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<chapter num="08" heading="Community Residential Services Program Service Plan" title_num="10" subtitle_num="22">
  <regulation prefix="Regulation" num=".01" heading="Additional Regulatory Compliance.">
    <text>In addition to this chapter, a person who provides residential services to an individual shall comply with the following regulations of this subtitle:</text>
    <paragraph num="A.">
      <text>COMAR 10.22.01;</text>
    </paragraph>
    <paragraph num="B.">
      <text>COMAR 10.22.02;</text>
    </paragraph>
    <paragraph num="C.">
      <text>COMAR 10.22.03;</text>
    </paragraph>
    <paragraph num="D.">
      <text>COMAR 10.22.04;</text>
    </paragraph>
    <paragraph num="E.">
      <text>COMAR 10.22.05; and</text>
    </paragraph>
    <paragraph num="F.">
      <text>COMAR 10.22.10, when applicable.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".02" heading="Rationale.">
    <paragraph num="A.">
      <text>Living in the community involves both a wide range of skills and choices about life style.</text>
    </paragraph>
    <paragraph num="B.">
      <text>Community residential models accommodate the wide range of choices individuals and their families make about how to live in the community.</text>
    </paragraph>
    <paragraph num="C.">
      <text>Community residential models are designed to give preference to small and individualized settings.</text>
    </paragraph>
    <paragraph num="D.">
      <text>Individuals with developmental disabilities have the same range of options about where to live in the community as are available to all people.</text>
    </paragraph>
    <paragraph num="E.">
      <text>The Administration respects personal choice regarding decisions about where and with whom individuals with developmental disabilities may live.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".03" heading="Scope.">
    <paragraph num="A.">
      <text>Current community residential service models include:</text>
      <paragraph num="(1)">
        <text>Alternative living units (ALU);</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Group homes;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Individual family care homes (IFC); and</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Community supported living arrangements (CSLA).</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>A licensee shall make every effort to provide services to an individual according to the individual's choices as identified in the IP.</text>
    </paragraph>
    <paragraph num="C.">
      <text>The range of community residential service options available to an individual may be limited by resources or lack of available sites.</text>
    </paragraph>
    <paragraph num="D.">
      <text>For transportation services other than those outlined in COMAR 10.22.07.03G, a licensee shall provide or arrange for the provision of the use of transportation services.</text>
    </paragraph>
    <paragraph num="E.">
      <text>Respite Services.</text>
      <paragraph num="(1)">
        <text>A site may be licensed to accommodate additional individuals for respite services.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Respite services for an individual:</text>
        <paragraph num="(a)">
          <text>May not exceed 45 days within any 1-year period;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>May not be provided for more than 28 consecutive days;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>May not be provided unless the licensee is provided with current health, emergency, and any other information that is essential to the licensee's ability to provide appropriate care for the individual; and</text>
        </paragraph>
        <paragraph num="(d)">
          <text>May be provided for IFC care providers only to the extent permitted by the IFC care provider contract.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="F.">
      <text>A licensee providing respite services shall:</text>
      <paragraph num="(1)">
        <text>Ensure that the health and safety needs of the individual are met; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Comply with COMAR 10.22.04 and 10.22.05 if the individual has an IP, and 10.22.10 if the individual has a behavior plan.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".04" heading="Staffing and Training.">
    <paragraph num="A.">
      <text>A licensee shall provide staffing levels and patterns as determined in the IP.</text>
    </paragraph>
    <paragraph num="B.">
      <text>A licensee shall provide or arrange for the provision of training in accordance with COMAR 10.22.02.11.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".05" heading="Setting and Location.">
    <paragraph num="A.">
      <text>An individual may receive services under this chapter in the individual's own home, in the family's home, in a current residential service model, or in any other service model approved by the Director in accordance with COMAR 10.22.02.09F.</text>
    </paragraph>
    <paragraph num="B.">
      <text>A licensee providing services under this chapter shall make every effort to provide services that are integrated in neighborhoods and communities.</text>
    </paragraph>
  </regulation>
  <annotations>
    <annotation type="Authority">Health-General Article, §§7-714, 7-903, and 7-904, Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date: July 26, 1999 (26:15 Md. R. 1148)</annotation>
  </annotations>
</chapter>