; or (ii) a foster family home that provides 24-hour substitute care for children placed away from their parents or guardians and for whom the State child welfare services agency has placement and care responsibility and that is licensed and regulated by the State as a foster family home. (4) Mechanical restraint The term mechanical restraint has the meaning given the term in section 595(d)(1) of the Public Health Service Act ( 42 U.S.C. 290jj(d)(1) ). (5) Physical restraint The term physical restraint means a personal restriction that immobilizes or reduces the ability of an individual to move the individual's arms, legs, torso, or head freely, except that such term does not include voluntary physical escort (as such term is defined in section 595(d)(2) of the Public Health Service Act ( 42 U.S.C. 290jj(d)(2) )). (6) Protection and Advocacy System The term protection and advocacy system means a system established by a State under section 143 of the Developmental Disabilities Assistance and Bill of Rights Act of 2000 ( 42 U.S.C. 15043 ). (7) Seclusion The term seclusion means the involuntary confinement of a child alone in a room or area from which the child is physically prevented from leaving. (8) Secretary The term Secretary means the Secretary of Health and Human Services. (9) State The term State has the meaning given such term in section 3 of the Child Abuse Prevention and Treatment Act ( 42 U.S.C. 5101 note). 3. Standards and enforcement (a) Minimum standards (1) In general Not later than 180 days after the date of the enactment of this Act, the Secretary shall require each covered program, in order to provide for the basic health and safety of children at such a program, to meet the following minimum standards: (A) Prohibition on child abuse and neglect Child abuse and neglect shall be prohibited. (B) Prohibition on certain disciplinary techniques Disciplinary techniques or other practices that involve the withholding of essential food, water, clothing, shelter, or medical care necessary to maintain