<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".21" citation="COMAR 10.07.05.21" title_num="10" subtitle_num="07" chapter_num="05" heading="Civil Money Penalties.">
  <paragraph num="A.">
    <text>The Secretary may impose a civil money penalty on an agency if a deficiency or continuing pattern of deficiencies exists in the residential service agency.</text>
  </paragraph>
  <paragraph num="B.">
    <text>In determining whether a civil money penalty will be imposed, the Secretary shall consider the following factors:</text>
    <paragraph num="(1)">
      <text>Nature, number, and seriousness of the deficiencies;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The extent to which the deficiency or deficiencies are part of a continuing pattern during the preceding 24 months;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The degree of risk to the health, life, or safety of the clients of the agency that is 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; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>An agency’s prior history of compliance.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>If the Department determines that a deficiency or a continuing pattern of deficiencies exists, the Department shall notify the agency of the deficiency or deficiencies and may:</text>
    <paragraph num="(1)">
      <text>Permit the agency the opportunity to correct the deficiencies by a specified date;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Impose a civil money penalty of up to $1,000 per day until sustained compliance is achieved; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Impose a civil money penalty for each instance of violation.</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 civil penalty of up to $1,000 for each day of violation until correction of the deficiency or deficiencies has been verified and sustained compliance has been maintained.</text>
  </paragraph>
  <paragraph num="E.">
    <text>If the Department proposes to impose a civil money penalty, the Secretary shall issue an order which shall state the:</text>
    <paragraph num="(1)">
      <text>Deficiency or deficiencies on which the order is based;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Amount of the civil money penalties to be imposed;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Manner in which the amount of the civil money penalty was calculated; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Appeal rights.</text>
    </paragraph>
  </paragraph>
</regulation>