(a) The following personal restraint techniques are prohibited:(1) Restraints that impair the child's breathing by putting pressure on the child's torso, including restraints that obstruct the child's lungs from expanding such as leaning a child forward during a seated restraint;(2) Restraints that obstruct the child's airway, including procedures that place anything in, on, or over the child's mouth, nose, or neck;(3) Restraints that obstruct a caregiver's ability to view the child's face;(4) Restraints that interfere with the child's ability to communicate or vocalize distress; or(5) Restraints that twist or place the child's limb(s) behind the child's back.(b) Prone and supine restraints are prohibited except:(1) As a transitional hold that lasts no longer than one minute;(2) As a last resort when other less restrictive interventions have proven to be ineffective; and(3) When an observer meeting the following qualifications ensures the child's breathing is not impaired:(A) Trained to identify risks associated with positional, compression, or restraint asphyxia;(B) Trained to identify risks associated with prone and supine holds; and(C) Not involved in the restraint. General residential operations and residential treatment centers with a capacity of 16 or fewer children are exempt from meeting this requirement.