Program Instructions (PIs)—2009

Provision of Diapers (ACF–PI–HS–09–03)

PROGRAM INSTRUCTION:

TO: All Head Start and Early Head Start Grantees

SUBJECT: Provision of Diapers

INSTRUCTION:

Many children enrolled in Early Head Start programs, and some children enrolled in Head Start programs, need to wear diapers. All center-based programs, consistent with the requirements of 45 CFR § 1304.53(b), are expected to provide whatever diapers are needed by the child during the part of the day that the child is at the Early Head Start/Head Start center. Parents may not be required to provide diapers for their enrolled child nor may parents be charged a fee for the costs incurred by the program in providing diapers to children that need them.

Grantee and delegate agencies are further required, in 45 CFR § 1304.22(e)(5), to adopt sanitation and hygiene procedures for diapering that adequately protect the health and safety of enrolled children. These procedures must be able to accommodate, for an individual child, documented medical advice received from a health care professional that requires the use or avoidance of a specific identified diaper by brand or type.

Please direct any questions on this Instruction to your OHS Regional Office.

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