<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".12" citation="COMAR 07.02.19.12" title_num="07" subtitle_num="02" chapter_num="19" heading="Recertification.">
  <paragraph num="A.">
    <text>The local department shall initiate the process to recertify the CARE home:</text>
    <paragraph num="(1)">
      <text>Within 30 days after the local department obtains information about changes in the provider's circumstances or the residence which affect the certification; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>At least once a year.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Application for Recertification.</text>
    <paragraph num="(1)">
      <text>The local department shall send the provider an application:</text>
      <paragraph num="(a)">
        <text>Within 10 days after obtaining the provider's information about a change; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>At least 60 days before the certificate expires.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>When the local department's recertification visit precedes the expiration date of the certificate, the provider may complete the application at the face-to-face recertification visit.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The recertification application notice shall include an application due date to allow the local department to make its decision within the required time limits.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Evaluation of Recertification Application. Upon receipt of the application, the local department shall:</text>
    <paragraph num="(1)">
      <text>Visit the residence and interview the provider to discuss any changes in circumstances;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Review status of criminal record for:</text>
      <paragraph num="(a)">
        <text>A household member over 18 years old, who resides in the CARE home, but is not a CARE resident; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Backup provider or providers, and staff where appropriate, who care for residents;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Contact if possible, all case managers who worked with residents in the home during the current certification year and evaluate their assessment of the home;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Request and review reports of health and fire inspections if needed and available;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Review the qualification of backup providers or providers, and staff where appropriate;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Arrange for any required CARE training for the provider and staff;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Determine the number of CARE residents the home may care for and the level of care to be provided; and</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Advise the provider in writing within 90 days of the beginning of the recertification process of the decision to deny or recertify as set forth in Regulation .08C of this chapter.</text>
    </paragraph>
  </paragraph>
</regulation>