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Diane Hopson's StoryFor our sammie challenge we were given 2 ingredients to use: squash and bacon, two of my favorite foods!
What a perfect time to make this sammie with all the fresh veggies coming in. We have fresh summer squash growing in the garden and we always have bacon on hand. We had just grilled a chuck roast yesterday using Lynn Socko's wonderful recipe for "Grilled Chuck Roast".
I had never put summer squash on a sandwich before but then I thought, why not?
This turned out to be one of the tastiest sammies I've ever eat if I have to say so myself!
Hope you enjoy!
2 Tbsp
olive oil, extra virgin
1 clove
garlic, minced
1/2 medium
onions, vidalia, sliced
green and red bell pepper, sliced
fresh mushrooms, sliced
1 large
yellow summer squash
4 slice
fried bacon
1 tsp
italian seasoning
salt and pepper to taste
6 oz
sliced roast (i used left over grilled chuck roast - lynn socko's recipe)
4 slice
texas toast grill and gridle bread
butter, room temperature
Find more recipes at goboldwithbutter.com
marble jack cheese, sliced
Directions Step-By-Step
1Heat EVOO in skillet; add onions, garlic, peppers and mushrooms. Sprinkle with Italian seasoning, salt and pepper. Saute just until vegetables start to get tender.
3Once veggies start to get tender, add a layer of sliced of squash on top of the veggies; add additional seasonings and reduce heat.
4Top squash with slices of beef; season. Cover pan and steam until squash just starts to get tender and beef is heated; remove skillet from heat.
5Slather butter on the outsides of bread; place 2 sliced of bread (buttered sides down) in grill skillet. Top with veggies and beef. Top with bacon and cheese. Place bread (buttered side up) on top. Grill until browned and flip sammie. Grill other side until browned and cheese has melted. Remove from heat, slice and serve. Enjoy!
About this Recipe
Course/Dish: Beef
Main Ingredient: Beef
Regional Style: American
Other Tag: Quick & Easy
Diane Hopson Smith DeeDee2011 - Jun 21, 2012Diane Smith [DeeDee2011] has shared this recipe with discussion groups:
What's Cookin' Today?
Cast Iron Cook Wear
Lynn Socko lynnsocko - Jun 21, 2012
Ah ha, that was squash that I saw, not pickle slices, very nice!!!
Carol Junkins CarolAJ - Jun 21, 2012
Looks like a winner to me!!!!! yum
Diane Hopson Smith DeeDee2011 - Jun 21, 2012
Thank you Carol, it was so tasty!
Sandy Mika mikasldy - Jun 21, 2012
omgosh does that look good 8}

subset: commoncrawl


text:
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Chaggai | חַגַּי
- Meaning:
Biblical: Chaggai is one of the 12 minor prophets.
- Gender: Male
- Origin: Hebrew
- Alternate Spellings: Chagai, Hagai, Haggai
- You Might Also Like: Chaggit, Chayim
- Related Lists: Names from the Bible, Names of the Minor Prophets


