<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".12" citation="COMAR 10.22.02.12" title_num="10" subtitle_num="22" chapter_num="02" heading="Health and Safety Requirements.">
  <paragraph num="A.">
    <text>To obtain and maintain licensure, a licensee shall ensure that any licensed home or site in which the licensee provides services to individuals:</text>
    <paragraph num="(1)">
      <text>Meets local zoning requirements, except as otherwise set forth in Health-General Article, §7-603, Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Meets local and State building requirements;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Meets applicable life safety requirements;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Is free from safety and health hazards; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Is in good repair.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A licensee shall ensure that any licensed home or site in which the licensee provides services is free from fire hazards and has the following minimum fire safety protections:</text>
    <paragraph num="(1)">
      <text>Adequate smoke detectors;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Working and updated fire extinguishers; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A written fire evacuation plan, as required by Regulation .10A(17) of this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A licensee shall ensure that any licensed home or site in which the licensee provides services to individuals maintains its water temperature at a maximum of 110ºF, unless:</text>
    <paragraph num="(1)">
      <text>Each individual living in the home or receiving services at the site is capable of regulating water temperature safely; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>There is documentation of the capability required in §C(1) of this regulation in each individual's IP.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>In order to ensure the health and safety of individuals who require staff assistance in the administration of medication, the licensee shall:</text>
    <paragraph num="(1)">
      <text>Require that all medication be administered in accordance with the Administration's curriculum on medication training;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Provide oral, solid medications in a unit dose package unless an individual's IP indicates that this is not required;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Provide medication for an individual who is absent from a program in a separate, pharmaceutically prepared package that is easily identified by the individual administering the medication; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Request, from the pharmacy, computer-generated medication administration records, treatment administration records, and physician medication order forms.</text>
    </paragraph>
  </paragraph>
</regulation>