<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".12" citation="COMAR 10.07.14.12" title_num="10" subtitle_num="07" chapter_num="14" heading="Compliance Monitoring.">
  <paragraph num="A.">
    <text>The Department shall be responsible for monitoring and inspecting assisted living programs to determine compliance with the requirements of this chapter.</text>
  </paragraph>
  <paragraph num="B.">
    <text>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.</text>
  </paragraph>
  <paragraph num="C.">
    <text>The Department or its designee may conduct announced or unannounced surveys.</text>
  </paragraph>
  <paragraph num="D.">
    <text>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:</text>
    <paragraph num="(1)">
      <text>No outstanding plan of correction;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>No complaints or facility-reported incidents pending investigation;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>No settlement agreement in effect;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>No outstanding civil money penalty; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>No sanctions in effect.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>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.</text>
  </paragraph>
</regulation>