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How do I meet the nutritional needs of the infants in my care?

You must:
(1) Have written policies on providing, preparing, storing and sanitizing infant formula, food and utensils; and
(2) Work with the infant's parent to develop a plan for the infant's feedings that is acceptable to the parent and incorporates the following guidelines:
Developmental Stage/Age of Infant
Type of Feeding
(a) Under 4 months of age
Serve only formula or breast milk unless you have a written order from the child's health care provider.
(b) When baby can: (At about 4-6 months of age)
Sit with support
Hold head steady
Close lips over the spoon
Keep food in mouth and swallow it.
Serve only formula or breast milk unless you have a written order from the child's health care provider.
Begin iron fortified baby cereal and plain pureed fruits and vegetables upon consultation with parents.
(c) When baby can: (At about 6-8 months)
Sit without support
Begin to chew
Sip from a cup with help
Grasp and hold onto things
Serve only formula or breast milk unless you have a written order from the child's health care provider.
Start small amounts of juice, or water in a cup.
Let baby begin to feed self.
Start semisolid foods such as cottage cheese, mashed tofu, mashed soft vegetables or fruits.
(d) When baby can: (At about 8-10 months)
Take a bite of food
Pick up finger foods and get them into the mouth
Begin to hold a cup while sipping from it
Serve only formula or breast milk unless you have a written order from the child's health care provider.
Small pieces of cheese, tofu, chicken, turkey, fish or ground meat.
Small pieces of soft cooked vegetables, peeled soft fruits.
Toasted bread squares, unsalted crackers or pieces of soft tortilla.
Cooked plain rice or noodles.
Only formula, breast milk, juice or water in the cup.
(e) When a baby can: (10-12 months)
Finger Feed
Chew and swallow soft, mashed and chopped foods
Start to hold and use a spoon
Drink from a cup
Serve only formula or breast milk unless you have a written order from the child's health care provider.
Begin offering small sized, cooked foods.
Variety of whole grain cereals, bread and crackers, tortillas.
Cooked soft meats, mashed legumes (lentils, pinto beans, kidney beans, etc.), cooked egg yolks, soft casseroles.
(f) When a baby can eat a variety of foods from all food groups without signs of an allergic reaction
Fruit pieces and cooked vegetables.
Yogurt, cheese slices.
Offer small amounts of formula, breast milk or water in the cup during meals.
[Statutory Authority: Chapter 43.215 RCW and 2006 c 265. WSR 08-08-012, § 170-295-4020, filed 3/19/08, effective 4/19/08. WSR 06-15-075, recodified as § 170-295-4020, filed 7/13/06, effective 7/13/06. Statutory Authority: Chapters 74.12 and 74.15 RCW. WSR 03-14-110, § 388-295-4020, filed 6/30/03, effective 8/1/03.]
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