This chapter governs crematory inspections, standards, the complaint process, investigations, grounds for discipline, and penalties. A crematory shall be available for inspection by a representative of the Board at any time during operating hours. A crematory shall be inspected: On at least a biennial basis; In furtherance of an investigation; or Upon the sale or change of ownership of the crematory. The permit holder or any person responsible for day-to-day operation of the cremation machinery or the alkaline hydrolysis unit shall be available to accompany the inspector during the inspection and sign the initial inspection report. A copy of the inspection report shall be provided to the permit holder or the registered crematory operator responsible for the day-to-day operation of the crematory. A crematory shall maintain the following minimum standards: The premises shall be maintained in a sanitary manner to comply with Centers for Disease Control’s guidelines on universal precautions; Except by express written consent of the authorizing agents to perform simultaneous, multiple cremations or alkaline hydrolyses, there may not be more than one human body cremated or hydrolyzed simultaneously in a single cremator or alkaline hydrolysis unit at a time; A cremator or an alkaline hydrolysis unit shall be completely cleaned after each cremation or alkaline hydrolysis; There may not be co-mingling of human remains and pet remains in: Refrigeration units; Cremators; or Alkaline hydrolysis units; Separate cremators or alkaline hydrolysis units shall be dedicated for the cremation or alkaline hydrolysis of human remains and the cremation or alkaline hydrolysis of pets; Except as provided in §E(2) of this regulation, there may not be: Co-mingling mingling of processed human remains with other processed human remains or pet remains; Scooping of processed human remains from a bucket containing co-mingled processed human remains Any form of misrepresentation in the return of processed human remains; Excluding a deceased person with a known communicable infection, human remains shall be properly identified before cremation or alkaline hydrolysis by verifying that the documentation accompanying the human remains is consistent with a visual observation of the human remains; Burial transit permit shall be an original document pertaining to the deceased; Each crematory shall have: A sink with hot and cold water within the work area housing the crematory equipment; and The tools necessary to thoroughly clean the floor within the work area housing the crematory equipment with water and an appropriate sanitizing agent; The name of the deceased shall be visible on the outside of the crematory container; Human remains shall be properly stored before cremation or alkaline hydrolysis; Crematories shall: Use only mechanical pulverizing equipment meeting industry standards that has been totally brushed as clean as possible between each use; and Pulverize the processed human remains with a mortar and pestle if the processed human remains are not sufficient in amount for pulverizing in mechanical equipment; Separate pulverizing drums shall be dedicated for processed human remains and processed pet remains; Processed human remains may not be held pending payment of any fees; Within 6 months of the effective date of these regulations, cremators without safety devices that prevent the automatic door from dropping unintentionally shall be retrofitted with such safety devices; Portable fans may not be used in the area of the cremator; There shall be a minimum of 6 inches between cremator smoke stack and the roof of the crematory; Before pulverizing, the mechanical pulverizer shall be clamped; A cremator shall have visible on its front a warning sign stating, “No leaning past the door of the cremator.”; The permit holder or registered crematory operator shall be present at the crematory during the operation of the: Cremator; Alkaline hydrolysis unit; or Pulverizer; and All individuals: Who operate the cremator or the alkaline hydrolysis unit in a crematory shall be certified by the Cremation Association of North America (CANA), International Cemetery, Cremation, and Funeral Association (ICCFA), or other equivalent certification recognized jointly by the Board and the Office; and Receiving training toward certification to operate a cremator or an alkaline hydrolysis unit shall be allowed to work under the supervision of a registered crematory operator who has the required certification for a period of at least 6 months. The following completed forms from previous cremations or alkaline hydrolysis shall be available at all times for inspection and copying and are subject to be pulled at random by the inspector: Crematory services authorization form; Burial transit permit; Delegation of authority form; Receipt for human remains; Record of cremation or alkaline hydrolysis; Certificate of cremation or alkaline hydrolysis; and Return of processed human remains certificate. Inspection results shall be written on forms approved by the Board. The Board representative performing the inspection shall, on completion of the inspection: Apprise the permit holder of the findings of the inspection; and Provide the permit holder or representative of the permit holder with a copy of the inspection report. The permit holder or representative of the permit holder shall sign and verify receipt of the inspection report. At the time of the Board inspection, the permit holder shall provide written documentation to the Board’s inspector that: The crematory equipment has been inspected in accordance with manufacturer specifications; In accordance with manufacturer specifications, it is not time for a manufacturer’s inspection; or The permit holder has requested that the manufacturer conduct an inspection of the crematory equipment. The Board shall review the inspection report and make a determination as to whether a deficiency exists. The Board shall notify the permit holder of the results of the inspection by providing a copy of the inspection report for the permit holder. If a permit holder passes an inspection, the permit holder shall, prominently and in public view, display on the premises a statement issued by the Board that the crematory has successfully passed an inspection. If the Board finds a deficiency, the Board shall: Within 7 days, notify the permit holder of the deficiency or failure to pass the inspection; and Provide a copy of the inspection report to the permit holder within 30 days. Correction of Deficiency. Except as provided in this section, a permit holder shall correct a deficiency within 30 days after receipt of notification or sooner as determined by the Board. The Board may require immediate correction of a deficiency if the Board considers the correction necessary in the interest of public health. The permit holder may request an extension of time for correction of a deficiency. The Board may approve an extension of time for correction of a deficiency. Upon completion of correction of all deficiencies, the permit holder shall notify the Board. Upon notification from the permit holder, a representative of the Board shall re-inspect the crematory. The Board shall notify the permit holder in writing of the results of the re-inspection by providing a copy of a new inspection report to the permit holder. If re-inspection reveals additional deficiencies not cited in the first report, the permit holder shall correct those deficiencies in the time period specified by the Board unless an extension of time is requested by the permit holder and approved by the Board. Penalties. In the event that a permit holder fails to allow an inspection of the crematory or fails to comply with a notice to correct deficiencies or violations within the time specified, the Board shall: Deem the failure to be a threat to the public health, safety, or welfare and requiring emergency action; Summarily suspend the crematory permit as provided under State Government Article, §10-226(c)(2), Annotated Code of Maryland; Provide notice of the Board’s action to the permit holder; and Provide the permit holder an opportunity to be heard. If the permit holder was issued a permit by the Board, a complaint shall be: Filed in compliance with the provisions of COMAR 10.29.11.03; and Processed in accordance with the provisions of COMAR 10.29.11.04. The Board may initiate a complaint or investigation on its own. The Board and the Office of Cemetery Oversight may share investigative information and conduct joint investigations. Pursuant to the provisions of Health Occupations Article, §§7-316 and 7-319, Annotated Code of Maryland, the Board may: Deny an applicant: A crematory permit; or A crematory operator registration; Reprimand any: Permit holder; or Registered crematory operator; or Suspend or revoke: A crematory permit; or A crematory operator registration. Pursuant to the provisions of Health Occupations Article, §7-317, Annotated Code of Maryland, if the Board, after bringing an action, finds that there are grounds for probation, suspension, or revocation, the Board may impose a penalty not exceeding $5,000. Health-General Article, §§5-502—5-504, 5-508, and 5-511—5-514; Health Occupations Article, §§7-101, 7-102, 7-205, 7-316, 7-317, 7-319, and 7-406, Annotated Code of Maryland Effective date: April 14, 2014 (41:7 Md. R. 421) Regulation .02 amended effective May 11, 2026 (53:9 Md. R. 413) Regulation .03B, E amended effective May 11, 2026 (53:9 Md. R. 413) Regulation .06A amended effective May 11, 2026 (53:9 Md. R. 413)