(b)

1. (1) The physician must develop, 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-hour licensed nursing care.
2. (2) This plan must be integrated into the individual program plan.

(c) The facility must provide or obtain preventive and general medical care as well as annual physical examinations of each client that at a minimum includes the following:

1. (1) Evaluation of vision and hearing;
2. (2) Immunizations, using as a guide the recommendations of the Public Health Service Committee on Immunization Practices or of the Committee on the Control of Infectious Diseases of the American Academy of Pediatrics;
3. (3) Laboratory examinations as determined necessary by the physician, and special studies when needed; and

4. (4) Tuberculosis control, appropriate to the facility's population, and in accordance with the recommendations of the:

   1. (A) American College of Chest Physicians;
   2. (B) The section of diseases of the chest of the American Academy of Pediatrics; or
   3. (C) Both.