<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.01.18.05" title_num="10" subtitle_num="01" chapter_num="18" heading="Mandatory Reporting Requirements.">
  <paragraph num="A.">
    <text>This regulation applies to the following covered programs as defined in Regulation .02 of this chapter:</text>
    <paragraph num="(1)">
      <text>Non-State operated residential treatment centers for emotionally disturbed children and adolescents;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Vocational and day service programs;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Psychiatric rehabilitation programs for adults and minors;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Residential rehabilitation programs; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Supported employment programs.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A covered program shall comply with the reporting requirements of:</text>
    <paragraph num="(1)">
      <text>COMAR 07.02.16.04;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>COMAR 07.02.07.04;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>This regulation; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Any other applicable law or regulation requiring the reporting of inappropriate sexual behavior.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Any staff member who observes, receives a complaint regarding, or otherwise has reason to believe that an individual has been subjected to inappropriate sexual behavior shall file a report with the program director promptly, but in no circumstances more than 1 working day, after becoming aware of the situation.</text>
  </paragraph>
  <paragraph num="D.">
    <text>Upon the receipt of a report made under §C of this regulation, the program director shall:</text>
    <paragraph num="(1)">
      <text>Immediately ensure:</text>
      <paragraph num="(a)">
        <text>The safety, security, privacy, and emotional support of the individual or individuals involved; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>That any medically appropriate and necessary care is provided to the individual or individuals involved;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Report the incident within 1 working day after receiving the report to:</text>
      <paragraph num="(a)">
        <text>The Behavioral Health Administration or the Developmental Disabilities Administration, or both, as applicable;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The Office of Health Care Quality; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The State’s designated protection and advocacy agency.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Report the incident immediately, and in no circumstances more than 1 working day, after receiving the report to the appropriate law enforcement authorities if the reported inappropriate sexual behavior violates or may violate the law.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>The report made under §B(2) of this regulation shall be made using the form required by the Department.</text>
  </paragraph>
  <paragraph num="F.">
    <text>Promptly after completing an investigation of a report of inappropriate sexual behavior, the program director shall report the results of the investigation to:</text>
    <paragraph num="(1)">
      <text>The Behavioral Health Administration or the Developmental Disabilities Administration in accordance with applicable reporting procedures required by the Department;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The Office of Health Care Quality;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The State’s designated protection advocacy agency; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The appropriate law enforcement authorities if the results of the covered program’s investigation indicate a violation of the law may have occurred, but the allegations were not initially reported pursuant to §D(3) of this regulation because the allegations, as initially reported, did not involve inappropriate sexual behavior that may violate the law.</text>
    </paragraph>
  </paragraph>
</regulation>