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 physical health, mental health, and general safety, shall be prohibited. (C) Prohibition on physical or mental abuse Acts of physical or mental abuse designed to humiliate, degrade, or undermine a child’s self-respect shall be prohibited. (D) Limitation on restraints and seclusion (i) The use of seclusion, mechanical restraints, and physical restraints that impair breathing or communication is prohibited. (ii) Physical restraints other than the restraints described in clause (i) may be used (if not contraindicated) only in emergency situations in which a child presents an imminent danger of harm to self or others and only after less restrictive interventions have been determined to be ineffective. (E) Access to communications Each child at such a program shall have reasonable access to a telephone, and be informed of their right to such access to maintain frequent contact, including making and receiving scheduled and unscheduled calls, unrestricted written correspondence, and electronic communications with as much privacy as possible, and shall have access to existing and appropriate national, State, and local child abuse reporting hotline numbers. (F) Staff-to-Child ratio An appropriate ratio of medical, clinical, and line staff to children, as determined by the Secretary, to ensure child safety and the efficacy of treatment. (G) Senior management Not less than one full-time licensed clinician or mental health practitioner, as defined by State law, shall be employed as a senior manager of such a program. (H) Licensed clinician Not less than one licensed clinician, as defined by State law, shall be present at all times at such a program. (I) Program Policies Policies to require— (i) parents or legal guardians of a child attending such a program to notify, in