2/14/2013 Pennsylvania References for Eco-Healthy Child Care© Plastics and Plastic Toys Reference Contents: Plastics and Plastic Toys Description 1 PA DPW Regulations 1 http://www.cehn.org/ehcc http://www.cehn.org/files/Plastics_Plastic_Toys_7_12.pdf Caring for Our 2-3 Children: National Health & Safety Standards (3rd Edition, 2011) Model Child Care Health Policies Eco-Healthy Child Care© explains that certain plastics are known to contain toxic chemicals which have negative impacts on human health. Children are particularly vulnerable to these toxic chemicals since their systems and organs are still developing; their bodies are small, so a small exposure is a big dose with big effects. Young children are also at greater risk since they often insert plastic objects into their mouths. Baby bottles, sippy cups, teething rings, and toys are often made with phthalates and Bisphenol A (BPA). These two toxic ingredients in plastics are of particular concern, as research increasingly shows that these chemicals mimic or suppress hormones (e.g., estrogen and testosterone) and disrupt normal development and growth. Eco-Healthy Child Care© offers ten tips for the safe use of plastics in programs. 3 OCDEL has launched the PA ECE Healthy & Green Initiative. One of our top priorities of this initiative is to promote and improve the environmental health of Pennsylvania’s early learning programs for the sake of children and staff. This reference page outlines Pennsylvania regulations and also defines what is encouraged beyond licensing requirements related to the topic area. For more information about the PA ECE Healthy & Green Initiative, please visit www.pakeys.org. Pennsylvania Department of Public Welfare Child Care Licensing Regulations §3270.102(g) and§3280.102(g). Condition of play equipment. Children’s toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement. §3290.102(f). Condition of play equipment Children’s toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility. §3270.103, §3280.103 and §3290.103. Small toys and objects. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and Styrofoam objects may not be accessible to children who are still placing objects in their mouths. §3270.108, §3280.107 and §3290.107. Utensils. (a) Eating and drinking utensils shall be free from cracks and chips. (b) Disposable cups, plates and eating utensils may be used if discarded after each use. (c) Styrofoam cups and plates may not be used. §3270.166(7), §3280.166(7) and §3290.166(7). Meals for infants. Bottled formula may not be heated in a microwave oven. Pennsylvania Recommendations Pennsylvania does not regulate the types of plastics purchased or used in programs. However, Pennsylvania does require that children’s toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises. OCDEL recommends that programs examine the Eco-Healthy Child Care© recommendations to help assure that the plastic products that are used in programs are safer for children. Additionally OCDEL recommends that programs review the following Caring for Our Children: National Health and Safety Performance Standards (3rd Edition, 2011). 2/14/2013 Page 2 Caring for Our Children: National Health and Safety Performance Standards (3rd Edition, 2011) Standard 5.2.9.9 Plastic Containers and Toys The facility should use infant bottles, plastic containers, and toys that do not contain Polyvinyl chloride (PVC), Bisphenol A (BPA), or phthalates. When possible, caregivers/teachers should substitute materials such as paper, ceramic, glass, and stainless steel for plastics. RATIONALE: Plastics can contain chemicals and metals, which are used as additives and stabilizers. Some of these additives and stabilizers can be toxic, such as lead (e.g., toys, vinyl lunchboxes). Plastics can release chemicals into food and drink; some types of plastics are more likely to do so than others (polycarbonate, PVC, polystyrene). Effects are not fully studied or understood, but in animal studies, some plastics have been tied to a wide range of negative health effects including endocrine (hormone) disruption and cancer (1,11). PVC, also known as vinyl, is one of the most commonly used types of plastics today. PVC is present in many things used daily, from water bottles and containers, to wallpaper, wall paneling, credit cards, and children’s toys. Some of the substances added to PVC are among the hormone-disrupting chemicals that may pose hazards to human health and child development. PVC products, including certain toys, may have chemicals such as lead, cadmium, and phthalates, which can flake, leach, or off-gas, causing the release of these chemicals into the surroundings (2). Phthalates is a class of chemicals used to make plastics flexible (3,4,11). Phthalates are used in many products: