# COMAR Title 10 — Maryland Department of Health

## Subtitle 12 — Adult Health

### Chapter 04 — Day Care for the Elderly and Adults with a Medical Disability

#### Regulation .43 Sanctions.

*COMAR 10.12.04.43*

A. If the Department determines that a deficiency or deficiencies exist, the Secretary may impose sanctions against the licensee.

B. The Secretary may impose the following sanctions, as appropriate:

  (1) Direct the licensee to correct the deficiencies in a specific manner or within a specific time frame, or both;

  (2) Require the center to use the services of a management firm that is approved by the Department;

  (3) Mandate staffing patterns that specify the number of personnel or personnel qualifications, or both;

  (4) Appoint a State monitor, as described in Regulation .44 of this chapter;

  (5) Restrict the number of participants that a center may admit;

  (6) Impose a civil money penalty;

  (7) Impose emergency suspension of license; and

  (8) Deny or revoke a license.

C. If the Secretary determines that the licensee has violated a condition or requirement of an imposed sanction the Secretary may revoke the license.

D. Grievances.

  (1) A licensee that is aggrieved by the imposition of a sanction under §B(4)—(8) or C of this regulation may appeal the Secretary's action by filing a request for a hearing in accordance with Regulation .53 of this chapter.

  (2) A licensee that is aggrieved by the imposition of a sanction under §B(2) and (3) of this regulation may request a show cause hearing before the Director of the Office of Health Care Quality to show cause why these remedies should not be enforced.