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<regulation prefix="Regulation" num=".63" citation="COMAR 10.07.14.63" title_num="10" subtitle_num="07" chapter_num="14" heading="Emergency Suspension.">
  <paragraph num="A.">
    <text>The Secretary may immediately suspend a license on finding that the public health, safety, or welfare imperatively requires emergency action.</text>
  </paragraph>
  <paragraph num="B.">
    <text>The Department shall deliver a written notice to the assisted living program:</text>
    <paragraph num="(1)">
      <text>Informing the program of the emergency suspension;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Giving the reasons for the action and the regulation or regulations with which the assisted living program has failed to comply that forms the basis for the emergency suspension; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Notifying the assisted living program of its right to request a hearing and to be represented by counsel.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>The filing of a hearing request does not stay the emergency action.</text>
  </paragraph>
  <paragraph num="D.">
    <text>When a license is suspended by emergency action:</text>
    <paragraph num="(1)">
      <text>The assisted living program shall immediately cease the use of all previously issued assisted living program licenses and return all paper licenses to the Department;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The assisted living program shall stop providing assisted living services immediately;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The assisted living manager or their designee shall notify the residents and resident representatives of the suspension and make every reasonable effort to assist them in making safe and appropriate discharge plans, including to other licensed assisted living programs; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The OHCQ shall immediately notify the following entities of the emergency action:</text>
      <paragraph num="(a)">
        <text>Ombudsman within the Department of Aging or local area agency on aging; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Local Department of Human Services or Adult Protective Services.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>In the event of an emergency suspension, the Department may assist in the relocation of residents.</text>
  </paragraph>
  <paragraph num="F.">
    <text>A person aggrieved by the action of the Secretary under this regulation may appeal the Secretary’s action by filing a request for a hearing consistent with Regulation .65 of this chapter.</text>
  </paragraph>
  <paragraph num="G.">
    <text>Show Cause Hearing.</text>
    <paragraph num="(1)">
      <text>In addition to the right to request a hearing consistent with Regulation .65 of this chapter, a person aggrieved by the action of the Secretary under this regulation shall be provided with the opportunity for a hearing to show cause why the Department should lift the summary suspension.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>If requested in writing, the show cause hearing shall be held promptly within a reasonable time after the effective date of the order of summary suspension. The time limit for filing an appeal with the Office of Administrative Hearings to obtain an evidentiary hearing shall be followed by the filing of a request for a show cause hearing.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The show cause hearing shall be a nonevidentiary hearing to provide the parties with an opportunity for oral argument on the summary suspension.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The show cause hearing shall be conducted before the Secretary or a designee of the Secretary, who:</text>
      <paragraph num="(a)">
        <text>Shall determine procedural issues;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>May impose reasonable time limits on each party’s oral argument; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Shall make rulings reasonably necessary to facilitate the effective and efficient operation of the show cause hearing.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>At the conclusion of the show cause hearing, the Secretary or the Secretary’s designee may:</text>
      <paragraph num="(a)">
        <text>Affirm the order of summary suspension;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Rescind the order of summary suspension;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Enter into a consent order; or</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Enter into an interim order warranted by the circumstances of the case, including one providing for a stay of the summary suspension subject to certain conditions.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(6)">
      <text>After the show cause hearing, if the Secretary or the Secretary’s designee decides to continue the summary suspension, the person aggrieved by the decision may request an evidentiary hearing before the Office of Administrative Hearings consistent with Regulation .65 of this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="H.">
    <text>Hearing.</text>
    <paragraph num="(1)">
      <text>The Office of Administrative Hearings shall conduct a hearing as provided in Regulation .65 of this chapter and issue a proposed decision within the time frames set forth in COMAR 28.02.01.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>An aggrieved person may file exceptions pursuant to COMAR 10.01.03.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The Secretary shall make a final decision pursuant to COMAR 10.01.03.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>If the Secretary’s final decision does not uphold the emergency suspension, the assisted living program may resume operation.</text>
    </paragraph>
  </paragraph>
</regulation>