<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".16" citation="COMAR 10.27.03.16" title_num="10" subtitle_num="27" chapter_num="03" heading="Annual Review.">
  <paragraph num="A.">
    <text>Annually, a program shall submit the following to the Board:</text>
    <paragraph num="(1)">
      <text>An annual report on the form that the Board requires;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A program catalog;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Any annual reports to the BRNAA;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Any correspondence related to the status of the program's accreditation;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>A summary of practices followed in safeguarding the health and well-being of students;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>An audited fiscal report covering the previous 2 years, including a statement of income and expenditures; and</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Accurate and complete data including, but not limited to, number of enrollments, admissions, graduates, and faculty.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Annually, the Board shall:</text>
    <paragraph num="(1)">
      <text>Review each program’s annual report, supporting documentation, and the licensure examination performance of first-time candidates from each program;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Notify each program achieving less than 90 percent of the national success rate; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>If necessary, conduct a survey or site visit, issue recommendations, place a program on conditional approval, or issue a formal notice of violation and withdraw approval in accordance with Regulation .17 of this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Approval may be reduced to conditional status for the following reasons:</text>
    <paragraph num="(1)">
      <text>Noncompliance with this chapter;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Failure to hire faculty who meet the qualifications as stated in Regulation .08 of this chapter;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Noncompliance with the school’s stated philosophy, program design, objectives, or policies;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Failure to submit records and reports to the Board in a timely manner;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Failure to implement the approved curriculum;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>In accordance with §D of this regulation, failure to maintain the required passing rate on the licensing examination by first-time candidates;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Failure to annually document that all faculty have current licenses; and</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Other activities or situations, as determined by the Board, that indicate a program is in jeopardy of violating statutory and regulatory requirements and standards.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Unacceptable Performance on Licensure Examination.</text>
    <paragraph num="(1)">
      <text>The Board shall issue a warning to a program when the pass rate of first-time candidates does not comply with §B(2) of this regulation.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>For the first year a program does not meet the requirements of §B(2) of this regulation and following the warning in §D(1) of this regulation, the program shall, within 30 calendar days, provide to the Board:</text>
      <paragraph num="(a)">
        <text>A report that identifies the factors believed to have contributed to the unacceptable performance; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>An action plan to be approved by the Board.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Second Successive Year Not in Compliance.</text>
      <paragraph num="(a)">
        <text>For the second successive year that a program is not in compliance with §B(2) of this regulation, the program shall be placed on conditional approval and shall:</text>
        <paragraph num="(i)">
          <text>Provide the Board with a report analyzing all aspects of the educational program and identifying areas that may be contributing to the unacceptable performance; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Obtain the services of a Board-approved outside consultant with expertise in nursing education congruent with program needs.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>The Board’s professional staff shall conduct a survey visit to the school and provide a report to the Board.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>If compliance with the minimum licensure examination performance standard for first-time candidates is not made by the program within 1 examination year from the date of conditional approval, approval may be withdrawn.</text>
    </paragraph>
  </paragraph>
</regulation>