<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".10" citation="COMAR 10.21.18.10" title_num="10" subtitle_num="21" chapter_num="18" heading="Physical Setting.">
  <paragraph num="A.">
    <text>Capacity.</text>
    <paragraph num="(1)">
      <text>The Department shall determine the capacity of a therapeutic nursery based on:</text>
      <paragraph num="(a)">
        <text>Space requirements under §C(1) of this regulation;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Staff requirements, including the staff-to-child ratio, required under Regulation .08D of this chapter; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Maintenance of the therapeutic milieu described in Regulation .03B(2) of this chapter.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The program director of the therapeutic nursery program shall limit the number of enrollees to the capacity applied for and approved by the Department.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Requirements for the Building. The therapeutic nursery program shall operate the program in a building that conforms to the applicable federal, State, and local laws and regulations, including but not limited to:</text>
    <paragraph num="(1)">
      <text>Zoning;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Sanitation;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Fire and safety codes; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The requirements of the Americans with Disabilities Act.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Indoor Space. The therapeutic nursery program shall:</text>
    <paragraph num="(1)">
      <text>For each child enrolled in the therapeutic nursery, provide a minimum of 35 square feet of floor space, not including spaces, such as vestibules and corridors, food preparation areas, bathrooms, adult work areas, and storage spaces, that are not available for the daily program activities of the children; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Provide suitable space for individual, family, group, and play therapies.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Outdoor Space. The therapeutic nursery program shall ensure compliance with applicable State and local laws and regulations for outdoor space, including but not limited to water safety requirements.</text>
  </paragraph>
</regulation>