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<regulation prefix="Regulation" num=".10" citation="COMAR 14.31.06.10" title_num="14" subtitle_num="31" chapter_num="06" heading="Basic Life Needs.">
  <paragraph num="A.">
    <text>General. The licensee shall have a structured plan of care designed to meet the children's physical needs and well-being.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Food and Nutrition. The licensee shall:</text>
    <paragraph num="(1)">
      <text>Serve food that meets or exceeds the children's recommended dietary allowances as established by the Food and Nutrition Board of the National Academy of Sciences;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Maintain at least a 72-hour supply of food in accordance with the planned menu;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Maintain nonperishable food items in the event of an emergency, in accordance with the licensee’s emergency preparedness plan;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Provide each child three meals each day, which are approved by a registered dietician and offer nutritious between-meal snacks, with not more than 14 hours between dinner and breakfast the following day;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Offer approved supplementary or modified nutritionally sufficient diets for religious, cultural, life philosophy, or health reasons, as appropriate;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Prohibit forced feeding of or withholding of food from a child as a form of discipline;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Ensure that if employees are served food from the facility, it shall be the same food as that served to the children;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Observe the applicable requirements of the Maryland Department of Health and local health departments; and</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Design menus that:</text>
      <paragraph num="(a)">
        <text>Are kept on file for 12 months;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Are approved at least annually by an individual licensed by the State to practice dietetics;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Are planned at least a week in advance;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Document the actual foods served, including comparable substitutions; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Document any between-meal snacks provided.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Children’s Personal Funds. The licensee shall:</text>
    <paragraph num="(1)">
      <text>Have and observe a written policy concerning a child’s personal funds which addresses:</text>
      <paragraph num="(a)">
        <text>The child's access to the child's personal funds;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Accrual of interest into the child's account from an interest bearing account;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Accounting for the child's funds on request; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The limit, if any, placed on the personal funds a child may bring into and hold while in the program;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Make an inventory of the child's personal funds and other belongings upon admission, and update the inventory as needed;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Treat money earned by a child or received by the child as a gift or as an allowance as the child's personal property;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Account for and maintain a child's personal funds separate from program funds;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Transfer a child’s personal funds to the child within 5 business days of discharge from the program;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>As applicable, deduct reasonable sums from a child's allowance as restitution for damage done, if the practice is consistent with the licensee’s program and written restitution policy; and</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Ensure that restitution shall be paid from the child’s personal funds in accordance with the child’s court order.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Clothing. The licensee shall:</text>
    <paragraph num="(1)">
      <text>Ensure that the children have an adequate supply of clean, comfortable, well-fitting clothes, and shoes for indoor and outdoor wear;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Treat a child's clothing as the child's personal property;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Allow a child to be involved, as appropriate, in the selection, care, and maintenance of the child's clothing;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Use donated clothing only if suitable and in good condition; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Transfer a child's clothing to the child upon discharge.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Other Personal Belongings.</text>
    <paragraph num="(1)">
      <text>The licensee shall have a policy regarding personal belongings that will:</text>
      <paragraph num="(a)">
        <text>Allow a child to possess appropriate personal belongings;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Make reasonable provisions for the protection of a child's personal belongings; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Transfer to a child the child's personal belongings upon discharge.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The licensee may limit the size, value, or type of personal belongings that a child may bring to the program.</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>Personal Hygiene. The licensee shall:</text>
    <paragraph num="(1)">
      <text>Instruct the children in good habits of personal care, hygiene, and grooming; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Provide each child with culture-specific and gender-specific hygiene products, including, but not limited to:</text>
      <paragraph num="(a)">
        <text>A toothbrush and toothpaste;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Mouthwash and dental floss;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A comb and brush;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Clean towels and washcloths;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Soap;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Shampoo and conditioner;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Body lotion or moisturizer;</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Deodorant; and</text>
      </paragraph>
      <paragraph num="(i)">
        <text>Feminine hygiene products.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="G.">
    <text>Sleep. The licensee shall:</text>
    <paragraph num="(1)">
      <text>Establish and follow routines for waking the children and putting them to bed; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Provide children the opportunity each night for at least 8 hours of uninterrupted sleep, except in the event of an emergency or drill.</text>
    </paragraph>
  </paragraph>
</regulation>