In addition to the requirements set out in COMAR 14.31.05 and 14.31.06, a licensee shall ensure a program that provides mother-infant services also meets the requirements of this regulation. A licensee may provide care and service for children who are mothers with an infant if: The licensing agency approves the program in writing; The licensee ensures that adolescents follow the advice of a licensed physician regarding the health care of the adolescent's child; The licensee provides the mother with: Sanitary space, a table, and plumbing necessary to change diapers; Competent instruction in the care and nurturing of infants; Limits on her social activities to ensure that she is responsible for her infant; Opportunity, encouragement, and structure for the completion of her education; Encouragement to develop her capacity for and understanding of her independence; Assurance that any child care center or home where the infant may be placed during daytime hours is licensed under State law; Professional guidance, training, and counseling in human sexuality; and A bed in a room separate from where the infant sleeps after the infant is 6 months old; The licensee assures that the infant is provided with: Protection from harm; Access to health care; Proper food and nutrition; Physical warmth and nurture; Protection from disease; Physical comfort; Proper sleeping environment in an appropriate crib; Appropriate feeding schedule; Regularly changed diapers in a sanitary environment; When the infant is 6 months old, a crib in a room separate from where the mother sleeps; Pediatric care in accordance with Early and Periodic Screening, Diagnosis, and Treatment schedules; and Required immunizations; The licensee ensures that direct care workers in this program: Receive 10 hours of training specific to infant care before assuming duties in a mother-infant program as part of the training requirements of COMAR 14.31.06; and Annually receive 15 hours of training specific to the mother-infant program as part of the training requirements of COMAR 14.31.06; and The program provides the licensing agency with a written policy regarding the care of an adolescent's child by another adolescent in residence in which the following conditions are met: The adolescent assumes care of no more than one other child in addition to her own at any time; The adolescents discuss the expectations of the caregiver, including: Duration of child care; The child's nutritional and toileting needs; and Any arrangements for compensation or exchange of baby-sitting; and The arrangement is reviewed and approved by the program administrator or the program administrator's designee.