Chapter 5: Facilities, Supplies, Equipment, and Environmental Health
5.4 Space and Equipment in Designated Areas
5.4.2 Diaper Changing Areas
188.8.131.52: Diaper Changing Tables
Early care and education programs should have at least one diaper changing table per infant group or toddler group. Diaper changing stations should follow the Safety Standard for Baby Changing Products within 16 CFR Part 1235 (effective June 26, 2019), and American Society for Testing and Materials’ (ASTM) F2388-21 Standard Consumer Safety Specification for Baby Changing Products for Domestic Use.1
Also, program staff should:
- Be properly trained on diaper changing procedures and proper cleaning and disinfecting of diapering surfaces. They should clean and disinfect surfaces after each use.
- Allow enough time for changing diapers.
- Not allow more than one group or cohort of children to share diaper changing tables and sinks.
- Not place the diaper changing tables and sinks between two classrooms.
- Only use the diaper changing table for changing diapers.
Diaper changing tables should be high enough for staff to use comfortably without bending over, and for older toddlers to use stairs if necessary . Staff should actively supervise children during diaper changing.
Diaper changing takes time, as does cleaning and disinfecting diaper-changing surfaces. Early care and education programs that follow proper diapering and hand hygiene practices decrease illnesses among children and staff.2 Also, when program staff from different groups use the same diaper changing surface without proper cleaning and disinfecting of surfaces, illnesses may spread more easily among children.
Following the Safety Standard for Baby Changing Products decreases injuries to children from normal use as well as misuse or abuse of diaper changing tables. Specifically, it decreases injuries and deaths of children from falling from changing tables, structural or mechanical failure, instability, getting trapped in openings in the table, and suffocation.1
American Academy of Pediatrics. Virtual Early Education Center. https://veec.aap.org/index.html
TYPE OF FACILITYCenter, Early Head Start, Head Start, Large Family Child Care Home, Small Family Child Care Home
RELATED STANDARDS184.108.40.206 Handling Cloth Diapers
220.127.116.11 Checking For the Need to Change Diapers
18.104.22.168 Diaper Changing Procedure
22.214.171.124 Situations that Require Hand Hygiene
126.96.36.199 Containment of Soiled Diapers
188.8.131.52 Handwashing Sinks for Diaper Changing Areas in Centers
184.108.40.206 Use, Location, and Setup of Diaper Changing Areas
220.127.116.11 Changing Table Requirements
Appendix J: Selection and Use of a Cleaning, Sanitizing or Disinfecting Product
Appendix K: Routine Schedule for Cleaning, Sanitizing, and Disinfecting
U.S. Consumer Safety Product Commission. Baby changing products business guidance and small entity compliance guide. CPSC.gov Web site. https://www.cpsc.gov/Business--Manufacturing/Business-Education/Business-Guidance/Baby-Changing-Products-Business-Guidance-and-Small-Entity-Compliance-Guide. Accessed September 19, 2022
Collins JP, Shane AL. Infections associated with group childcare. Principles and Practice of Pediatric Infectious Diseases. 2018:25–32.e3. doi: 12 16/B978-0-323-40181-4.00003-7. Epub 2017 Jul 18. PMCID: PMC7152033. Accessed August 3, 2022
Content in the standard was modified on 12/20/2022.