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Title 28, Part CLXV Louisiana Administrative Code April 2025 16 6. denial of center access to department staff or representatives or failure or refusal to cooperate with department staff in the performance of official duties; 7. failure to timely comply with a corrective action plan approved by the department; 8. failure to timely return any overpayment of child care assistance funds; or 9. failure to make timely restitution. B. When certification is terminated or renewal is refused, the department shall provide written notice to the provider of the termination or denial of renewal, and of the provider’s ineligibility period, which may be 12 months, 24 months, or permanently. C. Where the department determines a violation need not result in the termination of or refusal to renew the provider’s certification, the department may: 1. for the first violation, issue a written notice of violation that informs provider that continued or additional violations may result in the termination or refusal to renew certification and a period of ineligibility; 2. for the second violation, issue a second written notice of violation that includes a corrective action plan (CAP) that outlines the required actions that must be implemented or completed immediately and notice that failure to timely complete the CAP or additional or continued violations may result in the termination or refusal to renew certification and a period of ineligibility; and 3. for the third violation, terminate certification and impose a period of ineligibility of 12 months, 24 months or permanently. D. If certification is terminated or renewal is refused, the action shall become effective when the provider is notified in writing. The written notice shall give the reason for termination or refusal to renew certification. AUTHORITY NOTE: Promulgated in accordance with 45 CFR Part 98 and R.S. 17:407.26. HISTORICAL NOTE: Promulgated by the Board of Elementary and Secondary Education, LR 41:2114 (October 2015), amended LR 42:2175 (December 2016). §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