<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".18" citation="COMAR 10.07.04.18" title_num="10" subtitle_num="07" chapter_num="04" heading="Reports.">
  <paragraph num="A.">
    <text>The center shall furnish to the Secretary reports covering the following:</text>
    <paragraph num="(1)">
      <text>Deaths, serious injuries, or unusual incidents, including suicide attempts, by no later than the close of business of the next business day following the event; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Any occurrences which threaten the welfare, safety, or health of any resident of the center such as fire, infectious disease outbreaks, or poisoning.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The center shall comply with the reporting requirements of the Department of Juvenile Services, the Department of Human Services, the Maryland State Department of Education, or other placement agencies.</text>
  </paragraph>
  <paragraph num="C.">
    <text>The center shall comply with the reporting requirements of 42 CFR §483.374(b) and (c).</text>
  </paragraph>
  <paragraph num="D.">
    <text>Serious Occurrence Notification.</text>
    <paragraph num="(1)">
      <text>Staff shall report any serious occurrence described in 42 CFR §483.374(b) involving a resident to both the State Medicaid agency and the State-designated Protection and Advocacy System by not later than close of business the next business day after a serious occurrence.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The report shall include:</text>
      <paragraph num="(a)">
        <text>The name of the resident involved in the serious occurrence; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A description of the occurrence.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>In the case of a minor, the center shall notify the resident’s parent or parents or legal guardian or legal guardians:</text>
      <paragraph num="(a)">
        <text>As soon as possible; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>No later than 24 hours after the serious occurrence.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Staff shall document in the resident’s record that the serious occurrence was reported to both the State Medicaid agency and the State-designated Protection and Advocacy System, including the name of the individual to whom the incident was reported.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>A copy of the report shall be maintained in the resident’s record, as well as in the incident and accident report logs kept by the center.</text>
    </paragraph>
  </paragraph>
</regulation>