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Emerging methods and tools for environmental risk assessment, decision-making, and policy for nanomaterials: summary of NATO Advanced Research Workshop
- Igor Linkov,
- Jeffery Steevens,
- Gitanjali Adlakha-Hutcheon,
- Erin Bennett,
- Mark Chappell,
- Vicki Colvin,
- J. Michael Davis,
- Thomas Davis,
- Alison Elder,
- Steffen Foss Hansen,
- Pertti Bert Hakkinen,
- Saber M. Hussain,
- Delara Karkan,
- Rafi Korenstein,
- Iseult Lynch,
- Chris Metcalfe,
- Abou Bakr Ramadan,
- F. Kyle Satterstrom
- … show all 18 hide
Nanomaterials and their associated technologies hold promising opportunities for the development of new materials and applications in a wide variety of disciplines, including medicine, environmental remediation, waste treatment, and energy conservation. However, current information regarding the environmental effects and health risks associated with nanomaterials is limited and sometimes contradictory. This article summarizes the conclusions of a 2008 NATO workshop designed to evaluate the wide-scale implications (e.g., benefits, risks, and costs) of the use of nanomaterials on human health and the environment. A unique feature of this workshop was its interdisciplinary nature and focus on the practical needs of policy decision makers. Workshop presentations and discussion panels were structured along four main themes: technology and benefits, human health risk, environmental risk, and policy implications. Four corresponding working groups (WGs) were formed to develop detailed summaries of the state-of-the-science in their respective areas and to discuss emerging gaps and research needs. The WGs identified gaps between the rapid advances in the types and applications of nanomaterials and the slower pace of human health and environmental risk science, along with strategies to reduce the uncertainties associated with calculating these risks.
- AIST (2008) Research Center for Chemical Risk Management. A nanotechnology-claimed consumer products inventory in Japan. Available via DIALOG. http://staff.aist.go.jp/kishimoto-atsuo/nano/e_link_text.htm
- Balbus JM, Maynard AD, Colvin VL, Castranova V, Daston GP, Denison RA et al (2007) Meeting report: hazard assessment for nanoparticles—report from an interdisciplinary workshop. Environ Health Perspect 115:1654–1659 CrossRef
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- Benn TM, Westerhoff P (2008) Nanoparticle silver released into water from commercially available sock fabrics. Environ Sci Technol 42(11):4133–4139. doi:10.1021/es7032718 CrossRef
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- Casey A, Herzog E, Davoren M, Lyng FM, Byrne HJ, Chambers G (2007) Spectroscopic analysis confirms the interactions between single walled carbon nanotubes and various dyes commonly used to assess cytotoxicity. Carbon 45:1425–1432. doi:10.1016/j.carbon.2007.03.033 CrossRef
- Cedervall T, Lynch I, Foy M, Berggård T, Donnely SC, Cagney G et al (2007a) Detailed identification of plasma proteins adsorbed on copolymer nanoparticles. Angew Chem Int Ed 46:5754–5756. doi:10.1002/anie.200700465 CrossRef
- Cedervall T, Lynch I, Lindman S, Nilsson H, Thulin E, Linse S et al (2007b) Understanding the nanoparticle protein corona using methods to quantify exchange rates and affinities of proteins for nanoparticles. Proc Natl Acad Sci USA 104:2050–2055. doi:10.1073/pnas.0608582104 CrossRef
- Davies JC (2006) Managing the effects of nanotechnology. Woodrow Wilson International Center for Scholars Project on Emerging Nanotechnologies, Washington, DC 20004-3027. Available via DIALOG. http://www.nanotechproject.org/process/files/2708/30_pen2_mngeffects.pdf
- EC Scientific Committee on Emerging and Newly-Identified Health Risks (EC SCENIHR) (2007) Opinion on the appropriateness of the risk assessment methodology in accordance with the technical guidance documents for new and existing substances for assessing the risks of nanomaterials. B-1049 Brussels, Belgium. Available via DIALOG. http://ec.europa.eu/health/ph_risk/committees/04_scenihr/docs/scenihr_o_010.pdf
- European Commission (EC) (2005) Communication from the Commission to the Council, the European Parliament and the Economic and Social Committee: Nanosciences and nanotechnologies: an action plan for Europe 2005–2009. B-1050, Brussels. Available via DIALOG. http://ec.europa.eu/research/industrial_technologies/pdf/nano_action_plan_en.pdf
- European Technology Platform (2006) Nanomedicine nanotechnology for health: strategic research agenda for nanomedicine. Office for Official Publications of the European Communities, Luxembourg. European Commission. http://cordis.europa.eu/nanotechnology/nanomedicine.htm
- Hansen SF, Maynard A, Baun A, Tickner JA (2008) Late lessons from early warnings for nanotechnology. Nat Nanotechnol 3:444–447. doi:10.1038/nnano.2008.198 CrossRef
- Holsapple MP, Farland WH, Landry TD, Monteiro-Riviere NA, Carter JM, Walker NJ et al (2005) Research strategies for safety evaluation of nanomaterials, part II: toxicological and safety evaluation of nanomaterials, current challenges and data needs. Toxicol Sci 88(1):12–17. doi:10.1093/toxsci/kfi293
- International Risk Governance Council (IRGC) (2005) White paper on risk governance: towards an integrative approach. By Ortwin Renn with Annexes by Peter Graham. CH-1219 Geneva, Switzerland. Available via DIALOG. http://www.irgc.org/IMG/pdf/IRGC_WP_No_1_Risk_Governance__reprinted_version_pdf
- International Risk Governance Council (IRGC) (2006) White paper on nanotechnology risk governance. By Ortwin Renn and Mike Roco with Annexes by Mike Roco and Emily Litten. CH-1219 Geneva, Switzerland. Available via DIALOG. http://www.irgc.org/IMG/pdf/IRGC_white_paper_2_PDF_final_version-2.pdf. (See publication: Renn O, Roco MC (2006) Nanotechnology and the need for risk governance. J Nanopart Res 8:153–191. doi:10.1007/s11051-006-9092-7
- International Risk Governance Council (IRGC) (2007) Policy brief: nanotechnology risk governance: recommendations for a global, coordinated approach to the governance of potential risks. CH-1219 Geneva, Switzerland. Available at: http://www.irgc.org/IMG/pdf/PB_nanoFINAL2_2_.pdf
- Linkov I, Satterstrom K (2008) Nanomaterial risk assessment and risk management: review of regulatory frameworks. In: Linkov I, Ferguson E, Magar V (eds) Real time and deliberative decision making: application to risk assessment for non-chemical stressors. Springer, Amsterdam (in press)
- Linkov I, Steevens J (2009) Nanotechnology: risks and benefits. Springer, Amsterdam (in press)
- Linkov I, Satterstrom K, Corey L (2008) Nanotoxicology and nanomedicine: making hard decisions. Nanomedicine 4:167–171
- Lynch I, Dawson KA, Linse S (2006) Detecting cryptic epitopes in proteins adsorbed onto nanoparticles. Science STKE 327:pe14
- Lynch I, Cedervall T, Lundqvist M, Cabaleiro-Lago C, Linse S, Dawson KA (2007) The nanoparticle-protein complex as a biological entity: a complex fluids and surface science challenge for the 21st century. Adv Colloid Interface Sci 134–135:167–174. doi:10.1016/j.cis.2007.04.021 CrossRef
- Michaelis K, Hoffmann MM, Dreis S, Herbert E, Alyautdin RN, Michaelis M et al (2006) Covalent linkage of apolipoprotein E to albumin nanoparticles strongly enhances drug transport into the brain. J Pharmacol Exp Ther 317:1246–1253. doi:10.1124/jpet.105.097139 CrossRef
- NanoRoadMap EU 6th Framework (2005) http://www.nanoroadmap.it/
- National Nanotechnology Initiative (NNI) (2008) Strategy for nanotechnology-related environmental, health and safety research. Available via DIALOG. http://www.nano.gov/NNI_EHS_Research_Strategy.pdf
- Nel A, Xia T, Mädler L, Li N (2006) Toxic potential of materials at the nanolevel. Science 311:622–627. doi:10.1126/science.1114397 CrossRef
- NNI (2004) Nanoscience research for energy needs. Report of the national nanotechnology initiative grand challenge workshop
- Oberdörster G, Oberdörster E, Oberdörster J (2005) Nanotoxicology: an emerging discipline evolving from studies of ultrafine particles. Environ Health Perspect 113:823–839 CrossRef
- Petersen JL, Egan DM (2002) Small security: nanotechnology and future defense. Def Horiz 8:1–6
- Poland CA, Duffin R, Kinloch I, Maynard A, Wallace WA, Seaton A et al (2008) Carbon nanotubes introduced into the abdominal cavity of mice show asbestos-like pathogenicity in a pilot study. Nat Nanotechnol 3(7):423–428. doi:10.1038/nnano.2008.111 CrossRef
- Project on Emerging Nanotechnologies (PEN) (2008) A Nanotechnology Consumer Products Inventory. Woodrow Wilson International Center for Scholars. Available via DIALOG. http://www.nanotechproject.org/inventories/consumer/. Accessed March 2008
- Québec Commission de l'éthique de la science et de la technologie (QC) (2006) Position statement: ethics and nanotechnology: a basis for action. Québec G1V 4Z2. Available via DIALOG. http://www.ethique.gouv.qc.ca/IMG/pdf/Avis-anglaisfinal-2.pdf
- Responsible NanoCode (RNC) (2006) Workshop report: how can business respond to the technical, social and commercial uncertainties of nanotechnology? Available via DIALOG. http://www.responsiblenanocode.org/documents/Workshop-Report_07112006.pdf
- Ryman-Rasmussen JP, Riviere JE, Monteiro-Riviere NA (2007) Variables influencing interactions of untargeted quantum dot nanoparticles with skin cells and identification of biochemical modulators. Nano Lett 7:1344–1348. doi:10.1021/nl070375j CrossRef
- Stone V, Johnston H, Clift MJ (2007) Air pollution, ultrafine and nanoparticle toxicology: cellular and molecular interactions. IEEE Trans Nanobiosci 6(4):331–340. doi:10.1109/TNB.2007.909005 CrossRef
- Theron J, Walker JA, Cloete TE (2008) Nanotechnology and water treatment: applications and emerging opportunities. Crit Rev Microbiol 34:43–69. doi:10.1080/10408410701710442 CrossRef
- The Royal Society and Royal Academy of Engineering UK (2004) Nanoscience and nanotechnologies: opportunities and uncertainties. Available online at http://www.nanotec.org.uk/finalreport.htm. Accessed 27 July 2008
- UK Department for Environment Food and Rural Affairs (UK DEFRA) (2006) UK voluntary reporting scheme for engineered nanoscale materials. London SW1P 3JR. Available at: http://www.defra.gov.uk/environment/nanotech/policy/pdf/vrs-nanoscale.pdf
- US Environmental Protection Agency (USEPA) (2007) Nanotechnology white paper. Prepared for the US EPA by members of the nanotechnology workgroup, a group of EPA's Science Policy Council
- US Food and Drug Administration (US FDA) (2007) Nanotechnology: a report of the U.S. food and drug administration nanotechnology task force. July 25, 2007. Available via DIALOG http://www.fda.gov/nanotechnology/taskforce/report2007.html
- Wiesner MR, Lowry GV, Alvarez P, Dionysiou D, Biswas P (2006) Assessing the risks of manufactured nanomaterials. Environ Sci Technol 40(14):4336–4345 CrossRef
- Wörle-Knirsch JM, Pulskamp K, Krug HF (2006) Oops they did it again! carbon nanotubes hoax scientists in viability assays. Nano Lett 6:1261–1268. doi:10.1021/nl060177c CrossRef
- Title
- Emerging methods and tools for environmental risk assessment, decision-making, and policy for nanomaterials: summary of NATO Advanced Research Workshop
- Open Access
- Available under Open Access This content is freely available online to anyone, anywhere at any time.
- Journal
Journal of Nanoparticle Research
Volume 11, Issue 3 , pp 513-527
- Cover Date
- 2009-04-01
- 10.1007/s11051-008-9514-9
- Print ISSN
- 1388-0764
- Online ISSN
- Publisher
- Springer Netherlands
- Additional Links
- Topics
- Keywords
- Nanomaterials
- Risk assessment
- Decision analysis
- Regulatory policy
- Uncertainty analysis
- Nanotechnology governance
- Societal implications
- Industry Sectors
- Authors
- Igor Linkov (1)
- Jeffery Steevens (2)
- Gitanjali Adlakha-Hutcheon (3)
- Erin Bennett (4)
- Mark Chappell (5)
- Vicki Colvin (6)
- J. Michael Davis (7)
- Thomas Davis (8)
- Alison Elder (9)
- Steffen Foss Hansen (10)
- Pertti Bert Hakkinen (11)
- Saber M. Hussain (12)
- Delara Karkan (13)
- Rafi Korenstein (14)
- Iseult Lynch (15)
- Chris Metcalfe (16)
- Abou Bakr Ramadan (17)
- F. Kyle Satterstrom (18)
- Author Affiliations
- 1. Environmental Laboratory, U.S. Army Corps of Engineers, 83 Winchester Street Suite 1, Brookline, MA, 02446, USA
- 2. U.S. Army ERDC, 3909 Halls Ferry Road, Vicksburg, MS, 39056, USA
- 3. Defense Research and Development Canada, 305 Rideau Street, Ottawa, Canada, K1A 0K2
- 4. Intertox Inc. and Bioengineering Group, 18 Commercial Street, Salem, MA, 01970, USA
- 5. Environmental Laboratory, U.S. Army Corps of Engineers, 3909 Halls Ferry Road, Vicksburg, MS, 39056, USA
- 6. ICON, Rice University, 141 Dell Butcher Hall, Houston, TX, 77005, USA
- 7. National Center for Environmental Assessment, Office of Research and Development, U.S. Environmental Protection Agency, Research Triangle Park, NC, 27711, USA
- 8. Environment Canada and Department of Chemistry, University of Montreal, C.P. 6128, succursale Centre-Ville, Montreal, QC, Canada, H3C 3J7
- 9. Department of Environmental Medicine, University of Rochester, 575 Elmwood Ave., Box 850, Rochester, NY, 14610, USA
- 10. Department of Environmental Engineering, NanoDTU, Technical University of Denmark, Building 113, Kgs. Lyngby, 2800, Denmark
- 11. Toxicology Excellence for Risk Assessment (TERA), Cincinnatti, OH, USA
- 12. Air Force Research Laboratory, Dayton, OH, USA
- 13. Health Canada, Ottawa, Canada
- 14. Department of Physiology and Pharmacology, Faculty of Medicine, Marian Gertner Institute for Medical Nanosystems, Tel Aviv University, Tel-Aviv, 69978, Israel
- 15. Irish Centre for Colloid Science & Biomaterials, School of Chemistry & Chemical Biology, University College Dublin, Dublin, Ireland
- 16. Trent University, 1600 West Bank Drive, Peterborough, ON, Canada, K9J 7B8
- 17. National Egyptian Environmental and Radiation Monitoring Network, 3 Ahmed El Zomor St., Nasr City 11672, P.O. Box 7551, Cairo, Egypt
- 18. Engineering Sciences Laboratory 224, Harvard School of Engineering and Applied Sciences, 40 Oxford Street, Cambridge, MA, 02138, USA


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Our little guy is just over 8 months old and definitely shows signs of crawling soon - but hasn't actually done it. He'll get up and his hands and knees and rock back and forth - we just sit there, wide-eyed & waiting, both screaming "this is it!!!". But then, he just smiles at us and rolls back down onto his tummy
Is crawling just like rolling over and sitting up - where one day they just do it? Did you do anything to encourage crawling at this stage??
Thanks ladies!!!!
tamararachel2:At 7 months, DS2 started army crawling. He's now just over 8 months and he does a combination of actual crawling and army crawling. It's just going to happen one day just like one morning you'll wake up and LO is standing in his crib! That was us last week and DH about had a heart attack
DS does exactly that. Got him up from his nap and he just took off. I couldn't believe it. When he pulled up the first time I was sitting at the coffee table and giving him tiny bites of chicken, apparently he wanted more. I was so surprised. It just 'happens' one day. You're almost there. Don't rush it, I can't get anything done anymore LOL!


