Louisiana Administrative Code › Title 28 - EDUCATION › Part CLXV - Bulletin 139-Louisiana Child Care and Development Fund Programs › Chapter 3 - CCAP Provider Certification › Section CLXV-311 - Specific Certification Requirements for In-Home Child Care Providers

Current through Register Vol. 50, No. 6, June 20, 2024
A. To be certified
				as a CCAP provider, in addition to the requirements in §305, an in-home care
				provider must meet the following requirements which include, but are not
				limited to, the requirements for registration as an in-home provider pursuant
				to
				R.S.
				17:407.61 et seq.
1. Age. Be at least age 18.
2. Telephone. Have a working telephone that
				is capable of receiving incoming and making outgoing calls and that is
				available at all times in the home in which care is being provided. When a
				landline is used to operate the time and attendance equipment, a secondary
				phone number must be provided to the LDE. Notify the LDE immediately upon a
				change in such phone numbers by submitting written notice to the LDE by fax or
				email.
3. Costs. Pay costs
				necessary to obtain required criminal background checks.
4. State Fire Marshal. Provide written
				verification of current State Fire Marshal approval for the home where care is
				being provided.
5. Determination of
				Eligibility for Child Care Purposes. Provide documentation of a CCCBC-based
				determination of eligibility for child care purposes by the department for
				required persons in compliance with
				§310 of this Part;
6. Louisiana Sex Offender Sex Offender and
				Child Predator. Annually check Louisiana sex offender and child predator
				registry to determine if the name of any of the persons required to obtain a
				CCCBC-based determination of eligibility for child care purposes is recorded on
				the registry.
7. CPR. Provide
				documentation of current certification in infant, child and adult
				CPR.
9. Medication Administration
				Training. Provide documentation of current medication administration training
				with a child care health consultant approved by LDH.
10. Pre-Service Orientation Training.
				Complete the following four hours of pre-service orientation training that
				includes the LDE Key Orientation Training Modules 1, 2, and 3 and DCFS Mandated
				Reporter training prior to initial certification, maintain documentation
				verifying completion of the training and submit the documentation with the
				application for certification to the LDE.
a.
				The pre-service orientation training shall at a minimum include information on
				the following:
i. general emergency
				preparedness, including natural disasters and man-caused disasters;
ii. professionalism;
iii. health and safety, including daily
				observations, supervision regulations, daily attendance, child-to-staff ratios,
				improper discipline, prohibited discipline, prevention of shaken baby syndrome,
				prevention of abusive head trauma and child maltreatment, food safety, choking
				risks, and recognition and reporting of child abuse and neglect;
iv. administration of medication consistent
				with standards for parental consent;
v. prevention and response to emergencies due
				to food and allergic reactions;
vi.
				appropriate precautions in transporting children, if applicable;
vii. public health policies, including
				prevention and control of infectious diseases and immunization
				information;
viii. handling and
				storage of hazardous materials and appropriate disposal of
				bio-contaminants;
ix. pediatric
				first aid and cardiopulmonary resuscitation (CPR);
x. prevention of sudden infant death syndrome
				and use of safe sleep practices;
xi. outdoor play practices;
xii. environmental safety;
xiii. building and physical premises safety,
				including identification of and protection from hazards, bodies of water and
				vehicular traffic;
xiv. child
				release practices; and
xv. critical
				incident practices and licensing regulations;
11. Continuing Training
a. Annually complete 12 clock hours of
				training in safety and health topics and job-related subject areas approved by
				the LDE. Continuing training shall be conducted by LDE approved trainers. The
				LDE shall keep a registry of approved trainers.
b. Annually complete DCFS' online Mandated
				Reporter Training.
c. Documentation
				verifying completion of required trainings shall be maintained onsite by the
				provider, whether as hard copies or in electronic form, and made available for
				inspection upon request by the department.
d. Pre-service orientation training,
				infant/child/adult CPR, pediatric first aid training, and medication
				administration training may count as annual training requirements in the
				certification period in which completed.
12. Children's Daily Attendance. A daily
				attendance record for children shall be maintained that shall accurately
				reflect children in care at any given time.
