<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.21.22.04" title_num="10" subtitle_num="21" chapter_num="22" heading="Process for Annual Approval of a Residence.">
  <paragraph num="A.">
    <text>Annual Review of a Residence. Within not more than 1 year from the date of the last certificate of approval of a residence, the residential specialist, using the residential checklist, shall:</text>
    <paragraph num="(1)">
      <text>Conduct an on-site evaluation to:</text>
      <paragraph num="(a)">
        <text>Inspect the residence for continued compliance with:</text>
        <paragraph num="(i)">
          <text>The documentation required under Regulation .03C(1)(b) of this chapter; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Site requirements outlined in Regulation .05 of this chapter, using the residential checklist;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Document residents' assessment of the residence and of services described in Regulations .05, .08, and .09 of this chapter through face-to-face interviews, in an RRP residence of:</text>
        <paragraph num="(i)">
          <text>One to three residents, with at least one individual; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Four or more residents, with at least 30 percent of the individuals living in the residence; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>Verify, when appropriate:</text>
        <paragraph num="(i)">
          <text>Residents' collection of entitlements; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>The program's fee collections;</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Based on the inspection conducted under §A(1)(a) of this regulation, issue the certification or notice described in Regulation .03C(4)(a) of this chapter to the RRP program director, with copies to the:</text>
      <paragraph num="(a)">
        <text>PRP program director; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Director of the CSA; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Notify the RRP program director, in writing, of significant information collected under §A(1)(b) or (c) of this regulation.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Notice of Noncompliance with Site Requirements. If the residential specialist finds that the residence is not in compliance with a site requirement or requirements outlined in Regulation .05 of this chapter, the residential specialist shall:</text>
    <paragraph num="(1)">
      <text>If the deficiency does not pose an imminent risk to the health, safety, or welfare of an individual served:</text>
      <paragraph num="(a)">
        <text>Give the RRP program director written notice of provisional approval, identifying the deficiency and the time frame, of not more than 30 days, to correct the deficiency; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>If necessary, reinspect the residence to determine compliance;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>If the deficiency poses a risk to the health, safety, or welfare of an individual served;</text>
      <paragraph num="(a)">
        <text>Give the RRP program director written notice that the Department intends not to approve the residence, citing the reason for the disapproval, with copies to the:</text>
        <paragraph num="(i)">
          <text>PRP program director; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Director of the CSA; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Request corrective action within 24 hours;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>If the deficiency cited under:</text>
      <paragraph num="(a)">
        <text>§B(1) of this regulation is within 30 days:</text>
        <paragraph num="(i)">
          <text>Corrected, issue a certificate of general approval; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Not corrected, reevaluate the approval status of the residence and provide that information to the Department's designated approval unit for consideration when evaluating the approval status of the RRP; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Section B(2) of this regulation is not corrected within 24 hours, give the RRP program director, with copies to the PRP program director and Director of the CSA, written notice of:</text>
        <paragraph num="(i)">
          <text>The emergency suspension of the approval of the residence, under State Government Article, §10-226, Annotated Code of Maryland;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Hearing rights, as provided in COMAR 10.21.16.11; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>The obligation to relocate residents according to the provisions of §C of this chapter.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Relocation of Residents. If approval of a residence is suspended under the provisions of §B(3)(b) of this regulation, the RRP director shall relocate residents according to the plan adopted under Regulation .05D of this chapter.</text>
  </paragraph>
  <paragraph num="D.">
    <text>Extension of Approval Status of a Residence. If the residential specialist does not complete a site inspection before an on-site review by the Department's designated approval unit, the Secretary shall maintain the RRP's existing approval status, pending receipt of the residential specialist's determination of approval status of a residence or residences.</text>
  </paragraph>
</regulation>