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School of
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The School of Art faculty is comprised of nationally recognized professional artists and art historians. Our faculty members regularly exhibit in galleries and in national competitions and are active in research scholarship and publishing.
Ken is an experienced leader in nonprofit management.
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Officers from the Ottawa Police Department and Franklin County Sheriff's Office responded to a report of a gunshot wound to a child at 12:29 p.m. Friday and found the 4-year-old boy had suffered a gunshot wound to the leg in a residence at 1100 block of North Oak Street, Dennis Butler, Ottawa police chief, said Friday afternoon.
"The child was treated at the scene by Franklin County paramedics and transported by ground [ambulance] to a Kansas City area hospital," Butler said. "The wound does not appear to be life-threatening at this time."
A man was taken into custody and a handgun was recovered, police said. Capt. Adam Weingartner, of the Ottawa police, said at 2 p.m. the person in custody had not been charged with a crime at the time.
"We are still in the interviewing process," Weingartner said.
The child's mother was home at the time of the incident, Weingartner said.
He declined to provide more details about the shooting or the man being held for questioning because of the ongoing investigation.
The boy was conscious and appeared to be suffering from a wound to the left leg when paramedics carried him from the home to a waiting ambulance at 12:43 p.m.


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HomeDecorStatuesModern SculptureExotic & Detailed Ceramic Sitting Ram Figurine w/ Base in White
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Ghislain & Marie David de Lossy / photographers
Top: Kestrel; above: falcon, close up.
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They have achieved these sets of pictures thanks to an amazing endurance to cold, boredom and hunger, and a very strict attention to the tiniest details. Using the latest 600 mm :4 at full aperture and a 24 mpx Nikon D3X, they have pushed the panoramic technique to its extreme, with a final quality merged by hand that no machine can match. Gh&M offer you the ultimate wildlife picture.
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This page offers select listing of historical University of Oregon catalogs. If the catalog year you are seeking is not posted, please fill out the form below and the information you are seeking will be sent to you. To view or print sections from the current catalog, go to the 2013-2014 University of Oregon Catalog. Navigate to the desired section, select the "printer friendly" link, and print the selection from your browser window. In order to view the catalogs you will need to install the Adobe Reader.
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(A) Purpose. This rule directs the planning and administration of county board of MR/DD services, supports, programs and facilities. Implementation of this rule in county boards will promote the development of uniform policies and procedures which protect the rights of individuals with disabilities and ensure the safe and equitable provision of services and programs to eligible individuals and their families.
(B) Each county board shall develop and adopt an annual action plan which covers at a minimum the following:
(1) A statement of philosophy, an organizational chart, and goals and objectives which shall reflect the major components of the comprehensive program, the administrative personnel in charge of the program(s) and their lines of authority and responsibility, and public access to county board administrative offices.
(2) The results of the assessment of the facility, service, and support needs of eligible people of the county with the mental retardation or other developmental disabilities. The facility, service, and support needs shall be projected over the next year. The assessment results shall include, but not be limited to, the following:
(a) Documentation of input received from people and their families receiving services and supports, local public service agencies, county board staff, developmental centers, residential providers, and other providers of services to people with mental retardation or other developmental disabilities as to the quality of services and supports received, gaps in the services and supports available, and recommendations for change.
(b) The number of people needing to be served and the number of people actually served in each major program and service component of the county board's comprehensive program, including how the board will plan, set priorities, and acquire resources related to waiting lists.
(3) A statement(s) as to how the county board shall address the following service needs of individuals eligible to receive services: service coordination, service monitoring, crisis intervention, and major unusual incident review and assessment; and a statement of how the county board shall address information and referral activities, without regard to eligibility for service.
(4) The county board shall hold a public forum annually to gather public comment on the action plan. The county board shall provide a thirty-day notice of the date of the public forum and make the plan available for review by interested persons. The information gathered at the public forum shall be considered in final revisions to the plan which shall be available for distribution to staff, people served or their representative parents of a minor or guardians, and the interested public.
(C) Eligibility determination for developmental disabilities or developmental delay
(1) "Developmental disability" means a severe, chronic disability that is characterized by all of the following:
(a) It is attributable to a mental or physical impairment or a combination of mental and physical impairments, other than a mental or physical impairment solely caused by mental illness as defined in division (A) of section 5122.01 of the Revised Code;
(b) It is manifested before age twenty-two;
(c) It is likely to continue indefinitely;
(d) It results in one of the following:
(i) In the case of a person under age three, at least one developmental delay or an established risk;
(ii) In the case of a person at least age three but under six, at least two developmental delays or an established risk;
(iii) In the case of a person age six or older, a substantial functional limitation in at least three of the following areas of major life activity, as appropriate for his age: self-care, receptive and expressive language, learning, mobility, self-direction, capacity for independent living, and, if the person is at least age sixteen, capacity for economic self-sufficiency.
(e) It causes the person to need a combination and sequence of special, interdisciplinary, or other type of care, treatment, or provision of services for an extended period of time that is individually planned and coordinated for the person.
(2) A substantial functional limitation in a major life area is determined through completion of the "Ohio Eligibility Determination Instrument" (OEDI) and application of criteria found therein.
(3) For children age six through fifteen, a substantial functional limitation in a major life area is determined through completion of the "Children's Ohio Eligibility Determination Instrument" (COEDI) and application of criteria found therein. The COEDI is used in the eligibility determination process for the county board for all services and supports other than special education services.
(4) The OEDI and COEDI shall be administered by county board personnel authorized to do so by the department. At the local county board's discretion, other individuals may be authorized by the department to administer the OEDI and COEDI.
(5) Eligibility may be determined for individuals under the age of six who have an established risk of acquiring a developmental delay, or for individuals who have a biological or environmental risk of acquiring a developmental delay.
(6) "Developmental delay" means that a child has not reached developmental milestones expected for his chronological age as measured by qualified professionals using appropriate diagnostic instruments and/or procedures.
(a) Delay shall be demonstrated in one or more of the following developmental areas: adaptive behavior; physical development or maturation (fine and gross motor skills; growth); cognition; communication; social or emotional development; and sensory development; or
(b) An established risk involving early aberrant development related to diagnosed medical disorders, such as infants and toddlers who are on a ventilator, are adversely affected by drug exposure, or have a diagnosed medical disorder or physical or mental condition known to result in developmental delay such as Down syndrome.
(c) Depending on the plan and priorities established by the county board, a county board may serve a child who has a condition which has a high probability of resulting in developmental delay if early intervention services are not provided, including the following two categories:
(i) Biological risk: history of prenatal, neonatal, and early developmental events suggestive of biological insult(s) to the developing nervous system.
(ii) Environmental risk: at risk for delayed development because of limiting early environmental experiences.
(7) The county board shall complete eligibility determination within forty-five calendar days of the request for services or after all necessary information has been received from the referring party or applicant.
(8) The county board shall keep on file the documents used to determine eligibility of all persons who apply after July 1, 1991, whether or not such persons are found to be eligible. Information on persons found to be ineligible shall be maintained for five years after such determination is made. Information on persons determined to be eligible for the county board shall be maintained in accordance with this rule.
(9) When a person who has been determined eligible for a county board after July 1, 1991 moves to or wants to move to another county in Ohio, that person shall be considered to be eligible in the new county. In the case of a person wanting to move into another county, the request shall be reviewed every six months to determine if it is still current. The new county; however, may review the person's eligibility. During the review, the person continues to be eligible to receive services according to the county board's plan and priorities.
(10) All persons who were eligible for services and receiving services from programs offered by a county board pursuant to Chapter 5126. of the Revised Code on July 1, 1991, shall continue to be eligible for those services and to receive services in those programs as long as they are in need of services.
(11) All persons who were eligible for case management services and receiving case management services pursuant to Chapter 5126. of the Revised Code on January 10, 1992, shall continue to be eligible for case management services as long as they are in need of services.
(12) All persons found not to be eligible shall be referred, with their consent, to other agencies or sources of services.
(D) Contracts
(1) The county board may enter into contracts with other such county boards and with public or private nonprofit or profit-making agencies or organizations of the same or another county or with an individual to provide the facilities, programs, services, and supports authorized or required upon such terms as may be agreeable, and in accordance with Chapters 3323. and 5126. of the Revised Code and rules adopted thereunder.
(2) When services and supports are contracted, it shall be the responsibility of the county board initiating the contract to assure that the services and supports being provided are in accordance with the rules of the department. The county board entering into a contract to provide services and supports shall monitor contracted agencies on an ongoing basis to assure compliance.
(3) Reimbursement shall only be provided for contracted services and supports when individuals receiving such contracted services meet eligibility requirements established by the department.
(E) Waiting lists
The county board shall use the requirements set forth in rule 5123:2-1-08 of the Administrative Code to establish and maintain waiting lists, service substitution lists, and a long-term service planning registry.
(F) The county board shall develop policies and procedures that ensure, to the extent desired by the individual served and his family, that one process is used to develop the service and support plan, even when the individual is receiving services and supports from more than one county board program component.
(G) Administrative resolution of complaints
The county board shall use the administrative resolution of complaints process established in rule 5123:2-1-12 of the Administrative Code to resolve complaints involving the programs, services, policies, or administrative practices of the county board or the entities acting under contract with the county board.
(H) Volunteers
County boards may administer volunteer service programs and have volunteers as an integral part of the overall service delivery.
(1) Volunteers shall be used to supplement, not supplant, services and supports provided by qualified personnel.
(a) Volunteers shall receive direct supervision and training from qualified staff.
(b) Volunteers shall work from a written volunteer service plan.
(2) Written policies concerning recruitment, training, assignments, evaluation, and separation of volunteers shall be established by the county board. These policies shall be available to the entire staff.
(3) County boards may require background checks on volunteers.
(4) Volunteers shall not be considered in the calculation of staffing ratios.
(I) Records
All records required by the department shall be kept in the administrative office(s) of the county board.
(1) The county board shall maintain fiscal records that are in compliance with county and state auditor's requirements in section 149.38 of the Revised Code.
(2) The county board shall maintain a record of signed statements regarding criminal background checks completed by county board employees in accordance with section 5126.28 of the Revised Code.
(3) The county board shall adopt policies and have written procedures which address access, duplication, dissemination, and destruction of personnel records.
(4) The county board shall maintain personnel records which shall include the following:
(a) Name, permanent and current address, phone number, and person to notify in case of emergency;
(b) Job description which includes the essential functions of the job, requirements for certification, registration or license, civil service classification, and title as established by the department of administrative services if applicable, unless there is a collective bargaining agreement to the contrary;
(c) Records of accrued and used sick leave and vacation;
(d) Record of permanent or temporary certification, license or registration, as applicable;
(e) Bus driver annual physical examination form, as applicable;
(f) Records of inservice training;
(g) Personnel action forms;
(h) Annual performance evaluations signed by the immediate supervisor, the superintendent or his designee, and the employee;
(i) Payroll information;
(j) Record retention information; and
(k) Application forms.
(5) The country board shall maintain in a separate medical file a record of a physical examination current within sixty days of the date of hire (a physical examination completed within one year prior to the date of hire is acceptable). The county board may not require the applicant to pay the cost of a physical examination as a condition of employment.
(6) Personnel records shall be accessible to department personnel authorized by the director of the department.
(7) The county board shall adopt policies and have written procedures that address access, duplication, dissemination, and destruction of individual record information for persons served.
(a) Such policies and procedures shall ensure confidentiality and shall include:
(i) Obtaining written permission from the individual or parent of a minor or guardian prior to releasing information to persons not otherwise authorized to receive such information pursuant to applicable state or federal regulations, including Ohio department human services rule 5101:1-1-03 of the Administrative Code when applicable. The permission shall specify the person or organization to whom the information shall be released and the time period during which the permission is valid.
(ii) Transmitting information to a requesting person or agency after receiving a properly authorized written request.
(iii) The procedures by which information concerning an individual shall be collected, the procedures that shall be used to maintain the confidential nature of the information, its use, the recording procedures, the period for which records will be maintained, the procedures for the destruction of data determined to be no longer necessary to the education, services and supports of the individual, the persons to whom the records will be made available, and the conditions under which confidential information shall be made available.
(iv) A statement that lists the types and locations of records maintained that shall be made available to the individual or parent of a minor or guardian on request.
(v) The person responsible for ensuring the safekeeping of records and securing them against loss or use by unauthorized persons.
(vi) For persons placed by the LEA, confidentiality procedures which shall be in accordance with the rules for the education of handicapped children (rule 3301-51-02 of the Administrative Code).
(vii) Written permission of the individual or the parent of a minor or guardian will be obtained prior to destruction of individual record information. Copies of county board generated records shall be offered to the individual or the parent of a minor or guardian.
(b) Individual records shall be accessible to department personnel authorized by the director of the department, the parents of a minor, the guardian (when within the scope of guardianship authority), or the individual.
(c) Individual records shall be kept on file in a secure location to assure the permanence of the records for the time during which services are provided and for transmittal to an alternative program when an alternative placement occurs.
(d) Policies and procedures concerning confidentiality shall be made known to individuals and/or the parent of a minor or guardian of an adult, as applicable, and residential services/supports providers.
(e) The county board shall review, not less than once a year, the systems and safeguards employed by the agency and staff to preserve confidentiality of information.
(8) Records and reports related to the program shall be submitted as requested by the department.
(J) Behavior support policies and procedures
(1) Purpose
(a) The county board shall develop and implement written policies and procedures that support and assist individuals receiving services from county board programs to manage their own behaviors.
(b) These policies and procedures shall acknowledge that the purpose of behavior support is to promote the growth, development and independence of those individuals and promote individual choice in daily decision-making, emphasizing self-determination and self-management.
(c) The county board superintendent shall appoint a committee to implement paragraph (J) of this rule through the development of behavior support policies and procedures.
(d) The county board shall develop and implement written policies and procedures which shall:
(i) Focus on positive teaching and support strategies and encourage use of the least restrictive environment and least intrusive forms of services;
(ii) Specify a hierarchy of these teaching and support strategies, ranging from most positive or least intrusive to least positive or most intrusive, including approvals and review procedures; and
(iii) Be developed in accordance with department guidelines and relevant local, state and federal statutes and regulations.
(e) As used in paragraph (J) of this rule, "provider" refers to all persons and entities that provide specialized services, as defined in section 5126.281 of the Revised Code, and that are subject to regulation by the department, regardless of source of payment, including:
(i) A contracting entity of a county board, as defined in section 5126.281 of the Revised Code.
(ii) A provider licensed under section 5123.19 of the Revised Code. For the purposes of paragraph (J) of this rule, "provider" does not mean an intermediate care facility for the mentally retarded (ICF/MR) certified under Title XIX of the "Social Security Act."
(iii) A provider of supported living under section 5126.431 of the Revised Code.
(iv) A provider of respite care certified under sections 5123.171 and 5126.05 of the Revised Code.
(v) A provider approved to provide medicaid services under home and community-based services waivers administered by the department.
(2) The county board shall ensure that:
(a) Medical factors are considered in the development of behavior support plans.
(b) A behavior assessment is completed prior to implementation of any written behavior support plan to help identify the causes for a behavior and to determine the most appropriate teaching and support strategies. The behavior support plan shall be developed to follow the findings of the behavior assessment.
(c) Behavior support methods are integrated into individual plans and are designed to provide a systematic approach to helping the individual learn new, positive behaviors while reducing undesirable behaviors.
(d) Restraint and time-out, as defined in paragraph (J) of this rule, are only used with behaviors that are destructive to self or others and only when all other conditions required by paragraph (J) are met.
(e) Policies and procedures, including administrative resolution of complaints procedures in accordance with rule 5123:2-1-12 of the Administrative Code, are available to all staff, individuals receiving services from the county board, parents of minor children, legal guardians, and providers.
(f) Behavior support methods are employed with sufficient safeguards and supervision to ensure that the safety, welfare, due process, and civil and human rights of individuals receiving county board services are adequately protected.
