# COMAR Title 10 — Maryland Department of Health

## Subtitle 21 — Behavioral Health Regulations

### Chapter 14 — Resident Grievance System

#### Regulation .07 Grievance Procedure Stage 2: Unit Director's Response.

*COMAR 10.21.14.07*

A. The unit director shall:

  (1) Review the rights advisor's report;

  (2) Discuss the matter with any individual involved; and

  (3) Within 5 working days of receipt of the report, decide whether to:

    (a) Accept the rights advisor's report, completely or in part with respect to the facts as found; or

    (b) Modify or reject the recommendations made by the rights advisor.

B. The unit director shall write and forward a decision to the rights advisor, who shall forward copies to the grievant, the CEO and, if involved, the grievant's LAP.

C. If the unit director concludes that a grievance has been substantiated and requires remedial action, the unit director immediately shall:

  (1) Notify the CEO and, if indicated, the clinical director; and

  (2) Provide a remedy, which may include, but is not limited to:

    (a) Directing a change in practice; or

    (b) Seeking approval for changes in policy.

D. If the grievant is:

  (1) Satisfied with the action taken by the unit director, the grievance ends at this stage; or

  (2) Dissatisfied with the action taken by the unit director and wishes to pursue the grievance, the rights advisor shall:

    (a) If the grievant requests the review, request a review by the residents' rights committee, notifying the CEO of the request for the review; and

    (b) Subsequently request a review by the CEO.