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<regulation prefix="Regulation" num=".11" citation="COMAR 10.22.02.11" title_num="10" subtitle_num="22" chapter_num="02" heading="Staffing Requirements.">
  <paragraph num="A.">
    <text>Following an analysis of the number of individuals the licensee intends to serve and the needs of each of these individuals being served, the licensee shall develop and implement a staffing plan that adequately addresses the health and safety needs of each individual and provides each individual with the services identified in the IP. The staffing plan may include any person who meets the training requirements of this regulation and who does not have a criminal history as set forth in §B of this regulation. A staff person who meets the above criteria may assume all responsibilities previously assigned to a qualified developmental disabilities professional.</text>
  </paragraph>
  <paragraph num="B.">
    <text>A licensee may not employ or contract with any person who has a criminal history which would indicate behavior potentially harmful to individuals, documented through either a criminal history records check or a criminal background check, pursuant to Health-General Article, §19-1902 et seq., Annotated Code of Maryland, and COMAR 12.15.03.</text>
  </paragraph>
  <paragraph num="C.">
    <text>The licensee shall develop and implement staff and care provider training and ensure through appropriate documentation that, before being assigned independent duties:</text>
    <paragraph num="(1)">
      <text>All staff and care providers receive adequate training to perform their assigned duties;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>All staff and care providers successfully complete the Administration's approved training to meet the specific needs of the individuals they serve and to carry out their assigned duties, such as training in:</text>
      <paragraph num="(a)">
        <text>Seizure disorders,</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Principles of behavior change,</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Management of disruptive behaviors,</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Medication administration, and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>The aging process and the special needs of the elderly; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>All staff and care providers receive training in blood-borne pathogens in accordance with OSHA guidelines found in 29 CFR §1910.1030, which is incorporated by reference.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>All staff and care providers shall receive Administration-approved training within 3 months of hire in the following:</text>
    <paragraph num="(1)">
      <text>Community integration and inclusion,</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Individual-directed, outcome-oriented planning for individuals,</text>
    </paragraph>
    <paragraph num="(3)">
      <text>General characteristics and needs of individuals served,</text>
    </paragraph>
    <paragraph num="(4)">
      <text>First aid and cardiopulmonary resuscitation (CPR), based on the guidelines of the American Red Cross or another nationally recognized organization,</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Fundamental rights of individuals with developmental disabilities,</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Communicable diseases,</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Supporting individuals and families in making choices, and</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Communication skills.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>A licensee shall develop and adopt:</text>
    <paragraph num="(1)">
      <text>Written job descriptions that include the nature and extent of training and experience required for each position; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A policy to prevent employment discrimination.</text>
    </paragraph>
  </paragraph>
</regulation>