(g) Aversive behavior support methods are never used for retaliation, for staff convenience, or as a substitute for an active treatment program (interdisciplinary team developed and approved per individual plans).
(h) Positive and less aversive teaching and support strategies are demonstrated to be ineffective prior to use of more intrusive procedures.
(i) Standing or as needed programs for the control of behavior are prohibited. A "standing or as needed program" refers to the use of a negative consequence or an emergency intervention as the standard response to an individual's behavior without developing a behavior support plan for the individual as required by paragraph (J) of this rule.
(j) A behavior support committee reviews and approves or rejects all plans that incorporate aversive methods, including restraint and time-out, and reviews ongoing plans that incorporate aversive methods, including restraint and time-out. The committee shall include persons knowledgeable in behavior support procedures, including administrators and persons employed by a provider who are responsible for implementing behavior support plans, but not those directly involved with the plan being reviewed. The authors of the behavior support plan may attend committee meetings to provide information and to facilitate incorporation of suggested changes.
(k) A human rights committee reviews and prior approves or rejects all behavior support plans using aversive methods, including restraint and time-out, and those which involve potential risks to the individual's rights and protections. The human rights committee shall ensure that the rights of individuals are protected. The committee shall include, at least, one parent of a minor or guardian of an individual eligible to receive services from a county board, at least one staff member of the county board or provider convening the committee, an individual receiving services from a county board, qualified persons who have either experience or training in contemporary practices to support behaviors of individuals with developmental disabilities, and, at least, one member with no direct involvement in the county board's programs. One human rights committee may serve more than one county board or provider.
(l) The behavior support committee and the human rights committee, which reviews the plan, is either those formed by the county board or those formed by the provider. In this situation, representatives of both agencies shall be involved. A county board or provider may establish one multi-purpose committee to fulfill all functions of the behavior support committee and the human rights committee. County boards and/or providers may jointly establish and share the operation of a behavior support committee, a human rights committee, or a multi-purpose committee.
(m) A behavior support plan includes a case history (including medical information), results of a behavior assessment, baseline data, behaviors to be increased and decreased, procedures to be used, persons responsible for implementation, review guidelines, and signature/date blocks including space for dissenting opinions.
(n) Training and experience required for staff who develop behavior support plans and for all persons employed by a provider who are responsible for implementing plans are specified and required training is documented.
(o) Prior documented informed consent is obtained from the individual receiving services from the county board program, or guardian if the individual is eighteen years old or older, or from the parent or guardian if the individual is under eighteen years of age. When informed consent cannot be documented in writing at the time it is obtained, such consent shall be documented in writing within three days of implementation. This written informed consent shall be updated at least annually. Any revisions to a behavior support plan requiring behavior support committee approval shall require written informed consent from the individual receiving services from the county board program, or guardian if the individual is eighteen years old or older, or from the parent or guardian if the individual is under eighteen years of age. "Informed consent" means an agreement to allow a proposed action, treatment or service to happen after a full disclosure of the relevant facts. The facts necessary to make the decision include information about the risks and benefits of the action, treatment or service; acceptable alternatives to such action, treatment or service; the consequences of not receiving such action, treatment or service; and the right to refuse such action, treatment or service. The behavior support plan shall be presented in a manner that can be understood by the individual or parent of a minor or guardian.
(p) A regular review of all behavior support plans is held, at least, in conjunction with individual plan updates. Plans that incorporate aversive methods, including restraint and time-out, shall be reviewed as determined by the interdisciplinary team but at least every thirty days. Status reports on a plan that incorporates aversive methods, including restraint and time-out, shall be provided to the individual receiving services from the county board program, or guardian if the individual is eighteen years old or older, or the parent or guardian if the individual is under eighteen years of age. Additionally, for individuals who receive services from a provider, status reports shall be provided to the provider.
(q) Prohibited actions are reported as major unusual incidents in accordance with rule 5123:2-17-02 of the Administrative Code. Prohibited actions shall include the following:
(i) Any physical abuse of an individual such as striking, spitting on, scratching, shoving, paddling, spanking, pinching, corporal punishment or any action to inflict pain.
(ii) Any sexual abuse of an individual.
(iii) Medically or psychologically contraindicated procedures.
(iv) Any psychological/verbal abuse such as threatening, ridiculing, or using abusive or demeaning language.
(v) Placing the individual in a room with no light.
(vi) Subjecting the individual to damaging or painful sound.
(vii) Denial of breakfast, lunch or dinner.
(viii) Squirting an individual with any substance as a consequence for a behavior.
(ix) Time-out in a time-out room exceeding one hour for any one incident and exceeding more than two hours in a twenty-four hour period. Use of a time-out room requires the additional oversight specified in paragraphs (J)(3) and (J)(4) of this rule and the following safeguards:
(a) A time-out room shall not be key locked, but the door may be held shut by a staff person or by a mechanism that requires constant physical pressure from a staff person to keep the mechanism engaged.
(b) The room must be adequately lighted and ventilated, and provide a safe environment for the individual.
(c) An individual in a time-out room must be protected from hazardous conditions including, but not limited to, presence of sharp corners and objects, uncovered light fixtures, or unprotected electrical outlets.
(d) The individual must be under constant visual supervision by staff at all times.
(e) A record of time-out activities must be kept.
(f) Emergency placement (i.e., without a written plan) of an individual in a time-out room is not allowable.
(x) Systematic, planned intervention using manual, mechanical, or chemical restraints, except when necessary to protect health, safety, and property and only when all other conditions required by paragraph (J) of this rule are met.
(xi) Medication for behavior control, unless it is prescribed by and under the supervision of a licensed physician who is involved in the interdisciplinary planning process.
(r) Behavior support policies and procedures adopted by the county board or the provider:
(i) Promote the growth, development and independence of the individual;
(ii) Address the extent to which individual choice will be accommodated in daily decision-making, emphasizing self-determination and self-management, to the extent possible;
(iii) Specify the individual's conduct to be allowed or not allowed;
(iv) Be available to all staff, the individual, parents of minor children, legal guardians, and providers;
(v) To the extent possible, be formulated with the individual's participation; and
(vi) Ensure that an individual must not discipline another individual, except as part of an organized system of self-government.
(s) The climate for behavior support is characterized by:
(i) Interactions and speech that reflect respect, dignity, and a positive regard for the individual;
(ii) The setting of acceptable behavioral limits for the individual;
(iii) The absence of group punishment;
(iv) The absence of demeaning, belittling or degrading speech or punishment;
(v) Staff speech that is even-toned made in positive and personal terms and without threatening overtones or coercion;
(vi) Conversations with the individual rather than about the individual while in the individual's presence;
(vii) Respect for the individual's privacy by not discussing the individual with someone who has no right to the information; and
(viii) The use of people-first language instead of referring to the individual by trait, behavior, or disability.
(3) Requirements for restraint and time-out
(a) The use of restraint and time-out, because of their possible adverse effects on health and safety, shall require additional oversight by the department. As used in paragraph (J) of this rule, the following definitions shall apply:
(i) "Restraint" means any one of the following:
(a) "Chemical restraint," which means a prescribed medication for the purpose of modifying, diminishing, controlling, or altering a specific behavior. "Chemical restraint" does not include the following:
(i) Medications prescribed for the treatment of a diagnosed disorder as found in the current version of the American psychiatric association's "Diagnostic and Statistical Manual" (DSM);
(ii) Medications prescribed for treatment of a seizure disorder.
(b) "Emerging methods and technology," which means new methods of restraint or seclusion that create possible health and safety risks for the individual, including methods or technology that were not developed prior to the effective date of this rule.
(c) "Manual restraint," which means a hands-on method that is used to control an identified behavior by restricting the movement or function of the individual's head, neck, torso, one or more limbs or entire body, using sufficient force to cause the possibility of injury.
(d) "Mechanical restraint," which means a device that restricts an individual's movement or function applied for purposes of behavior support, including a device used in any vehicle, except a seat belt of a type found in an ordinary passenger vehicle or an age-appropriate child safety seat.
(ii) "Time-out," which means confining an individual in a room and preventing the individual from leaving the room by applying physical force or by closing a door or other barrier, including placement in such a room when a staff person remains in the room with the individual.
(b) Prior approval from the director must be obtained before using the following methods of restraint:
(i) Any emerging methods and technology designated by the director as requiring prior approval; or
(ii) Any other extraordinary measures designated by the director as requiring prior approval, including brief application of electric shock to a part of the individual's body following an identified behavior.
(c) Restraint or time-out shall be discontinued if it results in serious harm or injury to the individual or does not achieve the desired results as defined in the behavior support plan.
(d) Any use of restraint or time-out in an unapproved manner or without obtaining required consent, approval, or oversight shall be reported as a major unusual incident pursuant to rule 5123:2-17-02 of the Administrative Code.
(e) Any use of restraint or time-out that results in an injury that meets the definition of a major unusual incident or an unusual incident shall be reported as such pursuant to rule 5123:2-17-02 of the Administrative Code.
(f) Within five working days after local approval of a behavior support plan using restraint or time-out, the county board or provider shall notify the department by facsimile or other electronic means in a format prescribed by the department. Upon request by the department, the county board or provider shall submit any additional information regarding the use of the restraint or time-out.
(4) Department oversight of behavior support plans
(a) The department shall provide oversight of behavior support plans, policies, and procedures as deemed necessary to ensure individual rights and the health and safety of the individual.
(b) The department shall select a sample of behavior support plans for additional review to ensure that the plans are written and implemented in a manner that adequately protects individuals' health, safety, welfare, and civil and human rights. These reviews may be conducted by department staff designated by the director or by any qualified entity selected by the department.
(c) The department shall take immediate action, as necessary, to protect the health and safety of individuals served. Such action may include, as appropriate, the following:
(i) Suspension of any behavior support plan(s) not developed, implemented, documented, or monitored in accordance with paragraph (J) of this rule or where significant trends and patterns in data suggest the need for further review. When a behavior support plan is suspended, the department shall ensure that a new behavior support plan is developed and implemented in accordance with paragraph (J) of this rule.
(ii) Technical assistance in the development of a new behavior support plan.
(iii) Referral to the major unusual incident, licensure, or accreditation units of the department or to other state agencies or licensing bodies.
(d) The department shall compile information about the use of behavior supports throughout the state and share the results with county boards, providers, advocates, family members, and other interested parties. The department shall use the information to study and report on patterns and trends in the use of behavior supports, including strategies for addressing problems identified.
(e) By the effective date of this rule, the department shall establish a behavior support advisory committee made up of persons knowledgeable about behavior support and representatives of groups that have expressed an interest in the application of behavior support as specified in paragraph (J) of this rule. The behavior support advisory committee shall advise the department in the following matters:
(i) Trends and patterns in behavior support methods reported to the department;
(ii) Technical assistance needs throughout the state;
(iii) Behavior support issues raised by or referred to divisions or units of the department;
(iv) Plans for improving the quality of behavior support throughout the state;
(v) Any other pertinent issues related to implementation of this rule.
(K) Safety
(1) The design and maintenance of program facilities and equipment shall be in conformance with all applicable laws, including the Americans with Disabilities Act and Section 504 - Rehabilitation Act of 1973 and any reauthorization of these acts by the federal government.
(2) Each program facility owned, leased, or operated by the county board shall be inspected annually by the local fire marshal or designee to ensure compliance with fire safety practices.
(3) If the county board provides a swimming program, regardless of location, a person shall be present who has a current water safety instructor certificate, or a senior lifesaving certificate, or an adapted aquatics certificate.
(4) The county board shall develop written building emergency plans, which include procedures for fire, tornado, and other emergencies. These building emergency plans shall be available to and communicated in writing to all members of the staff, including volunteers.
(5) The building emergency plans shall include procedures for emergency closing of all program components operated in county board facilities as well as notification of families receiving home-based services and persons in other sites receiving or providing services.
(6) The building emergency plans shall include provisions for dealing with bomb threats, medical emergencies, power failures, and natural disasters.
(7) The building emergency plans shall provide for the training of at least one staff member in each building in techniques of fire suppression.
(8) The building emergency plans shall include procedures for reporting all accidents or injuries within twenty-four hours of the occurrence. Such report shall include recommendations for prevention at a future time. Information concerning health and special job considerations shall be communicated to appropriate supervisory personnel.
(9) The building emergency plans shall require all of the following:
(a) Emergency fire drills shall be conducted not less than once a month in each building and shall be recorded.
(b) Tornado drills shall be conducted monthly during the tornado season of April, May, June and July.
(c) A written analysis of the conduct and effectiveness of each fire drill and tornado drill shall be prepared by a designated staff member and submitted to the superintendent or designee.
(d) The evacuation plan for fire and tornado drills and other emergencies shall be posted in each room or special area of the facility.
(e) Fire extinguishers, fire gongs, and alarms shall be properly located, identified, and kept in good working order.
(f) Storage areas for combustible or flammable materials shall be effectively separated from all rooms and work areas in such a way as to minimize and inhibit the spread of a fire.
(g) All hallways, entrances, ramps, and corridors shall be kept clear and unobstructed at all times.
(h) Power equipment, fixed or portable, should include operating safeguards as required by the division of safety and hygiene, bureau of worker's compensation.
(L) Health
(1) County board policies and procedures regarding health shall be written, shall ensure the general health and well-being of all individuals and shall include the following:
(a) Reporting of all accidents and incidents to the parents of a minor or guardian and, when appropriate, other persons having care of the individual including residential services/supports providers, and maintaining a record of any such incident on file. The accident or incident record shall be initiated within twenty-four hours of when the accident or incident occurred.
(b) Providing first aid and emergency treatment.
(c) Securing emergency squad or ambulance services or the services or the individual's personal physician.
(d) Providing first aid and CPR training to appropriate county board registered, certified and licensed personnel by a person who has a valid training certificate in first aid and CPR.
(e) Providing suitable first-aid facilities, equipment, and supplies.
(f) Providing training to county board personnel in the recognition and reporting of abuse and neglect.
(g) Providing for the management of communicable diseases including temporary exclusion from the program for health reasons, handling of illness on-site and return to the program after an illness or other health condition. These procedures shall not exclude an individual from services for a handicapping condition, such as AIDS. These procedures shall include providing training to all county board personnel in the use of universal precautions.
(h) Posting emergency numbers by each telephone.
(2) These written policies and procedures shall be communicated to all personnel, persons served, parents of a minor or guardian, and residential services/supports providers, and shall be available in each county board program facility upon request.
(3) All medication shall be pharmacy-labeled to indicate owner, contents, required dosage and schedule. Such medication shall be secured in a locked cabinet and removed by designated staff persons.
(4) The county board shall adopt a policy concerning administration of medications.
(5) A health record shall be on file within thirty days of enrollment for each individual which contains ongoing pertinent health information, including authorization for emergency medical treatment, a record of current immunizations, a list of any medications, and a list of any allergies and treatments.
(M) Food service
All programs providing food service shall:
(1) Have on file in the administrative office, written evidence of an annual inspection of food preparation, storage, and serving areas by the local department of health; and
(2) Have on display all required permits in keeping with state department of health regulations and shall employ food handlers who meet all state and local health requirements.
(N) State reporting and subsidy
(1) The county board shall comply with reporting procedures and schedules requested by the director of the department.
(2) Subsidy from the department shall, subject to the approval of the director, be withdrawn or reduced in programs which:
(a) Employ staff who fail to meet certification, registration or licensing requirements as established by the department;
(b) Fail to comply with the minimum program and operating requirements as established by the department or do not have approved written plans for compliance, which include timelines and an outline of how minimum compliance will be reached. Such plans of compliance shall be approved by the department and be used by the county board in the development, review, and modification of its annual action plan; and
(c) Do not provide services and supports to former individuals of state mental retardation facilities on a nondiscriminatory basis.
(O) Each county board shall have a copy of Chapter 5126. of the Revised Code and the administrative rules of the department and shall make pertinent information available to administrative staff. The department will provide updated administrative rules.
(P) Waiver procedures
The county board or the department may initiate a request for approval by the department for a waiver of compliance regarding requirements outlined in the rules under Chapter 5123:2-1 of Administrative Code that govern the operation of county board programs and services, so long as the requirements are not those of the Ohio Revised Code.
R.C. 119.032 review dates: 12/23/2003
Promulgated Under: 119.03
Statutory Authority: 5123.011, 5123.04, 5123.19, 5126.01, 5126.041, 5126.05, 5126.08
Rule Amplifies: 5123.01 , 5123.011 , 5123.19 , 5126.01 , 5126.041 to 5126.044 , 5126.05 , 5126.08
Prior Effective Dates: 7/1/76, 12/11/83, 7/1/91 (Emer.), 9/13/91, 4/22/93, 6/2/95 (Emer.), 12/9/95, 2/28/96 (Emer.), 5/18/96, 7/12/97, 8/1/01, 3/21/02