13. Transportation. If transportation is
				provided, the provider shall:
a. use child
				safety restraints, such as car seat belts, child restraining seats, infant
				carrier seats, etc., as required by law in the transportation of children in
				care;
b. take precautions necessary
				to ensure the safety of children being transported;
c. develop written emergency procedures and
				actions to be taken in the event of an accident or breakdown.;
d. maintain a current driver's license and
				current automobile insurance as required by law;
e. obtain written permission from a parent to
				transport the child; and
f.
				maintain a transportation log for each trip to be used to track children during
				transportation, which shall include the child's name, the date, time and place
				of pick up and drop off, and the name of the person to whom a child is
				released.
14. Medication
				Administration
a. No medication or special
				medical procedure shall be administered to a child unless authorized in writing
				by the parent.
b. Such
				authorization shall include the name of the child, drug name and strength,
				date(s) to be administered, directions for use, including route, dosage,
				frequency, time and special instructions if applicable, signature of parent and
				date of signature.
15.
				Immunizations. Obtain satisfactory evidence of immunization against, or of an
				immunization program in progress, for vaccine-preventable diseases for each
				child in care, according to the schedule approved by the Office of Public
				Health, Department of Health:
a. if
				vaccination is contraindicated for medical reasons, the parent shall provide a
				written statement from a physician indicating said medical reasons;
				or
b. if the parent objects to the
				immunizations for any other reason, the parent shall provide a written
				statement of dissent.
16. Hazardous Materials and Other Items
				Harmful to Children. Items such as medications, poisons, cleaning supplies and
				chemicals, equipment, tools, knives, and other potentially dangerous utensils
				that can be harmful to children shall be kept in a locked cabinet or other
				secure place that ensures items are inaccessible to children.
17. Building and Physical Premises. Identify
				and protect children from safety hazards in the home and on the premises, such
				as uncovered electrical outlets, strings and cords, bodies of water, and
				vehicular traffic.
18. Emergency
				Preparedness Disaster Plan. Develop, practice and train on, and follow, a
				written emergency preparedness disaster plan that includes at a minimum:
a. procedures for evacuation, relocation,
				shelter-in-place, lock-down, communication and reunification with families,
				continuity of operations, accommodation of infants and toddlers, children with
				disabilities, and children with chronic medical conditions;
b. procedures for all adults living in, or
				working in the residence where care is provided, or working on the property
				where care is provided; and
c.
				posting in a visibly accessible area all appropriate emergency phone numbers,
				such as fire and police, hospitals and Louisiana Poison Control, and the
				physical address and phone number for the residence in which care is
				provided.
19. First Aid
				Supplies. Maintain first aid supplies in the home.
20. Inspections. Allow inspection of the home
				where care is provided by LDE staff and other authorized inspection personnel
				during normal working hours or when children are in care.
21. Supervision. Children shall be supervised
				at all times in the home, on the property, on field trips, on non-vehicular
				excursions, and during all water activities and water play
				activities.
22. Behavior
				Management.
a. Provider shall develop,
				implement and follow a written behavior management policy describing the
				methods of behavior guidance and management that shall be used at the
				center.
b. The behavior management
				policy shall prohibit:
i. physical or corporal
				punishment which includes but is not limited to yelling, slapping spanking,
				yanking, pinching or other measures producing physical pain, putting anything
				in the mouth of the child, requiring a child to exercise, or placing a child in
				an uncomfortable position;
ii.
				verbal abuse;
iii. the threat of
				prohibitive action even if there is no intent to follow through with the
				threat;
iv. being disciplined by
				another child, being bullied by another child or being deprived of food or
				beverages;
v. being restrained in
				high chairs or feeding tables for disciplinary purposes; and
vi. having active play time withheld for
				disciplinary purposes.
c. Time out:
i. time out shall not be used for children
				under age two;
ii. a time out shall
				take place within sight of staff;
iii. the length of each time out shall be
				based on the age of the child and shall not exceed one minute per year of
				age;
23.
				Group Size. A provider may care for a maximum of six children.
24. Child-to-Staff Ratios. The maximum
				child-to-staff ratio shall be 6:1.
25. Safe Sleep Practices
a. Only one infant shall be placed in a
				crib.
b. All infants shall be
				placed on their backs for sleeping.
i. Written
				authorization from a physician is required for any other sleeping
				position.
ii. Written notice of the
				specifically authorized sleeping position shall be posted on or near the
				crib.
c. Infants shall
				not be placed in positioning devices, unless the provider has written
				authorization from a physician to use a positioning device.
d. Written authorization from a physician is
				required for a child to sleep in a car seat or other similar device and shall
				include the amount of time that the child is allowed to remain in said
				device.
e. "Back to Sleep" signs
				shall be posted in the room where infants sleep.
f. Infants who use pacifiers shall be offered
				the pacifier when placed to sleep, but shall not be placed back in the mouth
				once the child is asleep.
g. Bibs
				shall not be worn by any child while asleep.
h. Nothing shall be placed over the head or
				face of an infant.
i. A safety
				approved crib shall be available for each infant.
