<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".08" citation="COMAR 07.02.19.08" title_num="07" subtitle_num="02" chapter_num="19" heading="Application Process for Providers.">
  <paragraph num="A.">
    <text>A person who wishes to operate a CARE home shall apply at the local department and submit a completed application on a form prescribed by the Administration.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Processing of Application by the Local Department.</text>
    <paragraph num="(1)">
      <text>Except under circumstances set forth in Regulation .16 of this chapter, the local department shall evaluate the provider applicant and the residence through the following activities:</text>
      <paragraph num="(a)">
        <text>Visit to the residence and an interview with the provider applicant;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Review with law enforcement authorities any criminal record of:</text>
        <paragraph num="(i)">
          <text>The provider applicant;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Any household member 18 years old or older who will reside in the CARE home but not as a recipient of CARE services; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Any backup provider or providers who will care for residents;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>Contact, and evaluate the responses of, three references listed on the application regarding the applicant's suitability to be a CARE provider, including references who have:</text>
        <paragraph num="(i)">
          <text>Work experience directly related to the duties or requirements of the CARE provider or contact with the employers of the provider applicant; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Previously been licensed or certified by a State agency or a state agency from a state other than Maryland;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(d)">
        <text>Review the qualifications, including age, references, and criminal records of all backup provider or providers who will care for residents;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Determine the number of residents that may be cared for in the home;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Determine the level of care available from the provider to compute the rate of payment as set forth in COMAR 07.03.07;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Obtain and review required health and fire inspection reports;</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Arrange for CARE training for the provider applicant, and the backup provider or providers, that is provided by the local department or the Administration; and</text>
      </paragraph>
      <paragraph num="(i)">
        <text>Sign the provider agreement.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>If an application is incomplete, the local department shall send a written notification to the provider applicant which shall include a:</text>
      <paragraph num="(a)">
        <text>List of missing or incomplete documentation; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Statement that if the completed application is not received by the local department within 30 days from the date of the notice, the local department shall deny the application according to §D of this regulation.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Notice of Decision.</text>
    <paragraph num="(1)">
      <text>Within 90 days of the start of the evaluation process as set forth in §B of this regulation, the local department shall notify the provider applicant in writing of the decision regarding the application.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>If the decision is to certify the provider applicant, the notice shall include the:</text>
      <paragraph num="(a)">
        <text>Decision;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Certificate to operate as a CARE home;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Expiration date of the certificate;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Number of CARE residents permitted in the home;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Level of care available from the provider;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Statement that the local department may make unannounced inspection visits; and</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Information of the provider applicant's right to appeal the decision as provided in COMAR 07.01.04 and of the method for obtaining a fair hearing.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Temporary Certification.</text>
      <paragraph num="(a)">
        <text>The local department may issue or extend a temporary certificate if the residence does not fully comply with the regulations if the deficiencies:</text>
        <paragraph num="(i)">
          <text>Do not constitute a life, safety, or health hazard; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Can be corrected within 90 days of the temporary certificate date.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>The notice of the decision to issue a temporary certificate shall include:</text>
        <paragraph num="(i)">
          <text>Decision;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Temporary certificate to operate the CARE home for 90 days;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Expiration date of the certificate;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Deficiencies to be corrected;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Statement of notice that certification as a CARE home is available when the deficiencies are corrected; and</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>Information indicated in §C(2)(d)—(g) of this regulation.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>If the decision is to deny the application, the notice shall include the:</text>
      <paragraph num="(a)">
        <text>Decision;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Reason for the decision;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Specific regulation supporting the decision; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Information of the applicant's right to appeal the decision and method for obtaining a fair hearing.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>The local department shall deny the application if the:</text>
    <paragraph num="(1)">
      <text>Residence does not meet the requirements specified in Regulation .07 of this chapter; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Applicant:</text>
      <paragraph num="(a)">
        <text>Prevents the local department from completing its responsibility for determining whether to issue a certification;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Fails to complete the application within the time set forth in §B(1) of this regulation;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Has not corrected the deficiencies that prevented more than temporary certification as specified in §C(3) of this regulation;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Withdraws the application; or</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Provided false information on the application or during the evaluation process.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>