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1 for each resident. A summary dental progress report shall 2 be entered in the resident's unit record at stated intervals.

3 A copy of the permanent dental record shall be provided a 4 facility to which a resident is transferred.


"(i) When the facility has its own dental staff, there 6 should be a manual that states the philosophy of the dental 7 service and describes all dental procedures and policies. 8 There shall be a formal arrangement for providing qualified 9 and adequate dental services to the facility, including care 10 for dental emergencies on a twenty-four hour, seven-days-a11 week basis. A dentist, fully licensed to practice in the State 12 in which the facility is located, shall be designated to be 13 responsible for maintaining standards of professional and 14 ethical practice in the rendering of dental services to the 15 facility. Where appropriate, the facility should, in addition, 16 have available to it, and should utilize, the program-develop17 ment consultation services of a qualified dentist who has ex18 perience in the field of dentistry for the retarded.


"(j) There shall be available sufficient, appropriately 20 qualified dental personnel, and necessary supporting staff, to 21 carry out the dental services program. All dentists providing 22 services to the facility shall be fully licensed to practice in 23 the State in which the facility is located. All dental hygienists 24 providing services to the facility shall be licensed to practice

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in the State in which the facility is located. Dental assistants


1 should be certified by the American Dental Assistants Asso2 ciation, or should be enrolled in a program leading to cer

3 tification. Dental health educators shall have a thorough

4 knowledge of




"(1) dental health; and

"(2) teaching methods.

"(k) Oral hygiene aides, who may supplement and 8 promote the proper daily oral care of residents, through actual 9 participation and development of new methods in the tooth10 brushing program, or in the dissemination of oral hygiene 11 information, should be





"(1) thoroughly trained in current concepts and procedures of oral care; and

"(2) trained to recognize abnormal oral conditions. "(1) Supporting staff should include, as appropriate to

16 the program—


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“(1) receptionists;

"(2) clerical personnel to maintain current dental records;

"(3) dental laboratory technicians certified by the

Dental Laboratory Association;

"(4) escort aides; and

"(5) janitorial or housekeeping personnel.

"(m) All dentists providing service to the facility shall


1 adhere to the code of ethics published by the American

2 Dental Association.


"SEC. 1162. (a) Appropriate to the size of the facility, a 4 continuing education program shall be provided that is de5 signed to maintain and improve the skills and knowledge of 6 its professional dental personnel, through means such as— "(1) preceptor or other orientation programs;


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"(2) participation in seminars, workshops, confer

ences, institutes, or college or university courses, to the extent of at least sixty clock hours annually for each dental professional, in accordance with the standards of the American Dental Association and its component


"(3) study leave;

"(4) participation in the activities of professional organizations that have as their goals the furtherance of expertise in the treatment of the handicapped;

"(5) access to adequate library resources, including current and relevant books and journals in dentistry, dental hygiene, dental assisting, and mental retardation;

"(6) encouragement of dentists to qualify them

selves for staff privileges in hospitals; and

"(7) sharing of information concerning dentistry in its relationship with mental retardation, as by publication.




"(b) To enrich and stimulate the facility's dental pro

gram, and to facilitate its integration with community serv3 ices, the facility should affiliate with, and provide educational 4 experiences for the dental-career students of, dental schools, 5 universities, colleges, technical schools, and hospitals, when6 ever the best interests of the facility's residents are thereby 7 served.


"(c) There shall be adequate space, facilities, and equipment to meet the professional, educational, and administra10 tive needs of the dental service. General anesthesia facilities 11 for dental care shall be available. The services of a dental 12 laboratory certified by the Dental Laboratory Association 13 shall be available. Appropriate dental consultation shall be 14 employed in the planning, design, and equipage of new dental facilities, and in the modification of existing facilities. All 16 dental facilities shall be free of architectural barriers for phys17 ically handicapped residents.




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"Subchapter III-Educational Services

"SEC. 1163. (a) Educational services, defined as de20 liberate attempts to facilitate the intellectual, sensorimotor, 21 and affective development of the individual, shall be avail22 able to all residents, regardless of chronological age, degree 23 of retardation, or accompanying disabilities or handicaps. There shall be a written statement of educational objectives that are consistent with the facility's philosophy and



31-151 O 74 Pt. 1 - 15


1 goals. The principle that learning begins at birth shall be 2 recognized, and the expertise of early childhood educators

3 shall be integrated into the interdisciplinary evaluation and 4 programing for residents.


"(b) Educational services available to the facility

6 should include





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"(1) establishment and implementation of individ

ual educational programs providing:

"(A) continuous evaluation and assessment of

the individual;

"(B) programing for the individual;

"(C) instruction of individuals and groups;

"(D) evaluation and improvement of instruc

tional programs and procedures;

"(2) participation in program development serv

ices, including those relating to:

"(A) resident habilitation;

"(B) staff training;

"(C) community activities;

"(3) consultation with, or relating to:

"(A) other programs for residents and staff;

"(B) parents of residents;

"(C) administration and operation of the facility;

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