Policy and procedure manuals including but not limited to specifications for

Policy and procedure manuals including but not limited to specifications for therapeutic intervention shall be available for use by all staff involved in the care of children. Revisions of the policies and procedures are reviewed and approved quarterly during QA meetings. All forms, policies and procedures are reviewed and signed off as approved by the administrator, medical director and the director of nursing services, annually to assure that procedures conform to prevailing and acceptable treatment modalities.