Page 29

UNOFFICIAL 1737-29 (5) Preventive and general medical care as well as annual physical exams of each client that include: (A) Evaluation of vision and hearing; (B) Immunizations, using as a guide the recommendations of the Public Health Service Advisory Committee on Immunization Practices or of the Committee on the Control of Infectious Diseases of the American Academy of Pediatrics; (C) Routine screening lab exams and special studies; and (D) TB control, appropriate to the facility's population, and in accordance with the recommendations of the American College of Chest Physicians or the section of diseases of the American Academy of Pediatrics, or both; (6) Licensed nursing services sufficient to care for clients health needs, including those clients with medical care plans; (7) Provision of or arrangements for comprehensive dental diagnostic services and comprehensive dental treatment services that include: (A) The availability of emergency dental treatment on a twenty-four hours a day basis by a licensed dentist; and (B) Dental care needed for relief of pain and infections, restoration of teeth, and maintenance of dental health; (8) Provision of or arrangements for routine and emergency drugs and biologicals that are administered in compliance with physician's orders; (9) At least three meals a day that comprise a nourishing, well-balanced diet including modified and specially prescribed diets; (10) Physician services available twenty-four hours a day to: (A) Develop and maintain, in coordination with licensed nursing personnel, a medical care plan of treatment for a client if the physician determines that an individual client requires twenty-four hours licensed nursing care; and