(1) When bottle feeding, the licensee or staff must:
(a) Test the bottle contents before feeding, to avoid scalding or burning the infant's mouth;
(b) Hold infants when the infant is unable to hold his or her bottle;
(c) Not prop bottles when feeding an infant;
(d) Not give a bottle or cup to an infant who is lying down;
(e) Feed infants on demand or based on the parent or guardian's recommended feeding schedule;
(f) Stop feeding the infant when he or she shows signs of fullness; and
(g) Not add medication, cereal, supplements, or sweeteners to the contents of the bottle unless prescribed by a health care provider.
(2) When an infant can hold his or her own bottle, the licensee or staff:
(a) May hold the infant or place the infant in a semi-reclining or upright position during bottle feeding; and
(b) Must be in the same room within visual range of the infant during feeding.
(3) The licensee or staff must take the bottle from the infant when the child finishes feeding.
[Statutory Authority: RCW 43.215.060, 43.215.070, and chapter 43.215 RCW. 11-23-068, § 170-296A-7175, filed 11/14/11, effective 3/31/12.]