# COMAR Title 10 — Maryland Department of Health

## Subtitle 07 — Hospitals

### Chapter 14 — Assisted Living Programs

#### Regulation .12 Compliance Monitoring.

*COMAR 10.07.14.12*

A. The Department shall be responsible for monitoring and inspecting assisted living programs to determine compliance with the requirements of this chapter.

B. Consistent with an interagency agreement, the Department may delegate certain aspects of its monitoring, inspection, or waiver responsibilities to the Department of Aging or a local health department.

C. The Department or its designee may conduct announced or unannounced surveys.

D. An assisted living program shall be surveyed on-site, at least annually. The Department may extend the time between surveys to up to 18 months if the assisted living program has:

  (1) No outstanding plan of correction;

  (2) No complaints or facility-reported incidents pending investigation;

  (3) No settlement agreement in effect;

  (4) No outstanding civil money penalty; and

  (5) No sanctions in effect.

E. The Department, or those agencies delegated responsibility under this regulation, may inspect an assisted living program more frequently than annually if it is considered necessary to determine compliance with this chapter.