(a) The treatment program and environment shall be designed to provide appropriate care on a 24-hour basis and to enhance treatment for all residents. The treatment program and environment shall ensure:

1. (1) a planned and predictable day-to-day routine for all residents;
2. (2) the provision of a balance of privileges, expectations and responsibilities as appropriate to the ages and levels of functioning of the residents; and
3. (3) the safety, comfort and well-being of all residents.

(b) As a component of the written plan for services and staff composition, the residential treatment facility shall provide a written plan and rationale for the treatment program and environment which shall be subject to approval by the Office of Mental Health, and addresses, at a minimum, the following:

1. (1) the manner in which the treatment program and environment will be implemented. Implementation must be consistent for all residents, yet must be sufficiently flexible to accommodate the needs of individual residents;
2. (2) the manner in which the treatment program and environment will be explained to the residents and their families or legal guardians upon admission;
3. (3) the day-to-day routines that the residents and staff will follow;
4. (4) the behavioral expectations for all residents, including identification of behaviors that are acceptable and unacceptable. This must address time both in the residential treatment facility and away from it;
5. (5) the means for providing instruction to residents, consistent with their age, needs and clinical condition as well as the needs and circumstances within the facility or program, in techniques and procedures which will enable such residents to protect themselves from abuse and maltreatment;
6. (6) the house rules and the response the resident can expect if he/she either complies or fails to comply with them. This can include staff response, limitations on privileges or other actions specified by the residential treatment facility;
7. (7) the mechanism for enabling residents, where appropriate, to participate in the decisionmaking process within the residential treatment facility relating to the treatment program and environment;
8. (8) the means of observing holidays and personal milestones in keeping with the cultural and religious background of the residents;
9. (9) the procedure for communications and/or visitations with family, legal guardians, friends, and significant others; and
10. (10) the means of providing restitution or reimbursement for damages to property of the resident, other residents, and the residential treatment facility.