<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".26" citation="COMAR 10.12.04.26" title_num="10" subtitle_num="12" chapter_num="04" heading="Records.">
  <paragraph num="A.">
    <text>Records. The center shall maintain records that are needed to operate the center, as required by the Department, and to document the progress of the participants.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Retention. The center shall maintain participants' records for at least 5 years from the date of discharge, except as provided in Health-General Article, §4-403, Annotated Code of Maryland.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Confidentiality. The center shall maintain records so that they are accessible only to the director, the staff, emergency personnel, and to funding and monitoring agencies. The center may not discuss or reveal the contents of the records with any persons other than those listed above without the participant's written permission.</text>
  </paragraph>
  <paragraph num="D.">
    <text>Required Records.</text>
    <paragraph num="(1)">
      <text>Participant Records. The center shall maintain at least the following information for each participant:</text>
      <paragraph num="(a)">
        <text>Name, age, sex, address, and telephone number;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Name and telephone number of the individual to be notified in case of emergency;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Next of kin;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Medicare, Medicaid, or private insurance member enrollment numbers related to health care benefits;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Name and address of primary care provider, with changes noted and dated when change occurs;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Functional assessment with original and revised versions noting participant progress;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Assessment of the home environment at the time of intake and as needed, or at change of home address;</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Individual plan of care;</text>
      </paragraph>
      <paragraph num="(i)">
        <text>Admission physical and subsequent additional information;</text>
      </paragraph>
      <paragraph num="(j)">
        <text>Medications and adverse drug reactions; and</text>
      </paragraph>
      <paragraph num="(k)">
        <text>Accidents.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Personnel Records. The center shall maintain the following information for each staff member:</text>
      <paragraph num="(a)">
        <text>Name, age, sex, address, and telephone number;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Educational background;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Employment history and notes on references;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Performance evaluations and attendance;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Individual to be notified in case of emergency;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Documentation that the individual is free from tuberculosis, measles, mumps, rubella, and varicella as evidenced by:</text>
        <paragraph num="(i)">
          <text>Physician’s statement;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Positive disease histories affirmed by employee’s signature;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Antibody serology’s of titer;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Skin tests; or</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Statement of vaccinations, affirmed by the employee signature;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(g)">
        <text>Evidence that the annual influenza vaccine has been advised;</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Any impairment which would hinder the performance of assigned responsibilities; and</text>
      </paragraph>
      <paragraph num="(i)">
        <text>Documentation of a criminal history records check in accordance with Health-General Article, §19-1901, Annotated Code of Maryland;</text>
      </paragraph>
      <paragraph num="(j)">
        <text>The official driving record and a copy of a valid driver's license if driving is a condition of employment; and</text>
      </paragraph>
      <paragraph num="(k)">
        <text>Copies of written agreements with consultants, including services to be provided.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Volunteer Records.</text>
      <paragraph num="(a)">
        <text>The center shall urge that volunteers accept annual influenza vaccination and tuberculin testing as considered necessary by the center.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The center shall give appropriate health care information to such volunteers to provide maximum protection to residents.</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The center shall maintain documentation of the discussion between the center and the volunteer concerning influenza vaccine and tuberculin testing.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Administrative and Fiscal Records. The center shall maintain the following administrative and fiscal records:</text>
      <paragraph num="(a)">
        <text>Expenditures with substantiating documentation;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Current and projected annual operating budgets, including specific cost allocations and formula for determining projected expenditures, and including accurate per diem costs;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Fee charged, and fee schedule, if appropriate;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Records of in-service training offered by the center;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Current inspection reports from the health and fire departments;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>The daily schedule of activities;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Daily menu of meals and snacks served for a 30-day period;</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Attendance records; and</text>
      </paragraph>
      <paragraph num="(i)">
        <text>Audit reports.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>