Click on the title for the link to download a fully Illustrated, step-by-step, tri-fold Diapering Poster English version or Diapering Poster Spanish version. The poster shows the procedure for safe and sanitary diapering. The same steps apply to changing soiled underwear with the child lying down, a position that makes it easier to avoid contamination of the environment and proper cleaning of the child's skin. CCA Global created the poster with guidance from the staff of ECELS. Reproduce and distribute the poster freely to child care professionals. Be sure to retain the citation and copyright. The poster may not be sold without permission from CCA Global. The source of the steps in the poster is the 2019 online standards in Caring for Our Children, 4th Edition, a publication of the American Academy of Pediatrics, American Public Health Association, and the National Resource Center for Health and Safety in Child Care and Early Education. Updated 2/1/2022.