<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.21.14.04" title_num="10" subtitle_num="21" chapter_num="14" heading="Duties of the Rights Advisors and Director of the RGS.">
  <paragraph num="A.">
    <text>The rights advisor shall:</text>
    <paragraph num="(1)">
      <text>Investigate all complaints in a professionally appropriate manner;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Attempt to resolve grievances fairly and thoroughly;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Prepare written reports for each grievance investigated;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Maintain the RGS reports;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Attempt to identify residents who may benefit from services offered by the LAP and:</text>
      <paragraph num="(a)">
        <text>Refer the residents identified to the LAP; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Advise the LAP of the referrals;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(6)">
      <text>Investigate abuse allegations, even though the State police and the facility also may be conducting an investigation of the same allegations;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Monitor any corrective action used to resolve grievances, and:</text>
      <paragraph num="(a)">
        <text>Notify the CEO if corrective action has not been taken; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>If corrective action has not been taken by the CEO within a reasonable period of time, notify the RGS Director;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(8)">
      <text>When a rights advisor discusses a grievance with a grievant, inform the grievant that, if the grievant requests, the rights advisor is available to attend and advocate for the grievant before the Behavioral Health Administration committees, boards, and tribunals;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Inform the grievant of the right to appeal a decision during any stage of the grievance process, and if a grievant wishes to appeal:</text>
      <paragraph num="(a)">
        <text>Upon request, file an appeal on behalf of the grievant;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Advise the grievant that the resident may be represented by a LAP following the completion of stage 2 of the grievance procedure; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>With the grievant's consent, attend and advocate in the best possible manner for the grievant on appeal, except in cases when, as a result of the rights advisor's professional judgment, the grievant's case is determined to be frivolous; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(10)">
      <text>In cases when, as a result of the rights advisor's professional judgment, the grievant's case is determined to be frivolous, forward the grievance to the Director of the RGS.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The Director of the RGS shall:</text>
    <paragraph num="(1)">
      <text>If the rights advisor for a facility is not available for 2 or more consecutive working days, designate an alternate rights advisor;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Arrange for the provision of appropriate training to:</text>
      <paragraph num="(a)">
        <text>The rights advisors; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Facility staff, regarding relevant legal documents, including Department policies and procedures, related to residents' rights;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>If a rights advisor informs the Director of the RGS that the CEO has not taken corrective action within a reasonable period of time, notify the Director of the Behavioral Health Administration, who shall ensure that grievance resolution, at any level, is implemented promptly;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>If a rights advisor informs the Director of the RGS that the rights advisor has determined that a grievant's grievance is frivolous, review the determination, and, following that review, if the Director of the RGS:</text>
      <paragraph num="(a)">
        <text>Agrees with the rights advisor and a LAP is involved, forward the grievance to the LAP, who may request continuation of the RGS process; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Does not agree with the rights advisor, notify:</text>
        <paragraph num="(i)">
          <text>The rights advisor to proceed with the grievance; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>The LAP of the action taken; and</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Make appropriate arrangements to ensure that a rights advisor shall:</text>
      <paragraph num="(a)">
        <text>Be independent to discharge responsibilities;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>As necessary to conduct an investigation, have the access to facility staff, the LAP, and others relevant to the investigation; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Have access to a resident's medical records:</text>
        <paragraph num="(i)">
          <text>Excluding conditions outlined in Regulation .05C(2)(c) of this chapter, subject to the provisions in Health-General Article, §10-701(d), Annotated Code of Maryland, or any other applicable provisions of law; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Immediately, in cases of allegations of abuse or neglect of the resident.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>