Louisiana Administrative Code › Title 28 - EDUCATION › Part CLXV - Bulletin 139-Louisiana Child Care and Development Fund Programs › Chapter 3 - CCAP Provider Certification › Section CLXV-313 - Specific Certification Requirements for Public School and BESE-Approved Nonpublic School Child Care Centers

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 of this Part, a public school or
				BESE-approved nonpublic school day care center must meet the following
				requirements:
1.
Brumfield v
				Dodd
Approval
.
a BESE-approved nonpublic school day
				care center must also be
Brumfield v. Dodd-
approved.
2. State Fire Marshal. Provide written
				verification of current State Fire Marshal approval.
3. Determination of Eligibility for Child
				Care Purposes. Provide documentation of a CCCBC-based determination of
				eligibility for child care purposes by the LDE for required persons in
				compliance with Chapter 18 of Bulletin 137, Louisiana. Early Learning Center
				Licensing Regulations.
4. CPR.
				Provide documentation of current certification in infant, child and adult
				CPR.
5. Pediatric First Aid.
				Provide documentation of current certification in pediatric first
				aid.
6. Medication Administration
				Training. Provide documentation of current medication administration training
				with a child care health consultant approved by LDH.
7. Pre-Service Orientation Training. Each
				staff member shall complete four hours of pre-service orientation training that
				includes the LDE Key Orientation Training Modules 1, 2 and 3 and DCFS' online
				Mandate 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;
8. 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 all required trainings shall be maintained onsite by
				the center, whether as hard copies or in electronic form, and made available
				for inspection upon request by the LDE.
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.
e. The three hours of training by a child
				care health consultant on infectious diseases, health and safety, and/or food
				service preparation required in LAC 51:XXI.301.A.9 shall not count towards the
				annual training requirements.
9. Children's Daily Attendance. A daily
				attendance record for children shall be maintained that shall:
a. include the child's first and last name,
				arrival and departure times, and first and last name of person or entity to
				whom the child is released;
b.
				accurately reflect children in care at any given time; and
c. be used to sign in and out if a child
				leaves and returns to the home during the day.
10. Transportation. If transportation is
				provided, the center 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.
11. 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.
12.
				Immunizations. Obtain satisfactory evidence of immunization against, or 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 and Hospitals:
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.
13. 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.
14. Building and Physical Premises. Identify
				and protect children from safety hazards in the residence and on the premises,
				such as uncovered electrical outlets, strings and cords, bodies of water, and
				vehicular traffic.
15. Emergency
				Preparedness Disaster Plan. Develop, practice, 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,
				working in, or working on the residence or 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, as well as the physical address
				and phone number for the residence in which care is provided.
16. First Aid Supplies. Maintain
				first aid supplies at the center.
17. Supervision. Children shall be supervised
				at all times in the facility, in the yard, on field trips, on non-vehicular
				excursions, and during all water activities and water play
				activities.
18. Behavior Management
a. Center 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; and
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.
19.
				Child to Staff Maximum Ratios. The maximum child to staff ratios are as
				follows.
Maximum Child-to-Staff
							 Ratios
Ages of Children
Ratio
3 years
13:1
4 years
15:1
5 years
19:1
6 years and up
23:1
20.
				Group Size. The maximum group sizes are as follows.
Maximum Group
							 Sizes
Age of Children
Maximum Group Size
3 years
26
4 years
30
5 years
38
6 years and up
46
21.
				Health-Related Policies. The center 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.
22. 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.
23. 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.
24. Inspections. Allow inspection
				of the facility where care is provided by LDE staff and other authorized
				inspection personnel during normal working hours and when children are in
				care.
25. Monitoring. LDE will
				monitor compliance at a minimum annually.
26. 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.
27. Shaken Baby Syndrome, Abusive Head
				Trauma, and Child Maltreatment. The provider shall maintain policy and
				procedures to identify, prevent, and respond to shaken baby syndrome, abusive
				head trauma, and child maltreatment.