<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 13A.18.11.03" title_num="13A" subtitle_num="18" chapter_num="11" heading="Preventing Spread of Disease.">
  <paragraph num="A.">
    <text>A written hand washing procedure approved by the office shall be posted at each sink used for washing hands.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Hands shall be washed according to the posted approved procedure by the provider, each staff member, each volunteer, each substitute, and each child in care at least:</text>
    <paragraph num="(1)">
      <text>After toileting or diapering;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Before food preparation or eating; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>After an outdoor activity or handling an animal.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Diapering shall be performed in accordance with a written diapering procedure approved by the office.</text>
  </paragraph>
</regulation>