HAR §17-798.3-85. Sleeping areas for children in care

(a) For a child less than one year of age, the provider shall: (1) Ensure that areas where children sleep are kept ventilated and at a safe temperature; (2) Ensure that each child has a separate crib or playpen; (3) Ensure that cribs or playpens used for care have not been recalled by the United States consumer product safety commission; provided that a recalled item may be used if repaired in accordance with the manufacturer's standards, and the provider maintains a record of the repair; (4) Not allow for any other sleeping arrangement, including bed-sharing; (5) Place the child on his or her back to sleep, unless written instructions for an alternative sleep position are on file from one of the following: (A) A physician who is licensed to practice medicine or osteopathic medicine (M.D. or O.D.); (B) A physician assistant (PA); (C) An advanced practice registered nurse (APRN) licensed to practice in any of 798.3-65 3414 §17-798.3-85 the states or territories of the United States; or (D) A nurse practitioner (NP) licensed by the State of Hawaii. (6) Move the child to a crib or playpen for the remainder of the nap when the child falls asleep in a location or in equipment other than a crib or playpen; (7) Monitor and periodically check on a sleeping child; (8) Ensure that the crib or playpen has a clean, tightly-fitted sheet; and (9) Ensure that the crib or playpen does not have any bedding or toys placed in with a child. (b) For a child one year of age and older, the provider shall: (1) Ensure that areas where children sleep are kept ventilated and at a safe temperature; (2) Provide individual napping arrangements, where each child shall have his or her own mat, rug, cot, bed, or blanket. [Eff AUG 06 2021] (Auth: HRS §§346-14 and 346-152.5) (Imp: HRS §346-14; 45 C.F.R Part 98)