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"(6) provide for revision of objectives and proce

dures as indicated; and

"(7) provide for assistance or consultation when necessary.

"(h) Continuing observations of treatment progress

6 shall be

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"(1) recorded accurately, summarized meaningfully, and communicated effectively; and

"(2) effectively utilized in evaluating progress.

"(i) There shall be established procedures for evaluat

11 ing and researching the effectiveness of speech pathology

12 and audiology services, including—

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“(1) utilization of adequate records concerning residents' response and progress;

"(2) time schedules for evaluation that are appro

priate to the service being evaluated;

"(3) provision for using evaluation results in pro

gram planning and development;

"(4) encouragement of speech pathology and au

diology staff to participate in research activities; and

"(5) provision for dissemination of research results

in professional journals.

"(j) There shall be available sufficient, appropriately

24 qualified staff, and necessary supporting personnel, to carry

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out the various speech pathology and audiology services,

2 in accordance with stated goals and objectives

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"(1) A speech pathologist or audiologist, who is qualified as specified in paragraph (2) of this subsection, and who, in addition, has had at least three years of professional experience, shall be designated as being responsible for maintaining standards of professional and ethical practice in the rendering of speech pathology and audiology services in the facility.

"(2) Staff who assume independent responsibilities for clinical services shall possess the educational and experiential qualifications required for a Certificate of Clinical Competence issued by the American Speech and Hearing Association (ASHA) in the area (speech pathology or audiology) in which they provide services. "(3) Staff not qualified for ASHA certification shall be provided adequate, direct, active, and continuing supervision by staff qualified for certification in the area in which supervision is rendered.

"(A) Supervising staff shall be responsible for

the services rendered by uncertified staff under their supervision.

"(B) Adequate, direct, and continuing super

vision shall be provided nonprofessionals, volunteers,

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or other supportive personnel utilized in providing clinical services.

"(4) Students in training and staff fulfilling experience requirements for ASHA certification shall receive direct supervision, in accordance with the requirements

of the American Boards of Examiners in Speech Pathology and Audiology.

"(5) All speech pathology and audiology staff

shall be familiar with, and adhere to, the code of ethics

published by the American Speech and Hearing Association.

"(k) Appropriate to the nature and size of the facility 13 and to the speech pathology and audiology service, there shall 14 be a staff development program that is designed to maintain 15 and improve the skills of speech pathology and audiology 16 staff, through methods such as

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"(1) regular staff meetings;

"(2) an organized inservice training program in speech pathology and audiology;

"(3) visits to and from the staff of other facilities

and programs;

"(4) participation in interdisciplinary meetings;

"(5) provision for financial assistance and time for

attendance at professional conferences;

"(6) provisions for encouraging continuing educa

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1 tion, including educational leave, financial assistance, and

accommodation of work schedules;

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"(7) workshops and seminars;

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"(8) consultations with specialists; and

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"(9) access to adequate library resources, which in

clude current and relevant books and journals in speech

pathology and audiology, mental retardation, and related professions and fields.

"(1) Space, facilities, equipment, and supplies shall be 10 adequate for providing efficient and effective speech pathol11 ogy and audiology services, in accordance with stated ob12 jectives, including

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"(1) adequate and convenient evaluation, treatment, counseling, and waiting rooms;

"(2) specially constructed and sound-treated suites for audiological services, meeting U.S.A.S.I. standards; "(3) design and location such as to be easily accessible to all residents, regardless of disability;

"(4) specialized equipment needed by the speech pathologist;

"(5) specialized equipment needed by the audi

ologist, including an audiometer, with provisions for

23 sound field audiometry, and equipment capable of per

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forming at least the following procedures: hearing

screening, pure-tone air and bone conduction with con

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aid evaluation;

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tralateral masking, speech audiometry, site-of-lesion battery, nonorganic hearing loss battery, and hearing

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"(6) provisions for adequate maintenance of all

areas, facilities, and equipment, including—

"(A) electroacoustic calibration of audiometers

at regular, at least quarterly, intervals;

"(B) calibration logs on all audiometers; and "(7) appropriate speech pathology and audiology consultation shall be employed in the design, modification, and equipage of all speech pathology and audiology areas and facilities.

"Subchapter XV-Vocational Rehabilitation Services

"SEC. 1176. (a) The facility shall provide all its resi15 dents with habilitation or rehabilitation services, which in16 cludes the establishment, maintenance, and implementation 17 of those programs that will ensure the optimal development 18 or restoration of each resident, physically, psychologically, 19 socially, and vocationally

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"(1) The facility shall have a written, public state

ment of its rehabilitation objectives for its residents,

consistent with

"(A) the needs of its residents;

"(B) currently accepted rehabilitation principles and goals;

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