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For a beauty product to be certified organic by the Soil Association it must use as many organic products as possible. Organic beauty products that contain oils and oil-based ingredients such as balms and body butters can be made using 100% organic ingredients and do not require the addition of preservatives. Sometimes they may use a mild antioxidant such as tocopherol or ascorbic acid which are permitted under organic food standards.
However, products that contain water, and water- and oil- based ingredients such as creams, lotions and shampoos need to have some kind of preservative system so that they are safe to use over time. In addition they may need an emulsifier which mixes together the oil and water ingredients and stops them separating.
Sometimes ingredients which have a natural preserving effect can be used in the formulation. Examples may be alcohol, some essential oils, or naturally derived anti-oxidants as above. But if these are not effective, then a preservative that meets strict toxicological and biodegradibility requirements can be used. Very few additives are permitted in certified organic products and only if they are non-GM, have minimal environmental impact and satisfy criteria to demonstrate they have no detrimental impact on human health.
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Residents up in arms over PSNH tree-clearing
Wednesday, July 3, 2013
ROCHESTER — With a tree cutting operation occurring in the Summer Street area, some residents are concerned that their natural buffer will be eliminated, and their property values will be decreased.
Murray on Tuesday that while the clearing of vegetation is a change to people who live right along the right of way, the trimming and cutting is being done to ensure safety and reliability of the power lines.
Both Gargiulo and Crossley said they have no issue with PSNH doing work to keep its power lines reliable and safe; however, they are hoping the cutting and trimming does not reach unnecessary levels.
While the majority of cutting and trimming has already taken place in the area, the work halted on June 26, said Murray, to give time for PSNH to work collaboratively with Springfield Estates on a landscaping plan that would ease concerns of the residents living in the area.
"We are optimistic that we can work successfully to address their concerns and complete the work we need to do in the right of way," said Murray.
However, Gargiulo noted that he has not seen a proposal in writing from PSNH that would address residents' concerns. Gargiulo said he also doubts whether the suggested new trees would conceal the entire openness PSNH is creating in the right-of-way.
Crossley said that if clearing of vegetation does not happen in a more limited fashion, she is afraid it might affect the nice, quiet atmosphere of the neighborhood.
"I kind of look at our community as an oasis in the downtown area," said Crossley. "We work hard to keep it nice."
She said that with the vegetation cleared, some residents have had issues with people trespassing through the PSNH right-of -way and onto the Springfield Estates property. Some trespassers have even used a pool at the Springfield Estates neighborhood, she said, and some trespassing has led to people stealing from vehicles in the neighborhood.


