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<regulation prefix="Regulation" num=".07" citation="COMAR 10.07.14.07" title_num="10" subtitle_num="07" chapter_num="14" heading="Licensing Procedure.">
  <paragraph num="A.">
    <text>Application for License.</text>
    <paragraph num="(1)">
      <text>To obtain and maintain a license, an applicant shall meet all of the requirements of:</text>
      <paragraph num="(a)">
        <text>This chapter;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Other applicable federal, State, and local laws and regulations; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Health-General Article, §19-311, Annotated Code of Maryland, if the program provides services to 17 or more residents.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>An applicant shall submit:</text>
      <paragraph num="(a)">
        <text>An application on a written or electronic form developed by the Department;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The completed Uniform Disclosure Statement on a form developed by the Department; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>All other reasonable documents as required by the Department.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>At a minimum, the applicant shall provide:</text>
      <paragraph num="(a)">
        <text>Verification that the applicant or corporate representative is 21 years old or older;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Documentation of any prior denial, suspension, or revocation of a license or certification to provide care to third parties;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Identification of any individual or corporate owner of 25 percent or more interest in the assisted living program;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Documentation of any conviction and current background check or criminal history records check of the owner, the applicant, the assisted living manager, the alternate assisted living manager, other staff, and any household member;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Ownership information as specified on an addendum to the application;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Verification that the facility is owned, leased, or otherwise under the control of the applicant;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>The level of care to be provided by the assisted living program, its location, and the name of the proposed assisted living manager;</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Documentation of zoning approval, if zoning approval is required by the local jurisdiction in which the assisted living program will be located; and</text>
      </paragraph>
      <paragraph num="(i)">
        <text>Where applicable, approvals from the local health department, local or State fire authority, and local area agency on aging.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Additional Requirements for Initial Licensure. The Secretary shall require an applicant for initial licensure to submit:</text>
    <paragraph num="(1)">
      <text>Information concerning any license or certification held by the applicant under Health Occupations Article or Health-General Article, Annotated Code of Maryland, including the prior or current operation by the applicant of a health care facility or similar health care program;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Information demonstrating financial or administrative ability to operate an assisted living program in compliance with this chapter, which shall include a business plan and 1-year operating budget;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Policies and procedures to be implemented as designated in the application for licensure; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Other reasonably relevant information, if required by law or local jurisdiction, such as:</text>
      <paragraph num="(a)">
        <text>Verification of Workers’ Compensation insurance;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Facility plan review documentation;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Food service permit; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Rental license.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>License Suspension or Revocation.</text>
    <paragraph num="(1)">
      <text>The owner, assisted living manager, alternate assisted living manager, or board member of an assisted living program that has had its license suspended or revoked by the Department may not own, operate, lease, or manage another assisted living program for 10 years from the date the license was suspended or revoked without good cause shown.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>After 10 years, the applicant shall submit evidence to the Department that the applicant is capable of owning, managing, or operating an assisted living program.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Sanctions and Uncorrected Deficiencies.</text>
    <paragraph num="(1)">
      <text>If an owner, assisted living manager, or alternate assisted living manager of an assisted living program operates, leases, or manages an assisted living program that has had sanctions imposed or deficiencies cited within the past 3 years and has not corrected the deficiencies which present a risk to the health or safety of residents for a currently licensed assisted living program, that owner, assisted living manager, or alternate assisted living manager may not apply to open an additional assisted living program until those deficiencies have been corrected as approved by the Department.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The Department may not approve a license application for an assisted living program if the owner, assisted living manager, or alternate assisted living manager operates, leases, or manages a licensed assisted living program that has uncorrected deficiencies.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>In making a determination about a pending assisted living program license application, the Department may consider any sanctions or uncorrected deficiencies that were imposed before or after the application submission which present a risk to the health or safety of residents for a currently licensed assisted living program that is operated, leased, or managed by an owner, assisted living manager, or alternate assisted living manager in the pending license application.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Violations and Criminal Convictions.</text>
    <paragraph num="(1)">
      <text>The Department reserves the right to deny licensure to an applicant based on the owner’s, assisted living manager’s, or alternate assisted living manager’s prior:</text>
      <paragraph num="(a)">
        <text>History of violations of assisted living regulations;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Criminal history that the Department determines may be potentially harmful to residents;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Convictions as described in 42 U.S.C. §1320a–7(a) or Criminal Law Article, §14-101, Annotated Code of Maryland; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>History of final actions of a Health Occupations Board.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>In making a determination about a license application, the Department shall consider the following factors related to a criminal conviction:</text>
      <paragraph num="(a)">
        <text>The age at which the crime was committed;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The circumstances surrounding the crime;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The length of time that has passed since the crime; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Subsequent work history.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>In making a determination about a license application, the Department shall consider the following factors related to a violation of assisted living regulations:</text>
      <paragraph num="(a)">
        <text>The circumstances surrounding the violation;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The length of time since the violation occurred;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The scope of the violation;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The severity of the violation; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>The implementation of a plan of correction.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>The Department shall consider other evidence that demonstrates whether the applicant poses a threat to the health or safety of residents in an assisted living program.</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>Determination of License Application.</text>
    <paragraph num="(1)">
      <text>Based on information provided to the Department by the applicant and the Department’s own investigation, the Secretary shall:</text>
      <paragraph num="(a)">
        <text>Approve the application unconditionally;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Approve the application conditionally, which may include, among other conditions, requiring the applicant to use the services of a management firm approved by the Secretary; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Deny the application.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The Secretary may not require use of a management firm for a period in excess of 24 months.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A person may not:</text>
      <paragraph num="(a)">
        <text>Operate an assisted living program until a provisional license or license has been issued; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Operate multiple sites until each site has been inspected and approved by the Department.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>A person aggrieved by a decision of the Secretary under this section to deny a license application may appeal the Secretary’s action by filing a request for a hearing consistent with Regulation .65 of this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="G.">
    <text>Provisional Licenses for Less than 1 Year. The Department may issue a provisional license if:</text>
    <paragraph num="(1)">
      <text>An assisted living program is not in full compliance with this chapter;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The Department determines that the noncompliance does not constitute a safety or health hazard; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The applicant or assisted living program has submitted a plan of correction acceptable to the Department which satisfactorily addresses the correction of each deficiency within a time frame acceptable to the Department.</text>
    </paragraph>
  </paragraph>
  <paragraph num="H.">
    <text>License Application Administratively Closed.</text>
    <paragraph num="(1)">
      <text>An application is not complete until the Department has received the completed license application and all required documents.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>After 180 calendar days from the date of initial receipt, the Department may deem an incomplete license application inactive and administratively close the application.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>An applicant whose application is administratively closed may reapply for a license by submitting a new application.</text>
    </paragraph>
  </paragraph>
</regulation>