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writing and given the reasons therefor. controlling, staffing, coordinating, and
(h) Reports. (1) The single State budgeting. agency responsible for the administra (iii) Human relations: tion of the State's title XIX program (a) Management/employee interrelashall make reports to the Administrator, tionships. Social and Rehabilitation Service (b) Employee/employee interrelationthrough the Regional Commissioner, ships. Social and Rehabilitation Service in such (C) Employee/patient interrelationform and containing such information as ships. may be specified.
(d) Employee/family interrelation(2) Records of all costs related to ships. courses provided, and persons trained, (iv) Training of personnel: shall be retained by the sponsoring in (a) Training of employees to become stitution for 5 years following the end of sensitive to patient needs. the budget period unless audit by or (b) Ongoing in-service training/eduon behalf of the Department of Health, cation. Education, and Welfare has occurred, in (4) Psychology of patient care: which case records may be destroyed 3 (i) Anxiety. years after the end of the budget period. (ii) Depression. In all cases, records shall be retained
(iii) Drugs, alcohol, and their effect.
(iv) Motivation. until resolution of any audit questions. (3) A certificate or other evidence of
(v) Separation reaction. satisfactory completion of training and
(5) Principles of medical care: instruction for each eligible trainee re
(i) Anatomy and physiology. ceiving such instruction shall be filed
(ii) Psychology. with the State agency or board.
(iii) Disease recognition.
(iv) Disease process. (i) Development of program of trainE ing and instruction. To provide a basis
(vi) Aging processes. for future licensure reciprocity between States, and to provide that the content
(vii) Medical terminology. of examinations and programs of train
(viii) Materia Medica. ing and instruction contain sufficient
(ix) Medical Social Service.
(x) Utilization review. amounts of appropriate information relating to the proper and efficient admin
(xi) Professional and medical ethics. istration of nursing homes, the following
(6) Personal and social care: detailed guideline categorization of nine
(i) Resident and patient care planE basic areas of the core of knowledge
ning. which it is deemed an administrator
(ii) Activity programing: should possess are set forth as recom
(a) Patient participation. mendations for appropriate use by State
(b) Recreation. agencies and boards.
(iii) Environmental adjustment: (1) Applicable standards of environ
Interrelationships between patient mental health and safety:
and: (i) Hygiene and sanitation.
(a) Patient. (ii) Communicable diseases.
(b) Staff (staffsensitivity to patient (iii) Management of isolation.
needs as a therapeutic function). (iv) The total environment (noise,
(c) Family and friends. color, orientation, stimulation, tempera
(d) Administrator. ture, lighting, aircirculation).
(e) Management (self-government/ (v) Elements of accident prevention.
patient council). (vi) Special architectural needs of
(iv) Rehabilitation and restorative nursing home patients.
activities: (vii) Drug handling and control.
(a) Training in activities of daily (viii) Safety factors in oxygen usage.
(b) Techniques of group therapy. (2) Local health and safety regulations:
(v) Interdisciplinary interpretation of
patient care to: Guidelines vary according to local
(a) The patient. provisions.
(b) The staff. (3) General administration:
(c) The family. (i) Institutional administration.
(7) Therapeutic and supportive care (ii) Planning, organizing, directing, and services in long-term care;
(i) Individual care planning as it em (ili) Third party payment organizabraces all therapeutic care and support tions. ive services.
(IV) Comprehensive health planning (ii) Meaningful observations of pa agencies. tient behavior as related to total patient (v) Volunteers and auxiliaries. care.
(iii) Interdisciplinary evaluation and PART 270JUVENILE DELINQUENCY revision of patient care plans and pro AND YOUTH DEVELOPMENT PROcedures.
GRAMS AND ACTIVITIES (iv) Unique aspects and requirements of geriatric patient care.
Sec. (v) Professional staff interrelation
270.1 Definitions. ships with patient's physician. (vi) Professional ethics and conduct.
Subpart B-Grants to States and Localities for (vii) Rehabilitative and remotiva
270.10 tional role of individual therapeutic and
270.11 Eligibility. supportive services.
270.12 Matching requirements. (viii) Psychological, social, and re
270.13 Application. ligious needs, in addition to physical 270.14 Application review. needs of patient.
270.15 Grant awards. (ix) Needs for dental service.
270.16 Advisory body and policy board on (8) Departmental organization and
juvenile delinquency planning.
