<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.07.14.04" title_num="10" subtitle_num="07" chapter_num="14" heading="License Required.">
  <paragraph num="A.">
    <text>A person may not operate an assisted living program in the State without obtaining a license from the Secretary and complying with the requirements of this chapter.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Providing housing under a landlord-tenant arrangement does not, in and of itself, exclude a person from the licensure requirements of this chapter.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Separate licenses are required for assisted living programs that are maintained on the same or separate premises, even though the programs are operated by the same person.</text>
  </paragraph>
  <paragraph num="D.">
    <text>The Secretary shall issue a license for a specified number of beds and a specified level of care.</text>
  </paragraph>
  <paragraph num="E.">
    <text>An assisted living program may not provide services beyond its licensed authority by:</text>
    <paragraph num="(1)">
      <text>Providing care to more residents than the total number of licensed beds; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Providing care beyond the specified level of care without first obtaining written approval of a resident-specific waiver request from the Department.</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>The number of residents, as stated in §E of this regulation, includes:</text>
    <paragraph num="(1)">
      <text>Residents in the facility;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Individuals admitted to the assisted living program for short-term residential care;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Family members who are cared for by assisted living program staff; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Individuals who are transitioning to the assisted living program.</text>
    </paragraph>
  </paragraph>
  <paragraph num="G.">
    <text>An assisted living program shall conspicuously post its license in a common-use area at the facility.</text>
  </paragraph>
  <paragraph num="H.">
    <text>A person who falsifies or alters an assisted living program license shall be subject to referral for a criminal prosecution and imposition of civil fines, as specified in Regulations .57—.65 of this chapter.</text>
  </paragraph>
</regulation>