<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".33" citation="COMAR 10.07.14.33" title_num="10" subtitle_num="07" chapter_num="14" heading="Incident Reports.">
  <paragraph num="A.">
    <text>Staff of the assisted living program shall complete an incident report within 24 hours of having knowledge that an incident, as defined in Regulation .02B(39) of this chapter, occurred.</text>
  </paragraph>
  <paragraph num="B.">
    <text>The assisted living program shall make incident reports available on the premises to the Department and any government agency designated by the Department.</text>
  </paragraph>
  <paragraph num="C.">
    <text>All incident reports shall include:</text>
    <paragraph num="(1)">
      <text>Time, date, and place;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Individuals present;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Complete description of the incident;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Response of the staff at the time; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Notification to the:</text>
      <paragraph num="(a)">
        <text>Resident or, if appropriate, the resident representative;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Resident’s health care practitioner, if appropriate;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Delegating nurse;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Licensing or law enforcement authorities, when appropriate; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Follow-up activities, including investigation of the occurrence and steps to prevent its reoccurrence.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>The assisted living program shall notify the OHCQ within 24 hours of a resident death resulting from:</text>
    <paragraph num="(1)">
      <text>Abuse;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Neglect;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Wandering;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Elopement;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>A medication error;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Burns; or</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Any injury incurred at the assisted living program.</text>
    </paragraph>
  </paragraph>
</regulation>