270.18 Notification to jurisdictions affect(i) Criteria for coordinating estab
ed. lishment of departmental and unit
270.19 Payments. objectives.
270.20 Expenditure of grant funds. (ii) Reporting and accountability of 270.21 Reports and records. individual departments to administra 270.22 Fiscal and auditing procedures. tor.
270.23 Retention of records.
270.24 (iii) Criteria for departmental evalu
Publications and copyrights.
270.25 Interest. ation (nursing, food service, therapeutic
270.26 Termination. services, maintenance, housekeeping).
(iv) Techniques of providing adequate Subpart C-Grants for Planning Projects or professional, therapeutic, supportive,
270.30 and administrative services.
270.31 (v) The following departments may
270.32 Matching requirements. be used in relating matters of organiza
270.33 Application. tion and management:
270.34 Coordination and consultation. (a) Nursing.
270.35 Application review. (6) Housekeeping.
270.36 Grant awards. (c) Dietary.
270.37 Notification to jurisdictions affect(d) Laundry.
270.38 (e) Pharmaceutical services.
270.39 (f) Social service.
Expenditure of grant funds.
270.40 Reports and records. (g) Business office.
270.41 Fiscal and auditing procedures. (h) Recreation.
270.42 Retention of records. (i) Medical records.
270.43 Publications and copyrights. (j) Admitting.
270.44 Interest. (k) Physical therapy.
270.45 Termination. (1) Occupational therapy.
Subpart D— The State Plan (m) Medical and dental services.
270.50 Purpose. (n) Laboratories.
270.51 State plan. (0) X-ray.
270.52 State plan; amendment. (p) Maintenance.
270.53 State plan; approval. (9) Community interrelationships:
270.54 Approval of assistance under a State (1) Community medical care, rehabili.
plan. tative and social services resources.
270.55 Matching requirements. (ii) Other community resources:
270.56 Use of funds. (a) Religious institutions.
270.57 Costs of administration. (6) Schools.
270.58 Grants for rehabilitative services. (c) Service agencies.
270.59 Grants for preventive services. (d) Government agencies.
270.60 The State agency.
Sec. 270.61 Distribution of funds.
270.130 Reports and records. 270.62 Balance between prevention and 270.131 Fiscal and auditing procedures.
rehabilitation projects and pro 270.132 Retention of records.
270.133 Publications and copyrights. 270.63 Relationships with other programs.
270.134 Interest. 270.64 Public participation.
270.135 Termination. 270.65 Maintenance of effort. 270.66 Evaluation.
Subpart H-Training 270.67 Dissemination of information.
270.140 Purpose. 270.68 Monitoring of use of funds.
270.141 Eligibility. 270.69 Reports.
270.142 Matching requirements. 270.70 Project review.
270.143 Application. 270.71 Denial of approval.
270.144 Training priorities. 270.72 Projects which depart from plan. 270.145 Factors considered in evaluating 270.73 Effect of State or local law.
applications. 270.74 Fiscal and auditing procedures. 270.146 Project review. 270.75 Retention of records.
270.147 Grant awards. 270.76 Publications and copyrights.
270.148 Payments. 270.77 Failure to comply with the Stato 270.149 Expenditure of grant funds. plan.
270.150 Reports and records.
270.151 Fiscal and auditing procedures. Subpart E-Rehabilitative Services; Direct Grants
270.152 Retention of records. 270.80 Purpose.
270.153 Publications and copyrights. 270.81 Eligibility.
270.154 Interest. 270.82 Matching requirements.
270.155 Termination. 270.83
Application. 270.84 Factors considered in evaluating
Subpart Improved Techniques and Practices proposals.
270.160 Purpose. 270.85 Project review. 270.86
270.161 Eligibility. Grant awards. 270.87 Notification to jurisdictions affected.
270.162 Matching requirements.
270.163 Application. 270.88 Payments.
270.164 Areas of emphasis. 270.89 Expenditure of grant funds.
270.165 Factors considered in evaluating 270.90 Reports and records. 270.91
applications. Fiscal and auditing procedures. 270.92 Retention of records.
