<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".08" citation="COMAR 13A.17.05.08" title_num="13A" subtitle_num="17" chapter_num="05" heading="Sanitary Facilities and Supplies.">
  <paragraph num="A.">
    <text>For every 15 children in care, an operator shall provide one toilet and one sink that are:</text>
    <paragraph num="(1)">
      <text>Maintained in good operating condition and in a sanitary manner;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Easily accessible to the children; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Equipped with water-resistant, nonabsorbent platforms which are safely constructed at a height that allows children to use the toilet and sink unassisted.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>An operator which holds a certificate of approval to operate, or a letter of exemption from approval, that was issued by the State Board of Education before July 1, 1991, and is still in effect may receive a variance from the requirements of §A of this regulation if the office determines that:</text>
    <paragraph num="(1)">
      <text>The requirements can be met only with substantial physical modifications to the child care facility; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Sanitary facilities are accessible to every child in the child care facility.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>In each toilet facility accessible to a school age child, the operator shall provide at least one toilet in an enclosed stall or other space affording privacy to the child.</text>
  </paragraph>
  <paragraph num="D.">
    <text>In a small facility approved for mixed age groups, only one toilet and sink are required.</text>
  </paragraph>
  <paragraph num="E.">
    <text>A facility licensed for the first time shall provide at least one toilet facility restricted to use by adults that is equipped with a toilet, sink, and toilet supplies, except that this requirement does not apply to:</text>
    <paragraph num="(1)">
      <text>Small centers; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Programs that operate 2-1/2 hours or less per session per day.</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>Each toilet room shall have:</text>
    <paragraph num="(1)">
      <text>A floor with a water-resistant, nonabsorbent finish;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Smoothly finished walls with a hard surface; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Approved and functioning natural or mechanical ventilation.</text>
    </paragraph>
  </paragraph>
  <paragraph num="G.">
    <text>Portable toilets, also known as potty-chairs, may not be used in a child care facility.</text>
  </paragraph>
  <paragraph num="H.">
    <text>Each toilet room shall contain individual paper towels, a trash receptacle, soap, and toilet paper.</text>
  </paragraph>
  <paragraph num="I.">
    <text>All sanitary supplies in a toilet room shall be available within reach of a child capable of using the toilet unassisted.</text>
  </paragraph>
  <paragraph num="J.">
    <text>Toiletry and grooming articles, drinking cups, towels, face cloths, brushes, and combs may not be shared.</text>
  </paragraph>
</regulation>