Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 3
Subtitle 21 - MENTAL HYGIENE REGULATIONS
Chapter 10.21.18 - Community Mental Health Programs-Therapeutic Nursery Programs
Section 10.21.18.10 - Physical Setting
Universal Citation: MD Code Reg 10.21.18.10
Current through Register Vol. 51, No. 19, September 20, 2024
A. Capacity.
(1) The Department shall determine the
capacity of a therapeutic nursery based on:
(a) Space requirements under §C(1) of
this regulation;
(b) Staff
requirements, including the staff-to-child ratio, required under Regulation
.08D of this chapter; and
(c)
Maintenance of the therapeutic milieu described in Regulation .03B(2) of this
chapter.
(2) The program
director of the therapeutic nursery program shall limit the number of enrollees
to the capacity applied for and approved by the Department.
B. 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:
(1)
Zoning;
(2) Sanitation;
(3) Fire and safety codes; and
(4) The requirements of the Americans with
Disabilities Act.
C. Indoor Space. The therapeutic nursery program shall:
(1) 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
(2) Provide suitable space for individual,
family, group, and play therapies.
D. 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.
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