(1)  In addition to the preceding standards, if children with 


disabilities are cared for in the center, the following 


requirements must be met: 





        (A)  When children with disabilities are enrolled, 


all reasonable and appropriate efforts must be made to 


provide those children equal opportunity to participate in the 


same program activities as their peers. 





        (B)  Adaptations to the environment must be 


directed toward normalizing the lifestyle of the child with a 


disability by helping him/her become independent and 


develop self-help skills. 





        (C)  Efforts to provide specialized service (e.g., 


speech/hearing therapy, physical therapy, psychological 


evaluation, or services for mentally retarded) either directly 


or by referral, must be conducted only with written 


permission by the parent/guardian and documented in the 


child's record.  Any information exchange regarding these 


services must also be documented. 





        (D)  The center must have a written individualized 


evacuation plan, which has been approved by the licensing 


counselor and is practiced in every monthly fire drill, for 


every child with a disability enrolled who requires more 


assistance to evacuate the facility than other children of the 


same age or in the same group.