2.__Conditions.__Placing a juvenile under observation is subject to this subsection.

A.__Placement under observation must first be approved by the director.

B.__The conditions under which a juvenile is placed under observation must conform with all applicable federal and state standards relating to the health and safety of clients in detention facilities.

C.__Placement under observation may not exceed the period of time necessary to alleviate and prevent the reoccurrence of the behavior described in subsection 1 and it may not be used as punishment.

D.__When placement under observation exceeds 12 hours, the director shall direct the facility physician or a member of the facility medical staff to visit the juvenile immediately and at least once in each succeeding 24-hour period that the juvenile remains under observation to examine the juvenile's state of health.

(1)__The director shall give full consideration to recommendations of the physician or medical staff member concerning the juvenile's dietary needs and the conditions of the juvenile's confinement required to maintain the juvenile's health.__If the recommendations of the physician or medical staff member are not carried out, the director shall immediately convey the reasons and circumstances for this decision to the commissioner for review and final disposition.

(2)__Placement under observation must be discontinued if the director, on the advice of the physician, determines that placement under observation is harmful to the mental or physical health of the juvenile, except that placement under observation may be continued if the behavior of the juvenile presents a high likelihood of imminent physical harm to that juvenile or others and there is no less restrictive setting in which that juvenile's safety or that of others can be ensured.__If placement under observation