OAR 414-360-0610. Feeding Infants and Toddlers

(1) A provider serving children under 12 months of age shall comply with the following requirements for those children: (a) A provider must have and follow a written feeding plan and schedule that includes the types and amounts of formula, human milk, and food that is obtained from the child’s parent(s) and updated regularly. (b) A provider must feed the child on their own feeding schedule and fed when hungry. (c) A provider must clearly mark formula, human milk, bottles, and food provided by the parent(s) with the child's full name and date and refrigerated if required. (d) A provider may not give infant formula to an infant who consumes human milk, without parental consent. (e) A provider must give human milk only to the child specified to receive it by the parent(s). (f) Human milk must: (A) Be labeled with the child's full name and the date expressed; (B) Be stored for no more than: (i) 24 hours in the refrigerator when thawed or defrosting; or (ii) Six months from the expression date in the freezer. (C) Be refrigerated or frozen until immediately before warming; and (D) Not reused after 2 hours from serving. (g) When formula is served, the caregiver must follow the manufacturer's instructions for mixing, storing, and discarding of any formula , unless requested by the child’s parent(s) and with a medical practitioner’s written permission. (h) Whole milk, skim milk, 1 percent milk, and 2 percent milk must not be served unless requested by the child's parent(s) and with a medical practitioner’s written permission. (i) A provider must not serve juice of any kind to infants, unless advised by a medical practitioner. (j) When bottle feeding, bottles may only contain formula or human milk, and may not be combined with cereal, fruit juice, or other foods without a medical practitioner’s written permission (k) A provider must not give infants, under six months of age, water to drink, without written approval by a medical professional. (l) A provider must warm bottles only in one of the following ways: under running, warm tap water; using a commercial bottle warmer; stove top warming methods, or slow-cooking device; or by placing them in a container of warm water. (A) Bottles must not be warmed in microwave ovens. (B) Once warmed, a bottle must not be returned to the refrigerator or re-warmed. (m) Solid foods fed to infants must be selected from the Child and Adult Care Food Program Meal Pattern (CACFP): (A) Solid foods must not be fed to infants less than four months of age; (B) Commercially packaged baby food must be served from a dish and not directly from the factory-sealed container; (C) Leftovers in the serving container must be discarded; and (D) Solid foods, with the exception of finger foods, must be fed with a spoon. (n) Honey or food containing honey must not be served to infants. (2) When bottle feeding, a provider must: (a) Hold infants up to 6 months of age and older children who cannot hold their own bottles or sit alone; and (b) Ensure the infant’s head is elevated while being fed. (3) A provider must not lay a child of any age down with a bottle or training cup. (4) A provider must not prop a bottle by any means at any time. (5) When feeding solid foods, a provider must ensure that infants are fed in an upright position.