Summer 2013 Health Link Online

HealthLink Online

Uniting Children, Parents, Caregivers, and Health Professionals

Diapering & Changing Soiled Underwear Standards Updated

Diapering & Changing Soiled Underwear Standards Updated

In a 2013 update of Caring for Our Children, 3rd edition, national experts changed Standard Diaper Changing Procedure. The steps are similar for diapering and changing soiled under clothing described in Standard

In June 2013, ECELS worked with CCA for Social Good to update the diapering poster that infant/toddler child care providers can download and print for FREE from the ECELS website. From the website, the poster prints as three 8.5 x 11 inch pages. Caregivers can assemble the three pages into a poster. For $12.50, purchase a laminated 22 x 28 inch poster by sending a request to This email address is being protected from spambots. You need JavaScript enabled to view it..

Standard Update #1: If the diaper changing paper becomes visibly soiled during the diaper or underclothing change, after cleaning the child’s skin with fresh wipes, caregivers/teachers should use a corner of the paper to fold the clean side of the paper back under the child. This puts a clean surface under clean skin while the caregiver removes any soiled gloves that were used for the change.

Update #2: In the past, recipes have been recommended to make diluted household bleach solutions as an inexpensive and safe way to disinfect changing surfaces. Now the standards say to use a disinfectant product with an Environmental Protection Agency (EPA) registration number on the label. Federal law requires users to follow the instructions on EPA registered product labels. Many household bleach products sold in retail stores now contain 8.25% sodium hypochlorite solution instead of the 5.25%-6% strength previously sold. Most bleach products are EPA registered. So users must follow the instructions on the label.

To view these changed recommendations, go to the website of the National Resource Center for Health and Safety in Child Care and Early Education at This website has the most recently updated version of Caring for Our Children. Search the website for Standards, and a discussion of the changes in Appendix J.