When children have toileting accidents in child care, staff must follow procedures that are appropriate for the child and limit the spread of germs. See Caring for Our Children: National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs Standard 3.2.1.5: Procedure for Changing Children's Soiled Underwear, Disposable Training Pants and Clothing at http://nrckids.org/CFOC or available at https://shop.aap.org. In PA, please send your health and safety request with your name and phone number to This email address is being protected from spambots. You need JavaScript enabled to view it..