<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".10" citation="COMAR 10.07.03.10" title_num="10" subtitle_num="07" chapter_num="03" heading="Civil Money Penalties — Imposition.">
  <paragraph num="A.">
    <text>The Department may impose a civil money penalty if a deficiency exists.</text>
  </paragraph>
  <paragraph num="B.">
    <text>In determining whether a civil money penalty is to be imposed, the Department shall consider the following factors:</text>
    <paragraph num="(1)">
      <text>The number, nature, and seriousness of the deficiencies;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The extent to which the deficiencies are part of a pattern;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The degree of risk to the health, life, or safety of the residents of the client facility caused by the deficiency or deficiencies;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The efforts made by, and the ability of the agency to correct the deficiency or deficiencies;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>An agency's prior history of compliance in general and specifically with reference to the cited deficiencies; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Other factors as justice may require.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>If the Department determines that a deficiency or a pattern of deficiencies exists, the Department shall notify the agency of the deficiency or deficiencies and may:</text>
    <paragraph num="(1)">
      <text>Impose a per-day civil money penalty until compliance has been achieved;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Permit the agency the opportunity to correct the deficiencies by a specific date; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Impose a per-instance civil money penalty for each deficiency.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>If the Department permits an agency the opportunity to correct the deficiencies by a specific date and the agency fails to comply with this requirement, the Department may impose a per-day civil money penalty for each day of violation until correction of the deficiency or deficiencies has been verified and compliance has been maintained.</text>
  </paragraph>
  <paragraph num="E.">
    <text>When a civil money penalty is imposed, the Department shall issue an order that includes the:</text>
    <paragraph num="(1)">
      <text>Deficiency or deficiencies on which the order was based; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Amount of civil money penalty to be imposed.</text>
    </paragraph>
  </paragraph>
</regulation>