Louisiana Administrative Code › Title 28 - EDUCATION › Part CLXV - Bulletin 139-Louisiana Child Care and Development Fund Programs › Chapter 3 - CCAP Provider Certification › Section CLXV-309 - Specific Certification and Registration Requirements for Family 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 of this Part, a family child care
				provider must meet the following requirements, which include but are not
				limited to the requirements for registration as a family child care provider
				pursuant to
				R.S.
				17:407.61 et seq.
1. Age. Be at least age 18.
2. Number of Children in Care. Care for no
				more than six children who are under age 13, or children with special needs who
				are under age 18.
3. Telephone.
				Have a working telephone that is capable of receiving incoming and making
				outgoing calls and that is available at all times in the residence 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. The
				provider shall notify the LDE immediately upon a change in such phone numbers
				by submitting written notice to the LDE by fax or email.
4. Costs. Pay costs necessary to obtain
				required criminal background checks.
5. State Fire Marshal. Provide written
				verification of current State Fire Marshal approval for the residence where
				care is being provided.
6.
				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.
7. Louisiana Sex Offender and Child Predator
				Registry. 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.
8. CPR. Provide
				documentation of current certification in infant, child and adult
				CPR.
9. Pediatric First Aid.
				Provide documentation of current certification in pediatric first
				aid.
10. Medication Administration
				Training. Provide documentation of current medication administration training
				with a child care health consultant approved by LDH.
11. Pre-Service Orientation Training.
				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 procedures; and
xv.
				critical incident procedures.
12. 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 completed with LDE approved
				trainers.
b. Annually complete
				DCFS' online Mandated Reporter Training.
c. Documentation verifying completion of all
				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 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 the training is completed.
13. Child 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.
14. 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;
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.
15. 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, and signature of parent
				and date of signature.
16. 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.
17. Hazardous
				Materials and Other Items that Can Be 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.
18.
				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.
19. 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.
20. First Aid Supplies. Maintain first aid
				supplies in the residence.
21.
				Inspections. Allow inspection of the residence where care is provided by
				department staff and other authorized inspection personnel and parents of
				children in care, during normal working hours or when children are in
				care.
22. 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.
23. 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, except timeout may be used during active play time for
				an infraction incurred during the playtime.
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.
24.
				Group Size. A provider may care for a maximum of six children.
25. Child-to-Staff Ratios. The maximum
				child-to-staff ratio shall be 6:1.
26. 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
				their pacifier when they are placed to sleep, but it 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.
27.
				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.
28. 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.
29. 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 the 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.
30. 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.
31. 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.