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1 of action taken on their recommendations, shall be kept on

2 file at the facility.

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"(b) The holding, transferring, and disposal of waste

4 and garbage shall be done in a manner that will not create

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a nuisance, nor permit the transmission of disease, nor create

a breeding place for insects or rodents

"(1) waste that is not disposed of by mechanical

means shall be

"(A) kept in leakproof, nonabsorbent contain

ers with close-fitting covers; and

"(B) disposed of daily.

"(2) containers shall be thoroughly cleaned inside

and out, each time they are emptied; and

"(3) impervious plastic liners should be used.

"(c) Handwashing facilities shall be available in, or

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"(2) toilet rooms;

"(3) sleeping areas; and

"(4) kitchens.

"(d) There shall be adequate insect screens on all

22 windows and doors, where needed and adequate janitorial

23 equipment and storage space in each unit of the facility.

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"Chapter 7.-ADMINISTRATIVE SUPPORT

SERVICES

"Subchapter I-Functions, Personnel, and Facilities

"SEC. 1190. (a) Adequate, modern administrative sup

5 port shall be provided to efficiently meet the needs of, and 6 contribute to, program services for residents, and to facilitate 7 attainment of the goals and objectives of the facility. Such 8 support shall make available a variety of resources, which 9 may include, but need not be limited to, the following kinds 10 of services; clerical, communication, dietary, financial, 11 housekeeping, laundry, personnel, physical plant, records, 12 safety and security, and supply and purchasing.

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"(b) Administrative support functions should be di14 rected by a qualified administrator, trained and experienced 15 to provide skilled and efficient coordination of these services, 16 to adequately meet the facility's program objectives. In 17 larger facilities, provision may be made for both executive 18 direction, via a chief executive officer (superintendent, di19 rector, and so forth), and administration of support services 20 (via a business manager, and so forth). In smaller facilities, 21 a single person may provide both program direction and 22 administration of support services

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"(1) the administrator of support services should

"(A) have at least a baccalaureate degree and

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three years of experience in a responsible and rele

vant administrative position; or

"(B) have completed formal graduate education in health administration or its equivalent. "(2) all administrative support personnel shall have sufficient understanding and appreciation of the nature and behavior of the mentally retarded resident, to assure that each employee's work and his relations to the residents contribute positively to their welfare.

"(c) There shall be adequate office space, facilities, 11 equipment, and supplies for the efficient conduct of all 12 administrative support functions.

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"Subchapter II-Fiscal Affairs

"SEC. 1191. (a) Funds shall be budgeted and spent in accordance with the principles and procedures of program

16 budgeting.

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"(1) the budget requests submitted by the facility shall

"(A) adequately reflect the program needs of the residents, as developed by program staff; and

"(B) be adequately documented and interpreted.

"(2) budget preparation shall be the product of

team management;

"(3) budget preparation and implementation shall

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1 include active participation of professional team mem

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bers;

"(4) budget development shall include incorpora

tion of effectiveness measures; and

“(5) there shall be sufficient latitude to permit rebudgeting of funds in response to changing program needs, and in accordance with the principles and procedures of program budgeting.

"(b) Individuals acting on the facility's budget requests (board members, State budget officials, members of appro

priations committees, and so forth) should have firsthand 12 knowledge of its operation and needs, obtained by regular 13 visitation and observation of its programs.

14 "(c) Budget performance reports shall be prepared at 15 appropriate intervals and submitted to those individuals participating in budgeting and management responsibilities.

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"(d) Funds for community (that is, nonresidential) programs and services shall not be included in computing the per capita (that is, per resident) cost of operation. The per

capita expenditure for residential services, divided by the cost

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ably with the same ratio for the Nation as a whole, that is,

come within 90 per centum of the Nation as a whole or, preferably, exceed 100 per centum. Maintenance expendi

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1 tures should be at least the same as would be required by

2 age peers in the community.

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"(c) There shall be a formal system of internal control

4 in handling the fiscal affairs of the facility. The facility shall

5 have an adequate 'responsibility' accounting system.

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“(f) A full audit of the facility's fiscal activities shall be 7 performed regularly, preferably annually, by a qualified ac8 countant independent of the facility.

9 "(g) Fiscal reports shall be prepared and communicated 10 to the facility's public at least annually.

11 "(h) Facilities charging for services shall have a written 12 schedule of rates and charge policies, which shall be available 13 to all concerned.

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"(i) Where the size of the facility's operation warrants a fiscal officer, he shall have appropriate training and experience in accounting and auditing. Sufficient accountants, ac17 count clerks, and clerk-typists shall be provided to assure

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maximum support to the efforts of personnel directly involved 19 in services to resident.

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"Subchapter III-Purchase, Supply, and Property

Control

"SEC. 1192. (a) There shall be written purchasing poli

23 cies regarding authority and approvals for supplies, services,

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and equipment.

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