<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.22.03.04" title_num="10" subtitle_num="22" chapter_num="03" heading="Intermediate Sanctions.">
  <paragraph num="A.">
    <text>After notice and an opportunity for a hearing, the Director may impose any intermediate sanctions listed in §B of this regulation if:</text>
    <paragraph num="(1)">
      <text>Deficiencies have a moderate impact and the scope of the deficiencies occurs on an isolated, low, repeated, or widespread basis; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Deficiencies have a severe impact and the scope of the deficiencies occurs on an isolated, low, repeated, or widespread basis.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>For purposes of §A of this regulation, intermediate sanctions include:</text>
    <paragraph num="(1)">
      <text>A directed plan of correction, when the licensee is directed to take a specific action by a certain date;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A mandatory staffing pattern, when the Administration defines for the licensee the level of individual supervision required at a particular site or program;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Mandatory training, when the Administration identifies deficient areas in which training is needed;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Individual relocation, when the Administration reserves the right to relocate an individual to another licensee in order to protect the health or safety of the individual;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Expansion ban, when the Administration retains the authority to prohibit the licensee from obtaining additional sites, admitting individuals, or providing additional services at the site;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Imposition of an intensive monitoring protocol by the Administration; or</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Imposition of a temporary site monitor, when the Administration maintains an on-going physical presence for the purpose of providing assistance and evaluating the extent of the licensee's corrective actions.</text>
    </paragraph>
  </paragraph>
</regulation>