270.166 Project review.
270.167 Grant awards. 270.93 Publications and copyrights.
270.168 Payments. 270.94 Interest. 270.95 Termination.
270.169 Expenditure of grant funds.
270.170 Reports and records. Subpart F-Construction
270.171 Fiscal and auditing procedures. 270.100 Purpose.
270.172 Retention of records. 270.101 Eligibility.
270.173 Publications and copyrights. 270.102 Matching requirements.
270.174 Interest. 270.103 Use of funds.
270.175 Termination. 270.104 Application and review procedures.
Subpart 1—Technical Assistance Grants 270.105 Application content. 270.106 Notification.
270.180 Purpose. 270.107 Factors considered in evaluating 270.181 Eligibility. applications.
270.182 Matching requirements. 270.108 Grant awards.
270.183 Application. 270.109 Payments.
270.184 Grant awards. 270.110 Assurances from applicant.
270.185 Payments. 270.111 Standards.
270.186 Expenditure of grant funds. 270.112 Recovery: good cause for other use 270.187 Reports and records. of facility.
270.188 Fiscal and auditing procedures.
270.189 Retention of records. Subpart GPreventive Services; Direct Grants
270.190 Publications and copyrights. 270.120 Purpose.
270.191 Interest. 270.121 Eligibility.
270.192 Termination. 270.122 Matching requirements. 270.123 Application.
Subpart K-Grants to States for Technical 270.124 Factors considered in evaluating
Assistance to Local Units proposals.
270.200 Purpose. 270.125 Project review.
270.201 Eligibility. 270.126 Grant awards.
270.202 Matching requirements. 270.127 Notification to jurisdictions affected. 270.203 Application. 270.128 Payments.
270.204 Factors considered in evaluating 270.129 Expenditure of grant funds.
more such organizations, but only if such 270.205 Project review.
agency, organization, or institution was 270.206 Grant awards.
in existence at least 2 years before the 270.207 Payments.
date of an application under this Act. 270.208 Expenditures of grant funds.
(k) "State plan” means the docu270.209 Reports and records.
ment or documents submitted by the 270.210 Fiscal and auditing procedures. 270.211 Retention of records.
State pursuant to section 131 of the Act 270.212 Publications and copyrights.
in order to participate under Parts B 270.213 Interest.
and C of Title I of the Act. 270.214 Termination.
(1) “Delinquent youth” refers to any AUTHORITY: The provisions of this part youth who has been found to be delin270 issued under secs. 131, 401, 82 Stat. 466, quent by a court. 471; 42 U.S.C. 3841, 3881.
(m) “Youth in danger of becoming
delinquent” refers to any youth whose SOURCE: The provisions of this Part 270 appear at 34 F.R. 9963, June 28, 1969, unless behavioral patterns or environmental or otherwise noted.
situational influences are likely to bring
him to the attention of law enforcement Subpart A-Definitions
agencies and courts. $ 270.1 Definitions.
(n) "Community-based programs” re
fers to those residential or nonresidential For the purposes of the regulations
programs providing services to youth in part, unless the context otherwise
within or in close proximity to the comrequires:
munity and which draw on services from (a) “Act” means the Juvenile Delin
agencies in the community and which quency Prevention and Control Act of
provide opportunity for full participa1968.
tion in community activities. (b) “Department” means the U.S. De
(o) “Technical assistance” refers to partment of Health, Education, and
consultation to State, local or other pubWelfare.
lic and private agencies or organizations (c) "Secretary” means the Secretary in matters relating to the prevention of of Health, Education, and Welfare. delinquency or to rehabilitative services
(d) “Service” means the Social and for delinquent youth and youth in danger Rehabilitation Service, U.S. Department of becoming delinquent. of Health, Education, and Welfare. (e) “Administrator” means the Ad
Subpart B-Grants to States and Loministrator of the Social and Rehabili
calities for Comprehensive Planning tation Service.
$ 270.10 Purpose. (f) “Fiscal year” refers to the Federal fiscal year.
