<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.05.03.04" title_num="10" subtitle_num="05" chapter_num="03" heading="Inspections by the Secretary.">
  <paragraph num="A.">
    <text>The Secretary may verify compliance with licensing requirements through on-site random sample record reviews.</text>
  </paragraph>
  <paragraph num="B.">
    <text>For the purpose of verifying compliance, the Secretary shall have access to:</text>
    <paragraph num="(1)">
      <text>The facility or office where the equipment is located;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Patients' medical records, including image or scan records;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Quality assurance records, including peer review documentation;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Records documenting in-service training on use of the equipment;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Records verifying personnel training;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Equipment quality control and inspection records;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Radiation safety reports;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Records of referrals and evidence of appropriate use of equipment;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Policies and procedures that ensure safe operation of equipment; and</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Qualifications of personnel:</text>
      <paragraph num="(a)">
        <text>Permitted to supervise use of the major medical equipment,</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Permitted to operate the major medical equipment, and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Responsible for maintenance of the major medical equipment.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>