vinyl flooring, plastic clothing (e.g., raincoats), detergents, adhesives, personal-care products (fragrances, nail polish, soap), and is commonly found in vinyl (PVC) plastic products (toys, plastic bags) (13). In a national study, some phthalates have been found in 97% (5) of the people tested with generally higher concentrations found in children (6). In animal studies, health effects range from developmental and reproductive toxicity to damage to the liver (7,8). Bisphenol A (BPA) is used when making polycarbonate and other plastic products. BPA is widely used in consumer products (infant bottles, protective coating in food cans, toys, containers, and personal care products) (13). It can leach from these products and potentially cause harm to those in contact with them. It can also have estrogen (female hormone)-like effects, which may impact biological systems at very low doses. Children may be exposed via: ingestion (diet and sucking/mouthing plastics), inhalation (of dust), and dermal contact. A national study found BPA in the urine of over 90% of people tested; children were found to have higher levels than adults (9). BPA has been found in pregnant women, umbilical cord blood, and placentas at levels demonstrated in animals to alter development (10). COMMENTS: The Consumer Product Safety Improvement Act (CPSIA) empowers the U.S. Consumer Product Safety Commission (CPSC) to set regulations protecting consumers of these products with testing and labeling. As of this writing new CPSC requirements are under development. Consumers of products for children should look for products that state “phthalate-free” or “BPA-free” or certification by Toy Safety Certification Program (TSCP) or American National Standards Institute (ANSI). Following are guidelines by which caregivers/teachers may reduce exposure to phthalates and BPA: a. When possible, opt for glass, porcelain or stainless steel containers, particularly for hot food or liquids (12); b. If using plastic, do not use plastic or plastic wrap for heating in microwave (try substituting a paper towel or waxpaper for covering foods) (12); c. Check the symbol on the bottom of the plastic items including toys before buying. The plastics industry has developed identification codes to label different types of plastic. The identification system divides plastic into seven distinct types and uses a number code generally found on the bottom of containers. For a table that explains the seven code system, go to http:// www.natureworksllc.com/the-ingeo-journey/end-of -life-options/recycling/plastic-codes.aspx. Contact the manufacturer if there is a question about the chemical content of a plastic item; d. Best plastic choices are 1 (PETE), 2 (HDPE), 4 (LDPE), 5 (PP) and plastics labeled “phthalatefree” or “BPA-free”; e. Avoid plastics labeled 3 (V), 6 (PS), and 7 (PC). Polycarbonate containers that contain BPA usually have a number 7 on the bottom; f. Use alternatives to polycarbonate “7” infant bottles. Alternatives include glass infant bottles, BPA free, and products made of safer plastics such as polyethylene and polypropylene that are less likely to release harmful plasticizers (12) (safer nonpolycarbonate bottles are usually cloudy and squeezable); g. Do not use latex rubber nipples or plastic bottle liners; h. Avoid canned foods when possible; i. If infant formula is used, it is best to use powdered formula in a can; j. Do not place plastics in the dishwasher; k. If using hard polycarbonate plastics (PC) such as water bottles/infant bottles, do not use for warm/ hot liquids; l. Dispose of plastic bottles when they are old and scratched; m. Toys should be certified by the Toy Safety Certification Program (TSCP) or American National Standards Institute (ANSI). TYPE OF FACILITY: Center; Large Family Child Care Home; Small Family Child Care Home 2/14/2013 Page 3 Caring for Our Children: National Health and Safety Performance Standards (3rd Edition, 2011) Standard 5.3.1.2 Product Recall Monitoring Staff should, on a monthly basis, seek information on recalls of juvenile products that may be in use at the facility. Of particular importance are recalls related to cribs, bassinets, and portable play yards that may be used for infant sleep. Additionally, caregivers/teachers should be aware of recalls of toys, playground equipment, strollers, and any other product routinely used by children in the child care facility. TYPE OF FACILITY: Center; Large Family Child Care Home; Small Family Child Care Home http://nrckids.org/CFOC3/HTMLVersion/ Model Child Care Health Policies: ECELS/Healthy Child Care Pennsylvania, PA Chapter of the American Academy of Pediatrics, is accessible on the ECELS website at: www.ecels-healthychildcarepa.org
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