A local department shall review each kinship caregiver and home: Annually; or If there are significant changes in the lives of the kinship caregiver or household, discuss the significant change and determine if a review is necessary. Significant changes may include: Illness or death of a household member; Marital problems or significant conflict in the household; A move to a new residence; Suspected abuse or neglect in the home; and Changes in family composition due to individuals leaving or joining the household, marriage, separation, divorce, or another occurrence. In an annual review, the local department shall: Conduct at least one home visit to determine continuing compliance with this chapter; Review child protective services records, criminal background records, state and national sex offender registries, and the results of a search in the Maryland Judiciary Case Search for the kinship caregiver and all household members 18 years old or older; and Meet with the kinship caregiver to discuss the prior year and concerns and needs of the kinship caregiver. In any review under this regulation, the local department shall: Conduct a kinship caregiver assessment of any new kinship caregiver who has not previously had an assessment as required by this regulation; Require that a new kinship caregiver or household member 18 or older apply within 5 business days for a State and federal fingerprint-based criminal background clearance and consent to a child abuse and neglect clearance; When applicable, require that: Any new kinship caregiver has a medical examination if requested by the local department for a reason set forth in Regulation .03E of this chapter: Any new kinship caregiver sign the required forms and a Resource Parent and Kinship Caregiver Agreement; Identify any circumstances or conditions that may affect continued placement of the child in care with the kinship caregiver and any other matters having a bearing on the child in care’s physical, emotional, medical, or educational needs; and Identify resources and develop a plan to address and resolve any outstanding health or safety concerns by an agreed-upon date. A worker shall notify the kinship caregiver in writing within 30 days of completing the review of the kinship caregiver’s license status. A kinship caregiver license can be revoked or suspended for any violation of a regulation in this chapter. If the kinship caregiver moves to a new residence, the local department shall assess the home by completing a new Kinship Caregiver and Home Assessment.