Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 31 - OFFICE FOR CHILDREN › Chapter 14.31.07 - Specialized Licensing Standards › Section 14.31.07.11 - Mother-Infant Programs

Current through Register Vol. 51, No. 14, July 12, 2024
A. 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.
B.
				A licensee may provide care and service for children who are mothers with an
				infant if:
(1) The licensing agency approves
				the program in writing;
(2) The
				licensee ensures that adolescents follow the advice of a licensed physician
				regarding the health care of the adolescent's child;
(3) The licensee provides the mother with:
(a) Sanitary space, a table, and plumbing
				necessary to change diapers;
(b)
				Competent instruction in the care and nurturing of infants;
(c) Limits on her social activities to ensure
				that she is responsible for her infant;
(d) Opportunity, encouragement, and structure
				for the completion of her education;
(e) Encouragement to develop her capacity for
				and understanding of her independence;
(f) Assurance that any child care center or
				home where the infant may be placed during daytime hours is licensed under
				State law;
(g) Professional
				guidance, training, and counseling in human sexuality; and
(h) A bed in a room separate from where the
				infant sleeps after the infant is 6 months old;
(4) The licensee assures that the infant is
				provided with:
(a) Protection from
				harm;
(b) Access to health
				care;
(c) Proper food and
				nutrition;
(d) Physical warmth and
				nurture;
(e) Protection from
				disease;
(f) Physical
				comfort;
(g) Proper sleeping
				environment in an appropriate crib;
(h) Appropriate feeding schedule;
(i) Regularly changed diapers in a sanitary
				environment;
(j) When the infant is
				6 months old, a crib in a room separate from where the mother sleeps;
(k) Pediatric care in accordance with Early
				and Periodic Screening, Diagnosis, and Treatment schedules; and
(l) Required immunizations;
(5) The licensee ensures that
				direct care workers in this program:
(a)
				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
(b) Annually receive 15 hours
				of training specific to the mother-infant program as part of the training
				requirements of COMAR 14.31.06; and
(6) 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:
(a) The adolescent assumes care of no more
				than one other child in addition to her own at any time;
(b) The adolescents discuss the expectations
				of the caregiver, including:
(i) Duration of
				child care;
(ii) The child's
				nutritional and toileting needs; and
(iii) Any arrangements for compensation or
				exchange of baby-sitting; and
(c) The arrangement is reviewed and approved
				by the program administrator or the program administrator's designee.