<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".13" citation="COMAR 10.21.07.13" title_num="10" subtitle_num="21" chapter_num="07" heading="Residential Services.">
  <paragraph num="A.">
    <text>General. The chief executive officer shall assure that:</text>
    <paragraph num="(1)">
      <text>Basic life needs are met, according to the requirements of COMAR 01.04.04.17; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Communication and visiting policies and daily routines are implemented according to the requirements of:</text>
      <paragraph num="(a)">
        <text>Health-General Article, §§10-702 — 10-703, Annotated Code of Maryland;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>COMAR 10.21.09; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>COMAR 14.31.06.09B.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Supervision. The chief executive order shall assure that TGH staff, as defined in Regulation .14 of this chapter, provides supervision for each resident not participating in a program outside the TGH, as follows:</text>
    <paragraph num="(1)">
      <text>During hours that children are awake and in the TGH, at least one staff member shall be present for every three children in the TGH;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>During children's sleeping hours, at least one awake staff member shall be present in the TGH; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>At all times, at least one staff member shall be available, at the request of on-duty staff, to arrive at the TGH within 1 hour of the request.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Activity. As required under COMAR 14.31.06.05H, the clinical coordinator shall assign staff to plan and implement daily activities that utilize the therapeutic milieu to foster clinically appropriate social, cognitive, emotional, and physical growth, including but not limited to:</text>
    <paragraph num="(1)">
      <text>Group and self-directed leisure activities, both on-site and off-site, including activities related to sports and the arts;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Working with the child to develop an activities schedule, including:</text>
      <paragraph num="(a)">
        <text>Weekend and vacation plans; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Activities that support the child's cultural interests; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Developing linkages with and supporting a child's participation in community activities.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Homework. Child care staff shall supervise and assist a child with homework:</text>
    <paragraph num="(1)">
      <text>Based on the child's needs; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>By coordinating with the school.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Independent Living Skills. As required under COMAR 14.31.06.12C, in order to assist a child to develop the skills required to live independently as an adult, and as appropriate to a child's age and ability, the chief executive officer shall assign TGH staff to provide activities related to:</text>
    <paragraph num="(1)">
      <text>Homekeeping, including:</text>
      <paragraph num="(a)">
        <text>Meal preparation, including:</text>
        <paragraph num="(i)">
          <text>Menu planning;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Shopping;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Cooking; and</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Cleaning up;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Laundry; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Basic housekeeping;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Personal hygiene;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Money-management, including basic banking knowledge;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Self-preservation; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Accessing community resources, including locating and using public transportation.</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>Work Experience. A TGH that arranges a work experience for a child shall follow the procedure in COMAR 14.31.06.12D.</text>
  </paragraph>
</regulation>