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.

(ii) Planning, organizing, directing,

(iv) Training of personnel:

(a) Training of employees to become sensitive to patient needs.

(b) Ongoing in-service training/education.

(4) Psychology of patient care:
(i) Anxiety.

(ii) Depression.

(iii) Drugs, alcohol, and their effect. (iv) Motivation.

(v) Separation reaction.

(5) Principles of medical care:
(i) Anatomy and physiology.
(ii) Psychology.

(iii) Disease recognition.
(iv) Disease process.

(v) Nutrition.

(vi) Aging processes.

(vii) Medical terminology. (viii) Materia Medica.

(ix) Medical Social Service. (x) Utilization review.

(xi) Professional and medical ethics. (6) Personal and social care:

(i) Resident and patient care plan

AUTHORITY: The provisions of this Part 270 issued under secs. 131, 401, 82 Stat. 466, 471; 42 U.S.C. 3841, 3881.

SOURCE: The provisions of this Part 270 appear at 34 F.R. 9963, June 28, 1969, unless otherwise noted.

Subpart A-Definitions

§ 270.1 Definitions.

For the purposes of the regulations in part, unless the context otherwise requires:

(a) "Act" means the Juvenile Delinquency Prevention and Control Act of 1968.

(b) "Department" means the U.S. Department of Health, Education, and Welfare.

(c) "Secretary" means the Secretary of Health, Education, and Welfare.

(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.

(o) "Technical assistance" refers to consultation to State, local or other public and private agencies or organizations in matters relating to the prevention of delinquency or to rehabilitative services for delinquent youth and youth in danger of becoming delinquent.

Subpart B-Grants to States and Localities for Comprehensive Planning § 270.10 Purpose.

The purpose of this subpart is to assist in preparing or revising a comprehensive plan for rehabilitative and preventive services based on a thorough evaluation of the problem of juvenile delinquency.

(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

non-Federal

participation

(b) The 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.

(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 planning.

(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.