The purpose of this subpart is to as
sist in preparing or revising a compre(g) "State” means the several States,
hensive plan for rehabilitative and prethe District of Columbia, the Virgin Is
ventive services based on a thorough lands, Puerto Rico, Guam, American
evaluation of the problem of juvenile Samoa, and the Trust Territory of the
delinquency. Pacific Islands. (h) “State agency” means the State
$ 270.11 Eligibility. agency designated in a state's compre (a) Grants under this subpart may be hensive juvenile delinquency plan un made to any State or local public agency der section 131 of the Act.
(referred to in this subpart as the plan(i) "Public agency” means a duly ning agency), designated by the chief exelected political body or subdivision ecutive of the applicant jurisdiction. thereof and includes any agency emanat (b) The planning agency must: ing from such a political body or sub (1) Have authority to conduct the division thereof. Such term includes an comprehensive juvenile delinquency Indian tribe.
planning functions. (j) “Nonprofit private agency or or (2) Have authority to receive and ganization” means any accredited insti spend funds for comprehensive juvenile tution of higher education, and any other delinquency planning functions. agency, organization, or institution no (c) In the case of the State planning part of the net earnings of which inures, agency, in the interest of promoting the or may lawfully inure, to the benefit of fullest possible integration and coordiany private shareholder or individual, or nation of crime and delinquency prowhich is owned and operated by one or grams 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.
(b) The non-Federal participation may be derived from a variety of sources, including:
(1) New State or local appropriations or other new grantee funds;
(2) Existing funds and time of personnel used for the on-going activities of the agency which are made a part of the project. Services or space donated to the project may not be included as a grantee contribution to the cost of the project. Grantee funds or services derived from other Federal funds or used for matching any other Federal grant may not be used to match the Federal funds in this program except as otherwise specifically allowed by Federal statute.
(c) The application must contain assurances that the Federal grant funds for delinquency planning will be used to supplement and, to the extent practicable, increase the level of funds that would otherwise be made available by the State or locality for comprehensive delinquency planning and that the Federal funds will not supplant such non-Federal funds.
(d) If an Indian tribe applying for a · grant does not have sufficient funds available to meet the non-Federal share of the cost of a project, the Administrator may increase the Federal share of the cost to the extent necessary. An application from an Indian tribe requesting an increased Federal share must be accompanied by a complete financial statement substantiating its inability to meet the non-Federal share requirement. $ 270.13 Application.
(a) An application for funds under this subpart shall contain the following:
(1) A budget and budget justification.
(2) A description of the qualifications of the principal staff members to be responsible for the planning.
(3) A description of how the planning (in accordance with § 270.17) will be conducted.
(4) The anticipated length of time the planning agency will need to prepare or revise its comprehensive juvenile delinquency plan.
(5) A description of any planning functions which will be contracted with other public or private agencies or organizations.
(6) Such other information as the Administrator may require.
(b) The application shall be executed by an individual authorized to act for the applicant and to assume on behalf of the applicant the obligations imposed by the terms and conditions of any award, including this Subpart.
(c) Any major proposed amendments to an approved application shall be submitted in writing in advance to the Administrator. No such changes shall be put into effect without the approval of the Administrator. $ 270.14 Application review.
All applications which meet the legal requirements for a grant under this Subpart will be processed by the Service and may be submitted to a Technical Advisory Committee appointed by the Secretary. The applicant may be requested to submit additional information either before or after consideration of the application. The Technical Advisory Committee makes recommendations to the Administrator, who determines the action to be taken with respect to each application and notifies the applicant accordingly $ 270.15 Grant awards.
All grant awards shall be in writing, shall specify the amount of funds granted, the budget period for which support is given, and the total project period for which support is contemplated. For continuation support, grantees must make separate application in the form and detail required by the Administrator. $ 270.16 Advisory body and policy
board on juvenile delinquency plan
ning. (a) Advisory body. The planning agency must provide for the establishment of an advisory body on juvenile delinquency planning to work with it in carrying out its functions under the planning grant. The advisory group shall have a direct and clear role in the decision-making process of the planning agency so that the views of its members can influence the planning process.