As of May 1st, surveyors are now required to ask 3 additional questions:
1. Do children brush their teeth after snacks?
2. Do children brush their teeth after meals?
3. Is your facility breastfeeding friendly?
Depending on a provider's answers (yes or no) to these questions, a surveyor may add a consultation to the Notice of Survey Findings. The surveyor may discuss good practices for teeth brushing and when to replace toothbrushes. For breastfeeding, surveyors may also discuss how to encourage breastfeeding mothers to continue breastfeeding after enrolled in care.
As of right now, teeth brushing is NOT mandatory for home daycares, but it sounds as if they are heading for some new regulations, teeth brushing being one.