Personal assistance service providers shall: Be licensed as a Residential Service Agency under COMAR 10.07.05 to provide Level Two or Level Three home care services; Employ a registered nurse who shall: Assess each new participant who requires personal assistance services; Participate in developing the worker instructions and in assigning appropriate personnel; Delegate nursing tasks, as appropriate, to a CNA or a CMT in accordance with COMAR 10.27.11; and Participate in instructing the workers who will provide the assistance, when indicated; Employ workers who will accept instruction on the personal assistance services required in the participant’s plan of service from the following: The participant or, when applicable, the participant’s representative; The nurse monitor; A treating physician or nurse practitioner; or An individual from the Department; Allow participants to have a significant role in the delivery of their specific care including: Directing the services and supports identified in their plan of service; and Exercising as much control as desired to select, train, schedule, determine duties, and dismiss the personal assistance worker in their home; Notify the Department in writing at least 45 days in advance of any: Voluntary closure; Change of ownership; Change of location; Sale of the business; Change in the name under which the provider is doing business; or Change in provider tax identification number; Include in the notice to the Department the method for informing participants and representatives of its intent to close, change ownership, change location, or sell its business; Include in the notice to the Department, and inform participants and representatives, of the transition plan developed by the agency to ensure continuity of services to participants; If applicable, apply for a new license whenever ownership is to be transferred from the person or organization named on the license to another person or organization in time to assure continuity of services; Submit a Medicaid provider application to the Department if the new owner chooses to participate in the Program; At least monthly, collect and maintain the participant’s signature, or that of the participant’s representative when applicable, verifying services rendered; and Conduct a criminal history records check on all direct service workers including nurses, in accordance with the procedure for a State criminal history records check established under Health-General Article, Title 19, Subtitle 19, Annotated Code of Maryland. A worker who performs delegated nursing services in accordance with COMAR 10.27.11 shall: If required to administer medications in accordance with the plan of service, be a certified medications technician; and If performing other delegated nursing functions, also be a certified nursing assistant. A personal assistance provider agency may not assign the participant’s representative to provide services to that participant.