authorize its use, and a mechanism for monitoring and controlling its use.
(d) Administering excessive or unnecessary medications to class members is prohibited.
(e) Using medication as punishment, for the convenience of the staff, as a substitute for programming, or in quantities that interfere with a class member's individual developmental program, is prohibited.
(f) Only appropriately trained and qualified staff are permitted to administer drugs to class members.
(g) Training programs shall be provided to staff who administer drugs to class members. The nature of such training programs, and the qualifications to be required of staff who administer drugs to residents shall be established in the Plan for Interim Operation of Forest Haven.
(h) Administering drugs to class members on a PRN (Pro re nata, as needed) basis is prohibited. Written policies and procedures governing the safe administration and handling of medications shall be established pursuant to guidelines developed in the Plan for Interim Operation of Forest Haven.
(i) Monitoring of each class member's medications and provision for at least monthly reviews by a physician of each resident's medications is required.
(j) A program of medical, dental and health related services for class members which provides accessibility, quality and continuity of care for physical illness or injury is required. The Plan for Interim Operation of Forest Haven shall develop and establish medical, dental and health related services to class members. All injuries or illnesses which require the attention of a physician shall be immediately reported to the class member's parent or guardian.
(k) Individualized adaptive equipment, including, but not limited to, wheelchairs, walkers, braces, feeding apparatus, and auxiliary sensory devices such as hearing aids shall be provided to each physically handicapped class member who needs them. Each and every class member shall be immediately evaluated to ascertain the need for such equipment.
(l) Each class member shall receive a nourishing, well-balanced diet and assistance in development of proper eating habits. Denial of a nutritionally adequate diet shall not be used as punishment.
(m) No class member shall be fed in any position less than the maximum upright position consistent with his or her capabilities and handicaps.
(n) Aversive behavior modification techniques shall not be employed on any resident.
(o) No class member shall be denied habilitative programming as punishment.
(p) Each class member shall be provided with all reasonable opportunities for visitation, for telephone communication, and to send and receive mail.
(q) All class members shall be compensated in accordance with all applicable District of Columbia and federal laws for all labor performed which has economic benefit to Forest Haven.
(r) Every Forest Haven building in use by residents shall be kept clean, odorless, insect-free, and in compliance with applicable laws and regulations.
(s) Appropriate training programs for all staff shall be developed and implemented. Such programs shall deal with, but not be limited to, the matters in subparagraphs a-r, Supra, in order to provide each class member with habilitation and care in a safe, humane environment pending his or her placement in community-based living arrangements and programs.
15. Counsel for plaintiff and plaintiff-intervenor and their experts and investigators and members of the Community Advisory Board shall, upon reasonable notice, be permitted access by the defendants to all the premises of Forest Haven and to all facilities of the defendants or their agents wherein class members are served and to all pertinent documents and records.
16. All bulletins, memoranda, and directives of official policy issued by the defendants in connection with the implementation of this Court's Order shall, upon issuance, be sent to counsel for plaintiffs and plaintiff-intervenor.
17. Defendants shall give notice of this Order to their successors, officers, agents, and employees affected by the provisions contained herein. Defendants shall also give notice of this Order to the residents of Forest Haven, their parents or immediate relatives, guardians, advocates, and surrogate parents, if any. A copy of such notice(s) shall be provided to counsel for plaintiffs and plaintiff-intervenor.
18. Nothing in this Order shall be construed as (a) waiving the right of plaintiffs and plaintiff-intervenor to move this Court at a later time for an Order appointing a Special Master pursuant to Rule 53, Federal Rules of Civil Procedure, or (b) waiving the right of defendants to move for a declaration that either the plaintiffs or the plaintiff-intervenor have duties and obligations not heretofore decreed in respect to defendants' efforts to comply with this Order.
19. Jurisdiction is retained by this Court until further Order.
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