LAC 28:CLXV.323. General Health and Safety Requirements

A. The health and safety requirements contained in this Section shall apply to any family child care provider, in-home child care provider, school child care center, or military child care center. B. Pre-Service Orientation Training. Complete four hours of CCAP pre-service orientation training; the LDOE Key Orientation Training Modules 1, 2, and 3; infant, child, and adult CPR; pediatric first aid; and DCFS online 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 LDOE. The pre-service orientation training shall at a minimum include information on the following: 1. general emergency preparedness, including natural disasters and man-caused disasters; 2. professionalism; 3. 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; 4. administration of medication consistent with standards for parental consent; 5. prevention and response to emergencies due to food and allergic reactions; 6. appropriate precautions in transporting children, if applicable; 7. public health policies, including prevention and control of infectious diseases and immunization information; 8. handling and storage of hazardous materials and appropriate disposal of bio-contaminants; 9. pediatric first aid and cardiopulmonary resuscitation (CPR); 10. prevention of sudden infant death syndrome and use of safe sleep practices; 11. outdoor play practices; 12. environmental safety; 13. building and physical premises safety, including identification of and protection from hazards, bodies of water, and vehicular traffic; 14. child release procedures; and 15. critical incident procedures. C. Continuing Training. 1. Annually complete 12 clock hours of training in safety and health topics and job-related subject areas approved by the LDOE. Continuing training shall be completed with LDOE approved trainers and may include, but is not limited to, the following topics: a. child development; b. child guidance; c. child abuse prevention; d. emergency preparation; e. learning activities; f. health and safety; g. shaken baby prevention; h. CPR; i. pediatric first aid; j. management/administrative education; or k. college credit hours in child care, child development, and/or early childhood. 2. Annually complete the DCFS online Mandated Reporter Training. 3. CPR. Provide documentation of current certification in infant, child, and adult CPR. 4. Pediatric First Aid. Provide documentation of current certification in pediatric first aid. 5. 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 LDOE. 6. 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. 7. The three hours of training by LDOE-approved trainer on infectious diseases, health and safety, and/or food service preparation required in LAC 51:XXI.301 shall not count towards the annual training requirements. Providers may complete the approved self-paced, online training provided by the LDOE or utilize an in-person trainer. If taught in person, the training must be taught by a licensed nurse, licensed physician, licensed physician’s assistant, licensed social worker, or licensed nutritionist who is on the LDOE registry of approved trainers. D. Medication Administration. 1. No medication or special medical procedure shall be administered to a child unless authorized in writing by the parent. 2. Written authorization must contain explicit dosing criteria and must not simply direct “as indicated on bottle.” Such authorization shall include: a. the name of the child; b. drug name and strength; c. date(s) to be administered; d. directions for use, including route (oral, topical), dosage, frequency, time and schedule, and special instructions if applicable; and e. signature of parent and date of signature. 3. Supplements. Children shall not be administered any form of supplements without prior written parental authorization. E. Medication Administration Training. Provide documentation of current medication administration training. Providers may complete the approved self-paced, online training provided by the LDOE or utilize an in-person trainer. If taught in person, the training must be taught by a licensed pharmacist, licensed nurse, licensed physician, licensed physician’s assistant, licensed paramedic, or licensed EMT who is on the LDOE registry of approved trainers. 1. Training for medication administration shall be completed every two years with training approved by the LDOE. 2. Documentation of current completion of such training shall be maintained by the provider and shall be available for on-site inspection, whether as hard copies or in electronic form, upon request by the LDOE. F. Stock Emergency Medications. 1. Child care providers may have stock emergency medications. 2. Stock supply in the name of and for the use by the provider can only be prescribed by a licensed healthcare professional authorized to prescribe said medication. 3. Life-saving emergency medications can be dispensed by a licensed pharmacist or licensed prescriber for stock supply. 4. Emergency medications are medications that can be administered to treat life-threatening conditions. Such medications may include, but are not limited to, the following: a. Epinephrine; b. Albuterol; c. Naloxone; and d. Glucagon. 5. Provider employees may be trained on the use of auto-injectable epinephrine by a registered nurse, a licensed medical physician, an anaphylaxis training organization, or any other entity approved by LDH. 6. Provider employees may be trained on the use of other stock medications such as albuterol, naloxone, and glucagon by a medical emergency training organization, a registered nurse, or a licensed physician who is on the LDOE registry of approved trainers on the administration of emergency stock medications. 7. Employees administering any of these emergency stock medications shall be trained annually on the following; a. techniques on how to recognize signs of a life-threatening emergency; b. procedures on the storage of emergency medications; c. administration of emergency medications; d. emergency procedures such as calling emergency medical services (EMS) immediately before or after administering a life-saving medication; e. any protocols, including those issued by the LDH for the administration of the emergency stock medications; and f. procedures for proper disposal of the stock emergency medications along with the means by which the medication was administered. 8. Once trained, provider employees can administer and must properly dispose of any stock emergency medications, upon the earlier of the prescription’s usage or expiration, to a child on the premises who is experiencing a life-threatening medical emergency and has received written authorization to administer said medication, in accordance with the protocol in the emergency medication standing order. G. All staff and owners shall report any allegation or suspected abuse or neglect of a child to the Louisiana Child Protection Statewide Hotline at (855) 4LA-KIDS or (855) 452-5437. There shall not be a delay in the reporting of suspected abuse or neglect to the hotline in order to conduct an internal investigation to verify the abuse or neglect allegations, and staff shall not be required to report suspected abuse or neglect to the provider or management prior to reporting to the hotline. H. Burn Hazards. 1. Microwave ovens, bottle warming devices and crock pots are prohibited in areas accessible to children. 2. Hot liquids shall not be consumed in the presence of children. 3. Microwave ovens shall not be used for warming bottles or infant food. 4. Children shall not be held by a staff member when the staff member is removing a bottle from a warming device. I. 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. 1. Plastic bags, when not in use, regardless of purpose or use, shall be made inaccessible to children. 2. Alcohol, tobacco in any form, other potentially toxic substances, fireworks and firearms, and pellet and BB guns are prohibited in areas accessible to children. J. 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. 1. Construction, remodeling, and alterations of structures shall be done in such a manner so as to prevent hazards or unsafe conditions, such as fumes, dust, and safety hazards.