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04 May, 2011
New Feature Request List
- Auto lock after idle
- Lock when wake up from sleep
- Black lock icon
- Custom new lock shortcut keys (beside CMD+L)
- Custom clock design
- Unlock by trackpad
- Multiple wallpaper
...More to come
17 comments:
- TrunksMay 4, 2011 at 9:39 PM
It would be great if we could select just to turn off the display instead of "Sleep After" and if the shortcut CMD+L could be customized (it is used in other apps like Safari).ReplyDelete
Nice job!
- AnonymousMay 5, 2011 at 2:43 AM
Very good news!ReplyDelete
All what I would like for this app will be add!
Very nice job!
ps: in next version, is it possible to unlock with a magic mouse?
And also, instead of sleep, just turn off the screen! For some reason the screen dont go off NEVER when you have activated the lock.ReplyDelete
And, will be good if you removed the "avaliable in the app store" lock screen, because we also buy there the app :)
I want removing "avaliable in the app store". tooReplyDelete
because of this, total look doesn't like.
and. slide motion need more smooth.
idea good.
hidden menu bar function please.ReplyDelete
my menubar space is full T.T
- AnonymousMay 5, 2011 at 10:36 AM
You can easily remove the "available in the appstore". It's just a default wallpaper given by the authorReplyDelete
For change it, in Lock Screen preference, in "Wallpaper" category just click "choose image", find where is located your "Desktop Pictures" folder, search "Nature" folder, open it and finally choose "Aurora.jpg"
It's ok! You have now the official Snow Leopard wallpaper without the mention ""available in the app store" when your screen is lock ;)
- AnonymousMay 9, 2011 at 8:07 AM
When can we hope a new versin of Lock screen with the new features list here?
I need Black lock icon, auto lock after idle, lock when wake up from sleep before buy this app and before install it on all my mac!
you should make a slideshow option! just like on the ipad!ReplyDelete
The most important thing I like to see very quickly is an option to use trackpad gesture instead of keyboard keys. Very useful for laptop users. Also automatic lock the screen or triggered by screen saver or after sleep is encourage.ReplyDelete
Hi, I just downloaded this app but when I lock it, the screen just turned black:(ReplyDelete
any solutions?
- AnonymousMay 10, 2011 at 12:40 PM
From FAQ.ReplyDelete
3. Why my lock screen comes up in black screen?
You can try update latest operating system patch via Apple software update (it may fix this problem for some people). Although you get blank screen, every function still works you can try slide your keyboard or use your passpattern to unlock your computer.
This issue has been fixed in the next version (1.1) that already submitted and wait for Apple to review.
Very happy about using that app, just wished my screensaver settings would work when used. My request would be: lock the screen, then after what my settings are my screensaver is triggered, and after that the screen is turned off or even go to sleep if setted that way.ReplyDelete
Thanks for your work, much apreciated!
pleeease remove shortcut or change shortcut option !ReplyDelete
can't use it as is !
- AnonymousJune 8, 2011 at 12:40 PM
Is it possible to you to make your app compatible with dual screen?ReplyDelete
for the backround picture it would be nice if i could have a slide show to show off my photography when my computer is idleReplyDelete
- AnonymousJuly 1, 2011 at 2:15 PM
it would be great to have some quartz-compositions as background (with custom qc option)ReplyDelete
- AnonymousJuly 27, 2011 at 7:10 AM
i agree, what about qc?ReplyDelete


