Code of Maryland Regulations (Last Updated: April 6, 2021) |
Title 10. Maryland Department of Health |
Part 3. |
Subtitle 21. MENTAL HYGIENE REGULATIONS |
Chapter 10.21.18. Community Mental Health Programs—Therapeutic Nursery Programs |
Sec. 10.21.18.03. Program Model
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A provider of therapeutic nursery services shall ensure that services:
A. Are appropriate to the cultural and psychosocial developmental needs of the child;
B. Are provided:
(1) For a minimum of 3 hours per day, 3 days per week at each site; and
(2) In either a free-standing program or as an integral component of a preschool program in which services are offered in a therapeutic milieu;
C. Are provided by staff who:
(1) As determined by the program, are appropriately credentialed and privileged; and
(2) Organize and manage the milieu to:
(a) Foster clinically appropriate social, intellectual, emotional, and physical growth;
(b) Handle aggression in a nonpunitive manner that promotes growth and learning;
(c) Reinforce the child's ability to function with peers in a social environment;
(d) Model and provide opportunities for children to behave in age-appropriate ways, such as:
(i) Being playful;
(ii) Assuming responsibility for carrying out routine activities;
(iii) Exhibiting independence and initiative in planning their own learning;
(iv) Getting along with others; and
(v) Being courteous;
(e) Facilitate the child's awareness of appropriate behavior in a predictable, constructive, and timely manner; and
(f) Help children to make choices and to negotiate disagreements among themselves, rather than resolving conflicts for them;
D. Are provided in an environment that:
(1) Is consistent with existent standards of program design;
(2) Is organized so that the child can function in an environment with a minimum of adult direction;
(3) Has space that facilitates the activities of each learning center allocated to each center;
(4) 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;
(5) Provides materials that are available for children's use and are otherwise appropriately stored; and
(6) Displays exhibits of children's work that reflect children's current experiences, developmental level, diversity, and individuality;
E. Are designed to develop or improve the ability of the primary caretaker to care for the child; and
F. Maintain linkage with schools and preschool programs to effect transition at the appropriate time and with the necessary support services.