In Oregon these are our hand washing rules only if you are State Certified. We have two licenses Registered and Certified. Certified being more stringent. It clearly states that hand sanitzer must be under "Child proof Lock". Here is a link if anyone is interested:
http://nrckids.org/STATES/OR/or_350.pdf
Hand Washing:
(a)
Caregivers and children shall wash their hands with soap and warm running water after nose wiping, after using the toilet, and before and after eating;
(b)
Caregivers shall wash their hands with soap and warm running water before and after changing a diaper, before and after feeding a child or handling food, and after assisting a child with toileting and nose wiping;
(c)
Infants’ and children’s hands shall be washed with soap and warm running water after diaper changing;
(d)
Staff shall immediately and thoroughly wash their hands after handling animals or cleaning cages;
(e)
Commercial products labeled “hand sanitizers” shall not replace hand washing. If hand sanitizers are present in the home, they shall be kept under child-proof lock and shall not be used by children;
(f)
When hand washing is not possible, eg, on field trips, or the neighborhood park, moist towelettes shall be used.