<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.21.18.03" title_num="10" subtitle_num="21" chapter_num="18" heading="Program Model.">
  <text>A provider of therapeutic nursery services shall ensure that services:</text>
  <paragraph num="A.">
    <text>Are appropriate to the cultural and psychosocial developmental needs of the child;</text>
  </paragraph>
  <paragraph num="B.">
    <text>Are provided:</text>
    <paragraph num="(1)">
      <text>For a minimum of 3 hours per day, 3 days per week at each site; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>In either a free-standing program or as an integral component of a preschool program in which services are offered in a therapeutic milieu;</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Are provided by staff who:</text>
    <paragraph num="(1)">
      <text>As determined by the program, are appropriately credentialed and privileged; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Organize and manage the milieu to:</text>
      <paragraph num="(a)">
        <text>Foster clinically appropriate social, intellectual, emotional, and physical growth;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Handle aggression in a nonpunitive manner that promotes growth and learning;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Reinforce the child's ability to function with peers in a social environment;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Model and provide opportunities for children to behave in age-appropriate ways, such as:</text>
        <paragraph num="(i)">
          <text>Being playful;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Assuming responsibility for carrying out routine activities;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Exhibiting independence and initiative in planning their own learning;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Getting along with others; and</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Being courteous;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(e)">
        <text>Facilitate the child's awareness of appropriate behavior in a predictable, constructive, and timely manner; and</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Help children to make choices and to negotiate disagreements among themselves, rather than resolving conflicts for them;</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Are provided in an environment that:</text>
    <paragraph num="(1)">
      <text>Is consistent with existent standards of program design;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Is organized so that the child can function in an environment with a minimum of adult direction;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Has space that facilitates the activities of each learning center allocated to each center;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Has sufficient space and separation between learning centers so that children can engage in activities of their choice without distracting or being distracted by others;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Provides materials that are available for children's use and are otherwise appropriately stored; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Displays exhibits of children's work that reflect children's current experiences, developmental level, diversity, and individuality;</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Are designed to develop or improve the ability of the primary caretaker to care for the child; and</text>
  </paragraph>
  <paragraph num="F.">
    <text>Maintain linkage with schools and preschool programs to effect transition at the appropriate time and with the necessary support services.</text>
  </paragraph>
</regulation>