26. Health Related Policies. The provider
				shall have a written copy of all health-related policies including policies
				regarding accidents, allergic reactions, fever, illness, immunizations, and
				infection and injuries, and shall provide a copy to the parent or guardian of
				each child in care.
27. Immediate
				Parental Notification. The parent shall be immediately notified in the
				following circumstances:
a. blood not
				contained in an adhesive strip;
b.
				head or neck or eye injury;
c.
				human bite that breaks the skin;
d.
				animal bite;
e. impaled
				object;
f. broken or dislodged
				teeth;
g. allergic reaction skin
				changes (e.g. rash, spots, swelling, etc.);
h. unusual breathing;
i. symptoms of dehydration;
j. temperature reading over 101 degrees oral,
				102 degrees rectal, or 100 degrees axillary; or
k. injury or illness requiring professional
				medical attention.
28.
				Biocontaminants. Staff shall properly dispose of all biocontaminants to
				safeguard against the spread of infectious disease.
a. Discard disposable rubber gloves that come
				into contact with a biocontaminant after each use.
b. Discard tissues, paper towels, disposable
				wipes, and similar products that come into contact with a biocontaminant after
				each use.
c. Place soiled
				disposable diapers in a closed container that is lined with a leak-proof or
				impervious lining, remove the soiled disposable diapers from the facility, and
				place them in a closed garbage receptacle outside the building on a daily
				basis.
d. Place soiled
				non-disposable diapers in a sealed plastic container that has been labeled with
				the child's name and return these diapers to the child's parent at the end of
				the day.
e. Place soiled clothes in
				a sealed plastic container that has been labeled with the child's name and
				return the clothes to the child's parent at the end of the day or launder the
				clothes at the facility.
f. Sheets
				and coverings shall be changed immediately when soiled or wet.
29. Cumulative File. A cumulative
				file that shall include an information form, written authorization for
				emergency medical treatment, individuals to whom the child may be released, and
				special dietary requirements shall be maintained on each child.
a. The information form shall be signed and
				dated by the parent and updated as changes occur. The form shall contain the
				name of the child, date of birth, sex, date of admission, the name of parents,
				the home address of both child and parents, the phone numbers where parents may
				be reached while the child is in care, the name and phone number of the person
				to contact in an emergency if parents cannot be located promptly, any special
				concerns, including but not limited to allergies, chronic illnesses, and any
				special needs of the child, if applicable, and any special dietary needs,
				restrictions or food allergies, or intolerances, if applicable.
b. Emergency medical treatment written
				authorization shall be signed and dated by the parent to secure emergency
				medical treatment.
c. Written
				authorization for child release shall be signed and dated by the parent noting
				the first and last names of individuals to whom the child may be released other
				than the parents, and any person or persons who may remove the child from the
				home.
i. The parent may further authorize
				additional individuals via a text message, fax, or email to the provider in
				unplanned situations and follow it with written authorization.
ii. A child shall never be released to anyone
				unless authorized in writing by the parent.
iii. Any additions and deletions to the list
				of authorized individuals shall be signed and dated by the parent.
iv. The provider shall verify the identity of
				the authorized person prior to releasing the child.
d. Special Diets
i. A parent may request in writing special
				diet adjustments (i.e. no milk on a particular day).
ii. If a center is on the Child and Adult
				Care Food Program (CACFP), a written statement from a health care provider and
				the parent is required when the child requires a special diet for medical
				reasons if the meal is to be reimbursed by CACFP.
iii. Information regarding food allergies and
				special diets of children shall be posted in the food preparation area with
				special care taken to ensure that individual names of children are not in
				public view. If a parent chooses to allow the provider to post the child's name
				and allergy information in public view, a signed and dated authorization from
				the parent shall be obtained.
30. Shaken Baby Syndrome, Abusive Head
				Trauma, and Child Maltreatment. The provider shall maintain policy and
				procedure to identify, prevent, and respond to shaken baby syndrome, abusive
				head trauma, and child maltreatment.