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Kids Bean Bags
Our kids bean bags are all about being bright, fun and attractive to children. We have found our childrens bean bags to be extremely popular among kids from toddler age up until the age of 12 years old when they are ready to move on to the next size up.
And why wouldn't they love a bean bag for children? They come in up to 12 different colours which means there will definitely be one to match your childs' bedroom or playroom, they will love to relax on them while reading or playing with their toys.
Kids bean bags come in various shapes and sizes to suit your child's needs as they grow up. We start our range of childrens bean bags with the "My 1st Bean Bag" for toddlers which is suitable for kids from crawling age and is available in various fabrics. Our range of kids bean bags will be suitable for your child from the "My 1st Bean Bag" to the Kids Baz Bag® until they are ready to move on to a larger size.
Our ICON™ range of designer kids bean bags also includes a range of role play bean bags for kids which encourage imaginative play. Your daughter will love to play with their princess dolls while sitting on their Princess Bean Bag and your son will have a great time flipping his toy trucks next to our Cars Garage Scene Bean Bag! Set sail off to pirate island with the Pirate Bean Bag and go on a spending spree with our Shopping Spree Bean Bags for Girls!
Bean bags for kids are perfect for sleepovers and parties as they are hardwearing and great value for money. Child friendly furniture at its best! Most of our childrens bean bags are made from waterproof and wipe clean material, allowing them to be used indoors and outdoors in the garden. They make a great gift that will be treasured for years to come – especially with our guarantee – guaranteed to be "kid-proof!"
Keep your kids entertained for hours on a BeanBagBazaar kids bean bag!
Kids Baz Bag ® Indoor & Outdoor Bean Bag
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Large Classic Childrens Bean Bag Brights£29.99sugar pink red pink green blue +
ICON™ Diggers Kids Classic Bean Bag£49.99yellow blue
ICON™ Fairground Carousel Kids Classic Bean Bag£49.99
ICON™ Butterflies Kids Baz Bag®£64.99
My 1st Bean Bag Indoor-Outdoor£19.99red pink green blue aqua +
ICON™ Role Play Pirate Island Bean Bag£49.99
ICON™ Role Play Girls Bean Bag Princess£49.99multi
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Save £10.00Save 29%
Kids Seat Pods Pack of 5£42.99pink
ICON™ Numbers Kids Baz Bag ®£64.99multi


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Hey how is everyone?
I recently purchased CreatineFreak (month supply) and AllMax TriBx90, I was wondering if these two are safe to take together???
please let me know, any feed back is great,
ive been working out for about 3 or 4 years now if that helps
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Improving the mental health of the community
through education, advocacy and support.
Thank you for your support!
Phone: (904) 738-8420
Fax: (904) 738-8427
Email: email@example.com
Mental Health America
Our message is
Good mental health is fundamental to the health and well-being of every person and our nation as a whole.
Our agenda is clear:
We want all people to
understand how to protect and improve their mental health, and know when and how to seek help for themselves or
someone close to them.
We want our schools,
businesses, healthcare system, community agencies, and other settings to have the knowledge and resources
they need to respond to the mental health needs of those they serve.
We want all Floridians
to have access to high quality, affordable and personalized treatment services, when and if the need arises.
We want persons with
mental illnesses to receive the support, treatment and services they need
to recover and live full lives in their communities.
MHA at (904) 738-8420 or United Way 2-1-1
If you or someone you know is in crisis now, seek help immediately.
Call 1-866-318-0211 to reach a
24 hour crisis center
dial 911 for immediate assistance.
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Executive Women's Council
The Executive Women's Council (EWC) is a membership level of the SIEDC exclusively for female business owners, entrepreneurs and executives. Members will have the opportunity to participate in mentorship activities, present a women's leadership seminar, host an Executive Woman of the Year award and engage in business to business networking through regular membership meetings and events.
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Book your room at Sandtorgholmen Hotel
Harstad hotel with a restaurant
Situated by the ocean, this hotel is in the same region as Evenes Church, Evenestangen WWII Battery, and Myklebostad Culture House.
Hotel Features
In addition to a restaurant, Sandtorgholmen Hotel features a bar/lounge. Other amenities include free self parking and conference space.
Room Amenities
Guestrooms feature beds with pillowtop mattresses, complimentary wireless Internet access, and refrigerators. Bathrooms come with rainfall showerheads and designer toiletries.Information missing or incorrect? Tell us!
Renovations & Closures
At your hotel
At your hotel
The hotel offers a restaurant. A bar/lounge is on site where guests can unwind with a drink. Guests can enjoy a complimentary breakfast each morning.
This Harstad hotel also offers tour/ticket assistance, coffee/tea in the lobby, and room service (during limited hours). Onsite self parking is complimentary.
- Total number of rooms - 19
- Number of floors - 2
- Bar/lounge
- Coffee/tea in lobby
- Free breakfast
- Conference space
- Front desk (limited hours)
- Restaurant
- Year Built 1916
- Free self parking
- Complimentary reception
- Number of buildings/towers - 5
- Tours/ticket assistance
Stay connected
Available in all rooms: Free Wi-Fi
Park your car
Free self parking
In your room
- Access via exterior corridors
- Climate control
- Phone
- Refrigerator
- Minibar
- Daily housekeeping
- Private bathroom
- Designer toiletries
- Hair dryer
- Shower only
- Rainfall showerhead
- Desk
- Television
- Cribs/infant beds available
- Separate dining area
- Free Wi-Fi
- Blackout drapes/curtains
- Room service (limited hours)
- Individually furnished
- Individually decorated
- Pillowtop mattress
- Yard
Eat and drink
A complimentary breakfast is served each morning between 8:00 AM and 10:00 AM.
Onsite venue - Overlooking the ocean, this restaurant serves breakfast, lunch, and dinner. Guests can enjoy drinks at the bar. Reservations are required.
Room service (during limited hours) is available.
The recreational activities listed below are available either on site or nearby; fees may apply.
- Bicycle rentals on site
- Fishing on site
- Miniature golf on site
To make requests for specific accessibility needs, complete the "Special or Accessibility Requests" section of "Trip Preferences" when you book your hotel.
- Accessible bathroom
- Accessible path of travel
- Accessible parking
- In-room accessibility
The fine print for Sandtorgholmen Hotel
When you arrive
Check-in time starts at 3 PM
Check-in time ends at 7:00 PM
Special check-in instructions:
Special Instructions: Please contact the property ahead of time if you are planning to arrive after 7 PM.
When you leave
Check-out time is 11:30 AM
How you can pay
You need to know
Extra-person charges may apply and vary depending on hotel policy.
Government-issued photo identification and a credit card or cash deposit are required at check-in for incidental charges.
Special requests are subject to availability upon check-in and may incur additional charges. Special requests cannot be guaranteed.
- The name on the credit card used at check-in to pay for incidentals must be the primary name on the guestroom reservation.
No elevators
No pets or service animals allowed
We should mention
Children 3 years old and younger stay free when occupying the parent or guardian's room, using existing bedding. No pets and no service animals are allowed at this property.


