<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".12" citation="COMAR 10.21.13.12" title_num="10" subtitle_num="21" chapter_num="13" heading="Variance with Standards.">
  <paragraph num="A.">
    <text>Excluding the prohibition described in §B of this regulation, staff may not vary from the standards identified in this chapter unless the variation is for an extreme crisis.</text>
  </paragraph>
  <paragraph num="B.">
    <text>There may not be any variance with standards established in:</text>
    <paragraph num="(1)">
      <text>This regulation;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Regulation .03 of this chapter;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Regulation .04 of this chapter;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Regulation .05B—E, G, and I of this chapter;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Regulation .07A of this chapter;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Regulation .09 of this chapter;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Regulation .10A, D, E(1), and F of this chapter; and</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Regulation .11 of this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Staff shall document, on the facility's variance report, a variance with standards permitted under this chapter.</text>
  </paragraph>
  <paragraph num="D.">
    <text>The CEO shall rule on and document each variance permitted in §A of this regulation to determine whether the variance was:</text>
    <paragraph num="(1)">
      <text>An extreme crisis;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A deviation from the facility's procedure; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A problem in the facility's policy which is correctable by administrative action.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>The CEO shall assure that the facility's quality assurance process incorporates a monthly review of any variance permitted in §A of this regulation.</text>
  </paragraph>
</regulation>