(4) An outline of the courses included in the program of training and instruction.

(5) An estimate of the cost of training and educational materials, personnel, and other items necessary to present the program of training and instruction, together with an estimate of the total costs per classroom hour per student or the equivalent costs per basic area of the core of knowledge for home study courses.

(6) Certification by the State agency or board indicating that the course content provides adequate preparation to meet the standards required by the State for licensure of nursing home administrators.

(7) Such other information as may be required by the Administrator, Social and Rehabilitation Service.

(e) Approvable program expenditures. The following types of costs will be recognized:

(1) Necessary "tooling-up" costs, including loan of personnel and purchase of educational media.

(2) Salaries of instructors.

(3) Travel and related expenses for instructors incidental to presenting the program to eligible trainees.

(4) Supplies and materials necessary to the presentation of the program of training and instruction.

(5) Such other items as may be included in the approved application. The costs of furniture and durable equipment may not be included.

(f) Grant approval. All grant approvals shall be made in writing by the Regional Commissioner, Social and Rehabilitation Service, and shall specify the amount of funds to be granted and the extent of Federal financial participation.

(g) Termination. A grant may be terminated in whole or in part at any time at the discretion of the Regional Commissioner, Social and Rehabilitation Service. Noncancellable obligations properly incurred prior to the receipt of the notice of cancellation will be honored. The single State agency shall be promptly notified of such termination in writing and given the reasons therefor.

(h) Reports. (1) The single State agency responsible for the administration of the State's title XIX program

shall make reports to the Administrator, Social and Rehabilitation Service through the Regional Commissioner, Social and Rehabilitation Service in such form and containing such information as may be specified.

(2) Records of all costs related to courses provided, and persons trained, shall be retained by the sponsoring institution for 5 years following the end of the budget period unless audit by or on behalf of the Department of Health, Education, and Welfare has occurred, in which case records may be destroyed 3 years after the end of the budget period. In all cases, records shall be retained until resolution of any audit questions.

(3) A certificate or other evidence of satisfactory completion of training and instruction for each eligible trainee receiving such instruction shall be filed with the State agency or board.

(i) Development of program of training and instruction. To provide a basis for future licensure reciprocity between States, and to provide that the content of examinations and programs of training and instruction contain sufficient amounts of appropriate information relating to the proper and efficient administration of nursing homes, the following detailed guideline categorization of nine basic areas of the core of knowledge which it is deemed an administrator should possess are set forth as recommendations for appropriate use by State agencies and boards.

(1) Applicable standards of environmental health and safety:

(i) Hygiene and sanitation.
(ii) Communicable diseases.
(iii) Management of isolation.

(iv) The total environment (noise, color, orientation, stimulation, temperature, lighting, aircirculation).

(v) Elements of accident prevention. (vi) Special architectural needs of nursing home patients.

(vii) Drug handling and control.

(viii) Safety factors in oxygen usage. (2) Local health and safety regulations:

Guidelines vary according to local provisions.

(3) General administration:
(i) Institutional administration.

(a) The patient. (b) The staff. (c) The family.

(7) Therapeutic and supportive care and services in long-term care;

(i) Individual care planning as it embraces all therapeutic care and supportive services.

(ii) Meaningful observations of patient behavior as related to total patient

care.

(iii) Interdisciplinary evaluation and revision of patient care plans and procedures.

(iv) Unique aspects and requirements of geriatric patient care.

(v) Professional staff interrelationships with patient's physician.

(vi) Professional ethics and conduct. (vii) Rehabilitative and remotivational role of individual therapeutic and supportive services.

(viii) Psychological, social, and religious needs, in addition to physical needs of patient.

(ix) Needs for dental service.

(8) Departmental organization and management:

(i) Criteria for coordinating establishment of departmental and unit objectives.

(ii) Reporting and accountability of individual departments to administrator.

(iii) Criteria for departmental evaluation (nursing, food service, therapeutic services, maintenance, housekeeping).

(iv) Techniques of providing adequate professional, therapeutic, supportive, and administrative services.

(v) The following departments may be used in relating matters of organization and management:

(a) Nursing.

(b) Housekeeping. (c) Dietary.

(d) Laundry.

(e) Pharmaceutical services.

(f) Social service.

(g) Business office. (h) Recreation.

(i) Medical records.

(j) Admitting.

(k) Physical therapy.

(1) Occupational therapy.

(m) Medical and dental services. (n) Laboratories.

(d) "Service" means the Social and Rehabilitation Service, U.S. Department of Health, Education, and Welfare.

(e) "Administrator" means the Administrator of the Social and Rehabilitation Service.

(f) "Fiscal year" refers to the Federal fiscal year.

(g) "State" means the several States, the District of Columbia, the Virgin Islands, Puerto Rico, Guam, American Samoa, and the Trust Territory of the Pacific Islands.

(h) "State agency" means the State agency designated in a State's comprehensive juvenile delinquency plan under section 131 of the Act.

(i) "Public agency" means a duly elected political body or subdivision thereof and includes any agency emanating from such a political body or subdivision thereof. Such term includes an Indian tribe.

(j) "Nonprofit private agency or organization" means any accredited institution of higher education, and any other agency, organization, or institution no part of the net earnings of which inures, or may lawfully inure, to the benefit of any private shareholder or individual, or which is owned and operated by one or more such organizations, but only if such agency, organization, or institution was in existence at least 2 years before the date of an application under this Act.

(k) "State plan" means the document or documents submitted by the State pursuant to section 131 of the Act in order to participate under Parts B and C of Title I of the Act.

(1) "Delinquent youth" refers to any youth who has been found to be delinquent by a court.

(m) "Youth in danger of becoming delinquent" refers to any youth whose behavioral patterns or environmental or situational influences are likely to bring him to the attention of law enforcement agencies and courts.

(n) "Community-based programs" refers to those residential or nonresidential programs providing services to youth within or in close proximity to the community and which draw on services from agencies in the community and which provide opportunity for full participation in community activities.

(0) "Technical assistance" refers to consultation to State, local or other pub

(a) Grants under this subpart may be made to any State or local public agency (referred to in this subpart as the planning agency), designated by the chief executive of the applicant jurisdiction.

(b) The planning agency must:

(1) Have authority to conduct the comprehensive juvenile delinquency planning functions.

(2) Have authority to receive and spend funds for comprehensive juvenile delinquency planning functions.

(c) In the case of the State planning agency, in the interest of promoting the fullest possible integration and coordination of crime and delinquency programs being developed in response to the Omnibus Crime Control and Safe Streets Act of 1968 and the Juvenile Delinquency Prevention and Control Act of 1968, it is desirable to have a single State planning agency which would prepare a single comprehensive plan.

§ 270.12 Matching requirements.

(a) Federal financial participation in the cost of comprehensive planning will not exceed 90 percent of the total cost of the planning for which the grant is made.