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Honeymoon PackageBook By 31 Dec 2014Stay Starting 06 Mar 2014
Reconnect and allow the boundless scenery to warm your heart. Take some time for just the two of you and start your lives together with a romantic getaway to Puerto Rico.
Enjoy the following amenities when booking our Honeymoon Package:
- Early check-in upon request (based on availability)
- Champagne and chocolate covered strawberries welcome amenity
- Daily breakfast buffet at Las Brisas Restaurant for two
- A romantic 50 minute signature Waldorf Astoria Spa couple's massage
- Soothing access to our Waldorf Astoria Spa wellness facilities including the fitness center, movement studio offering wellness classes, steam room and jacuzzi and tea lounge
- A romantic dinner at our signature restaurant, Chops Steakhouse (buy one entrée and receive the second entrée complimentary of equal or lesser price)
Book now and receive $50 to use on property for every night of your stay
Double points starting on your second stay.
All rates are subject to hotel availability; rate does not include taxes, gratuities or other incidental charges; certain length of stay restrictions may apply. Early departure fee may apply. This offer may not be combined with any other discounts or offers. If you are not interested in making this reservation online, please call our Internet Customer Center at 1-800-774-1500 or click here for a complete list of Hilton Reservations Worldwide phone numbers. Please request plan code "P9".


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Shipra Panosian Photographyview: website // blog // twitter // facebook
location: Orlando, FL United States
willing to travel: Yes
describe your artistic style:
My approach is geared towards creating a record of creative yet unobtrusive documentary style photography. My artistic style has been described as fresh, romantic, elegant, raw, and emotive.
what do you love about weddings?
My passion for being a wedding photographer is a little bit of a joke around my home; 'just don't get her started' is the rest of my family's motto, though I think I'm quite restrained about it all! I am enamored by the creative spirit, joy, and raw emotion that infuses the wedding celebration. The fact that I am invited to be an intimate part of every aspect of the wedding is a thrilling honor that I don't take lightly! From the quiet moment alone with the bride right before the dress is slipped on, to the exuberant minutes right after a brand spanking new Mr. & Mrs. run back down the aisle to the cheers of their family and friends, to a belly-laughing groom as he listens to his best man's speech, to the cake (let's not forget the cake!)...I cherish it all.
what's your travel policy?
Having lived in India, Zambia, Botswana, and Japan, I have a serious travel bug! Whether your wedding is in my sunny home-state of Florida or across oceans and time-zones, I am happy to travel for a wedding commission.
to your wedding faves


text:
We recommend
Product Info
Boys 8-16 Engineer Pat Shirt - EQBWT00039
The nuts and bolts
- It's kinda amazing that your dad and you son rock plaid button downs. Here's to style that stands the test of time.
- Yarn dye check shirt
- 60% cotton/40% polyester
- 40s poplin
- Regular fit
- Chest pocket features a woven logo label
- Buttons are embossed with the QS logo
- Garment wash treatment adds extra softness
- Machine wash cold
- Imported
Enjoy Free Shipping on all orders to the US and Canada! Orders are shipped on business days only. Business days are Monday-Friday, excluding federal holidays within the United States. You will receive an email notification with tracking information once your items ship.
Click here for our entire shipping policy and rates
Items purchased online or by phone may be returned or exchanged by mail or at any DC Shoes/Quiksilver/Roxy retail store.
For a full refund, returns must be made with the original receipt and merchandise must be in its original condition.
Click here for our entire return policy


text:
Heirloom Tomato TartAuthor: swampkitty05 // Category: Food Blogging Event, Food Porn, Recipes
After trying the delicious heirloom tomato tart from Sassafras Bakery two weeks in a row, I wanted to try my hand at making one myself. Armed with this recipe from Chez Pim to start with, I made one of my own. I stayed true to the recipe the first time around:
The next couple of times I made it, I blind baked the tart crust first, and then laid down a layer of fontina cheese and the tomatoes, sprinkled it with some parmesan shreds, and then baked it for a half hour or so until everything was bubbling. So, so delicious served in wedges and dressed with some really good olive oil and balsamic glaze.
I'm submitting this tart to be part of the Savory Pies event, hosted by Kopiaste.
2 Responses to "Heirloom Tomato Tart"
Rachelle Says:
September 30th, 2008 at 5:21 pm
That is so pretty! I love all the colors. Looks like that'll be a great pie event!
Ivy Says:
October 1st, 2008 at 12:12 am
Thanks for contributing to the Savory Pies event. I am glad that through this event I get to meet some more people around the world through our mutual love for food. You have a lovely blog which I shall make sure to visit you often. Your pie looks delicious and it seems that "tomato" is the star of the pies.


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Concerto Grosso No.1 (Bloch, Ernest)
This work likely not be in the public domain in the US (due to first publication with the required notice after 1922, plus renewal or "restoration" under the GATT/TRIPS amendments) in the EU and those countries where the copyright term is life+70 years. However, it is public domain in Canada (where IMSLP is hosted) and in other countries (China, Japan, S. Korea) where the copyright term is life+50 years.
Sheet Music
Scores and Parts
Complete Score (CA)
*#39000 - 6.48MB, 48 pp. - (11) - 10/21/30
Boston: C.C. Brichard & Company, 1925.
Public Domain - Non-PD US, Non-PD EU [tag/del]
Violins II (CA)
*#315232 - 0.96MB, 13 pp. - (0) - V/21/30
Boston: C.C. Brichard & Company, 1925.
New York: Broude Brothers, 1953.
Public Domain - Non-PD US, Non-PD EU [tag/del]
General Information
|Work Title
|Concerto Grosso No.1
|Alternative Title
|Concerto Grosso For String Orchestra and Piano Obbligato
|Bloch, Ernest
|Year/Date of Composition
|First Publication
|Piece Style
|Early 20th century
|String orchestra with piano obbligato


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Collectible - 33 1/3 Album Collection for Sale - Over 400 Albums
I have a collection of 33 1/3 Albums by many different artists. Most of them are from the 1960s, 1970s and 1980s. They are in excellent condition. There are over 400 albums. The prices are $3.00 each or $1200.00 for all of them. Here are just a few of the artists: The Charlie Daniels Band Freddie Fender The 4 Seasons Connie Francis Aretha Franklin Larry Gatlin Crystal Gayle Jack Greene Bobbie Gentry Lee Greenwood Emmy Lou Harris Julio Iglesias Waylon Jennings Elton John Tom Jones The Kingsmen Kris Kristofferson Gladys Knight and The Pips Lovin' Spoonfill The Mamas & The Papas Barbara Mandrell Barry Manilow The Marshall Tucker Band Dean Martin Al Martino Ronnie Millsap Anne Murray Jim Nabors Rick Nelson Willie Nelson The New Christy Minstrels The Oak Ridge Boys Anne Arnold 251-709-4389 email@example.com
For Sale - Valuables
Web Id
Published on
7/23. Updated 12/21.