# COMAR Title 10 — Maryland Department of Health

## Subtitle 07 — Hospitals

### Chapter 05 — Residential Service Agencies

#### Regulation .20 Sanctions.

*COMAR 10.07.05.20*

A. If the Secretary determines that an agency has violated this chapter, the Secretary, in addition to the sanctions set forth in Regulations .21—.27 of this chapter may:

  (1) Restrict the number of clients the agency may serve;

  (2) Limit the types of clients an agency may serve;

  (3) Require the licensee, and any of its staff, to receive remedial instruction in a specific area;

  (4) Require the agency to use the services of a management firm that is approved by the Department;

  (5) Mandate staffing patterns that specify the number of personnel or personnel qualifications, or both;

  (6) Direct the licensee to correct the violations in a specific manner or within a specified timeframe;

  (7) Notify, or require the agency to notify, the client, the client representative, or the family of any client who is affected by the noncompliance;

  (8) Increase the frequency of monitoring visits during a specified period of time; or

  (9) Establish certain conditions for continued operation, including time limits for continued operation and for compliance.

B. If the Secretary determines that the licensee has violated a condition or requirement of an imposed sanction, the Secretary may suspend or revoke the license.

C. A licensee aggrieved by the imposition of a sanction under §A(1) or (2) or B of this regulation may appeal the Secretary’s action by filing a request for a hearing in accordance with Regulation .28 of this chapter.