination of surfaces.

• Toys that are played with or objects that are touched, while children’s diapers are changed, must be put aside to be sanitized.

• Best practice would be to wash child’s and staff’s hands after the diapering procedure is completed

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Potty Training Policy & Procedure:

1. Readiness & Communication:

   • Children night be ready for potty training when they are drier for longer, can follow simple directions, and are interested in using the toilet.

     • Signs of readiness

       • They can tell when they are wet or dirty

       • They can tell when they are peeing

       • They pull at a wet or full diaper

       • They can undress themselves

       • They can physically use the potty

       • They don’t like being wet or dirty

       • They can follow simple directions

       • They are showing independence

       • They have BMS on schedule.

   • Work collaboratively with parents to determine when a child is ready for potty training. Staff will ask questions on their readiness.

   • Maintain open communication with parents about progress and any concerns.

   • Encourage children to express when they need to use the toilet.

2. Preparation

• Gather all necessary supplies, if needed

• Disinfect the potty seat

• Wear disposable gloves, if needed

1. Potty Training Process:

   • Toddlers

     • Ensure potty breaks are 30 minutes unless otherwise requested by a parent

     • Allow children to use the potty or toilet with appropriate supervision and support.

     • Teach proper hygiene, including wiping techniques and flushing the toilet.

     • Ensure handwashing after each potty use.

     • Use positive reinforcement (e.g., praise, Hugs, High fives) We do not use stickers or treats

     • Avoid punishment or pressure; support each child's individual pace

     • Document the potty Training in Lillio App

     • Communicate with parents about any concerns (e.g., rash, unusual stool).

• Preschoolers

  • Encourage regular potty breaks (e.g., every 1-2 hours or as needed) unless otherwise requested by a parent.

  • Allow children to use the potty or toilet with appropriate supervision and support.

  • Teach proper hygiene, including wiping techniques and flushing the toilet.

  • Ensure handwashing after each potty use.

  • Use positive reinforcement (e.g., praise, stickers, encouragement).

  • Avoid punishment or pressure; support each child's individual pace.

  • Document the Potty Training in Lillio App - Until Parents say they do not want it documented

  • Communicate with parents about any concerns (e.g., rash, unusual stool).

1. Accident Management:

   • Remain calm and reassuring if an accident occurs.

   • Change the child into clean clothing promptly.

   • Clean and sanitize any affected areas.

   • Document ALL accidents as needed and inform parents at pick-up. All children who have accidents should be recorded in Lillio App.

   • All BM underwear is to be rinsed out in the toilet the best you can

2. Hygiene & Safety Measures:

   • Ensure bathrooms and potty seats are cleaned and disinfected regularly. After each use

   • Supervise children to promote hygiene and safety.

   • Encourage children to wash hands with soap and water after toileting.

Review & Compliance:

• Staff will be trained on diaper changing and potty training procedures.

• Procedures will be reviewed periodically to ensure best practices are followed.

• Parents will be informed of policies and encouraged to collaborate in potty training efforts.

By following these procedures, we aim to create a safe, clean, and supportive environment for children’s toileting needs.

Procedure:    

• Diapers are checked and/or changed every 2 hours. 

• ALL Diaper changes are to be recorded in Lillio App.

• All potty-training changes are to be recorded in Lillio App

• An iPad should always be by the Changing table and/or bathroom to put in the Lillio App

• Staff must label all new diapers, wipes, and/or creams that parents bring into the center and must store them in their cubby

• All soiled diapers must be put into a plastic bagged and put into the garbage

• All soiled clothes are to be put into a plastic bag for parents to wash at home.

• Staff will not force children to use the toilet. We will encourage the child to use the toilet.

• If children refuse to use the toilet, we will put a diaper/pullup back on the child.

• Staff will have a social story out at all times for children that are starting potty training to help them know that it is not scary. 

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