(1)__The Superintendent of the Maine Youth Center 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 superintendent 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 Superintendent of the Maine Youth Center 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 is continued, the physician or a member of the medical staff shall visit the juvenile at least once every 12 hours.

E.__When placement under observation exceeds 24 hours, the Superintendent of the Maine Youth Center shall direct appropriate staff to develop a plan for the further care of the juvenile.__The plan must be revised as needed to meet the changing needs of the juvenile.

F.__Placement under observation may not exceed 72 hours without the commissioner's approval, which must:

(1)__Be in writing;

(2)__State the reasons for that approval; and

(3)__Be kept on file.

G.__If the recommendations of the physician or medical staff member regarding the juvenile's dietary or other health