<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".09" citation="COMAR 10.21.04.09" title_num="10" subtitle_num="21" chapter_num="04" heading="Denial and Emergency Suspension of Licensure and Disciplinary Action.">
  <paragraph num="A.">
    <text>Denial of License.</text>
    <paragraph num="(1)">
      <text>If the Secretary proposes to deny a license to an applicant under the provisions of this chapter, the Secretary shall give written notice of the proposed denial to the:</text>
      <paragraph num="(a)">
        <text>Chairman of the governing body;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Program director;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Administration; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>As applicable, either the CSA director or the health officer.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>In the notice under §A(1) of this regulation, the Secretary shall include:</text>
      <paragraph num="(a)">
        <text>The date on which the Secretary proposes to deny the license;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Location, including street address, to which the proposed denial applies;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The facts that warrant the proposed denial of the license;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Citation of the regulation or regulations upon which the proposed denial is based; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Notification that, before the deprivation of a license, the group home may request a hearing under the provisions of Regulation .12 of this chapter.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>If, after notice and opportunity to be heard, the Secretary denies a license to a group home, the governing body shall assure that, within 10 working days, the program director:</text>
      <paragraph num="(a)">
        <text>Notifies the residents in the group home of the denial;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>When appropriate, notifies the CSA or the Administration of the denial and cooperates with the CSA or the Administration in accessing appropriate alternate housing for individuals in the group home; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Ceases operations of the group home.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Emergency Suspension of License.</text>
    <paragraph num="(1)">
      <text>Pursuant to State Government Article, §10-226, Annotated Code of Maryland, upon findings of conditions that pose an imminent risk to the health, safety, or welfare of an individual served by a group home, the Secretary may order the immediate suspension of the license of the group home and the cessation of operations.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>If the Secretary takes the action under §B(1) of this regulation, the Secretary shall promptly give written notice of the proposed emergency suspension to the:</text>
      <paragraph num="(a)">
        <text>Chairman of the governing body;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Program director;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Administration; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>As applicable, either the CSA director or the health officer.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>In the notice under §B(2) of this regulation, the Secretary shall include:</text>
      <paragraph num="(a)">
        <text>The effective date of the emergency suspension;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Location, including street address, to which the emergency suspension applies;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The findings under §B(1) of this regulation and the reasons that support the findings;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Notification that:</text>
        <paragraph num="(i)">
          <text>Following the emergency suspension, the group home may request a hearing under the provisions of Regulation .12 of this chapter; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>The emergency suspension may lead to revocation of the license if the violation or violations are not corrected within the time period specified by the Department.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>If the Secretary suspends the license, the governing body shall assure that the program director immediately takes the action described under §A(3) of this regulation.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Disciplinary Action.</text>
    <paragraph num="(1)">
      <text>The Secretary may propose to take any of the following disciplinary actions against the license to operate a group home:</text>
      <paragraph num="(a)">
        <text>Revocation;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Suspension;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Probation, with conditions; or</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Banning new admissions.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The Secretary may propose to take one of the actions outlined in §C(1) of this regulation if the group home:</text>
      <paragraph num="(a)">
        <text>Is out of compliance with the requirements of this chapter; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Obtains or attempts to obtain licensure by fraud, misrepresentation, or the submission of false information to the Secretary.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Within 45 calendar days in advance of the proposed action taken under this regulation, the Secretary shall send written notice of the proposed action to the:</text>
      <paragraph num="(a)">
        <text>Chairman of the governing body;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Program director;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Administration; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>As applicable, either the CSA director or the health officer.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>In the notice under §C(3) of this regulation, the Secretary shall include:</text>
      <paragraph num="(a)">
        <text>The date on which the Secretary proposes to take action against the license;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Location, including street address, to which the proposed action applies;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The facts that warrant the proposed action;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Citation of the regulation or regulations upon which the proposed action is based; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Notification that, before the action, the group home has the right to request a hearing under the provisions of Regulation .12 of this chapter.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>If, after notice and opportunity to be heard, the Secretary takes disciplinary action, the governing body shall assure that, within 10 working days, the program director takes the action described under §A(3) of this regulation.</text>
    </paragraph>
  </paragraph>
</regulation>