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Title 28, Part CLXV Louisiana Administrative Code April 2025 12 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. 19. 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. 20. 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.

i. Consent to Release. Written consent shall be obtained from the parent prior to releasing any information, recordings, or photographs from which the child might be identified, except to authorized state and federal agencies. This one-time written consent shall be obtained from the parent and updated as changes occur.

ii. Confidentiality. Confidentiality and security shall be maintained for all records of children. Staff is prohibited from disclosing or knowingly permitting the disclosure of any information concerning the child or the family of the child, either directly or indirectly, to any unauthorized person. 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. 21. 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. B. In-home child care providers receiving CCAP payments or certified to receive CCAP payments shall be