A. The provider shall ensure that the written feeding schedule for each infant and toddler, as required by COMAR 13A.18.03.02C, is:
(1) Followed; and
(2) Updated as necessary or at least every 3 months while the child is in care.
B. Self-Feeding by Children Younger than 18 Months Old.
(1) The child shall be held for each bottle feeding except when developmentally able and insistent upon self-feeding.
(2) The child may hold the bottle only:
(a) When seated; and
(b) If the bottle is made of unbreakable material.
C. Except as specified by §D of this regulation, a provider may serve a child younger than 18 months old only developmentally appropriate:
(1) Commercially prebottled formula;
(2) Breast milk, formula, juice, or water which has been prebottled for the child and provided by the child's parent;
(3) Commercially processed baby food that is opened and used the same day;
(4) Commercial infant formula, in concentrate, powder, or ready-to-feed form, if the:
(a) Child's parent has provided prior written authorization for the use of the formula; and
(b) Formula is prepared directly from a factory-sealed container and in accordance with the manufacturer's instructions; and
(5) Other foods supplied by the provider or the parent that are consumed the same day.
D. Only whole, pasteurized milk will be served to a child younger than 2 years old who is not receiving formula or breast milk, except that skim milk, reconstituted nonfat dry milk, or 1 or 2 percent milk may be served upon the written prior approval of the child’s parent and health care provider.
E. A provider shall ensure that:
(1) All food and bottles intended for consumption or use by a child younger than 18 months old are labeled with the child’s name, dated, and refrigerated at 40°F or below if potentially hazardous;
(2) All nipples on bottles are protected;
(3) Breast milk or formula which has been bottled for the child is:
(a) Placed immediately in a refrigerator when brought to the child care home;
(b) Warmed to the desired temperature immediately before feeding; and
(c) Served to the child at a temperature that is safe and conducive to the child's comfortable feeding;
(4) Foods that present a high risk of choking for children younger than 2 years old are not served to them; and
(5) Reusable bottles and nipples are:
(a) Reused only after they have been washed, rinsed, and sanitized; or
(b) If supplied by the child's parent, rinsed after use and returned daily to the parent.