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<regulation prefix="Regulation" num=".02" citation="COMAR 10.33.01.02" title_num="10" subtitle_num="33" chapter_num="01" heading="Definitions.">
  <paragraph num="A.">
    <text>In this subtitle, the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“Administrator-in-training (AIT)” means an applicant approved by the Board to train to practice as a nursing home administrator in a nursing home under the supervision of a preceptor pursuant to this subtitle.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Administrator-in-training (AIT) contract” means a document signed by an AIT and a preceptor which includes requirements of the AIT program.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Administrator-in-training (AIT) program” means a Board-approved program which consists of practical training and experience in nursing home administration.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Alternate assisted living manager” means an individual who is available to assume the duties of the licensed assisted living manager for a licensed assisted living program when the licensed assisted living manager is temporarily unavailable to perform the duties of an assisted living manager.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Assisted living manager” means an individual who is:</text>
      <paragraph num="(a)">
        <text>Designated by an assisted living program to oversee the overall day-to-day operations of an assisted living program; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Responsible for the duties set forth under COMAR 10.07.14.15.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(6)">
      <text>Assisted Living Program.</text>
      <paragraph num="(a)">
        <text>“Assisted living program” means a residential or facility-based program for two or more residents that provides long-term housing and supportive services, supervision, personalized assistance, health-related services, or a combination of those that meets the needs of the individuals who are unable to perform or who need assistance in performing the activities of daily living or instrumental activities of daily living in a way that promotes optimum dignity and independence for the individuals.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Assisted living program” does not include:</text>
        <paragraph num="(i)">
          <text>A nursing home as defined by Health-General Article, §19-1401, Annotated Code of Maryland;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A nursing facility as defined by Health-General Article, §19-301, Annotated Code of Maryland;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>A State facility, as defined under Health-General Article, §10-101, Annotated Code of Maryland;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>A program licensed or approved by the Department under Health-General Article, Title 7 or Title 10, Annotated Code of Maryland;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>A hospice care program licensed by the Department under Health-General Article, Title 19, Annotated Code of Maryland;</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>Services provided by family members;</text>
        </paragraph>
        <paragraph num="(vii)">
          <text>Services provided by a licensed residential service agency or licensed home health agency in an individual’s own home; or</text>
        </paragraph>
        <paragraph num="(viii)">
          <text>A Certified Adult Residential Environment Program that is certified by the Department of Human Services under Human Services Article, §§6-508—6-513, Annotated Code of Maryland.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>“Board” means the State Board of Long-Term Care Administrators.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Central Repository” means the Criminal Justice Information System Central Repository of the Maryland Department of Public Safety and Correctional Services.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Department” means the Maryland Department of Health.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Endorsement applicant” means an individual applying for a license to practice nursing home administration in the State who is licensed in another state to practice nursing home administration.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“Family” means:</text>
      <paragraph num="(a)">
        <text>A spouse;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A child;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A sibling;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>A parent;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>A grandparent;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>A niece or nephew; or</text>
      </paragraph>
      <paragraph num="(g)">
        <text>An uncle or aunt.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(12)">
      <text>“Family-owned or family-operated nursing facility” means a nursing home owned or operated by any one or more of the following relatives of the AIT:</text>
      <paragraph num="(a)">
        <text>A spouse;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A parent;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A child;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>A sibling;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>A grandparent;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>A grandchild;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>A stepparent;</text>
      </paragraph>
      <paragraph num="(h)">
        <text>A stepchild;</text>
      </paragraph>
      <paragraph num="(i)">
        <text>An uncle or aunt;</text>
      </paragraph>
      <paragraph num="(j)">
        <text>A first cousin;</text>
      </paragraph>
      <paragraph num="(k)">
        <text>A nephew or niece;</text>
      </paragraph>
      <paragraph num="(l)">
        <text>A father-in-law or mother-in law;</text>
      </paragraph>
      <paragraph num="(m)">
        <text>A son-in-law or daughter-in-law; or</text>
      </paragraph>
      <paragraph num="(n)">
        <text>A brother-in-law or sister-in-law.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(13)">
      <text>“License” means, unless the context requires otherwise, official authorization issued by the Board to practice as:</text>
      <paragraph num="(a)">
        <text>A nursing home administrator under Health Occupations Article, Title 9, Subtitle 3, Annotated Code of Maryland; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>An assisted living manager under Health Occupations Article, Title 9, Subtitle 3A, Annotated Code of Maryland.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(14)">
      <text>“Licensee” means, unless the context requires otherwise, an individual licensed by the Board to practice as:</text>
      <paragraph num="(a)">
        <text>A nursing home administrator; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>An assisted living manager.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(15)">
      <text>“National Association of Long Term Care Administrator Boards (NAB)” means the organization that commissions the services of a third-party administrator of the State and national examinations for long term care administrators.</text>
    </paragraph>
    <paragraph num="(16)">
      <text>“Nursing home” means a facility or institution as defined in Health Occupations Article, §9-101(i), Annotated Code of Maryland, and includes:</text>
      <paragraph num="(a)">
        <text>A comprehensive care facility or extended care facility which offers non-acute inpatient care to residents who:</text>
        <paragraph num="(i)">
          <text>Have a disease, chronic illness, condition, disability of advanced age, or terminal disease requiring maximal nursing care without continuous hospital services; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Require medical services and nursing services rendered by or under the supervision of a licensed nurse together with convalescent, restorative, or rehabilitative services; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>A nursing facility as defined under federal or State law.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(17)">
      <text>“Nursing home administrator” means an individual licensed by the Board, who:</text>
      <paragraph num="(a)">
        <text>Administers, directs, manages, supervises, or is in general administrative charge of a nursing home, whether or not the individual has an ownership interest in the facility, and whether or not the individual's functions and duties are shared with one or more individuals; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is in supervisory control over one or more nursing home administrators of one or more nursing homes and has authority to substitute the supervisor's judgment for that of the administrator of record in the day-to-day operation of the facility.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(18)">
      <text>“Person” means any individual, guardian, personal representative, company, corporation, partnership, limited liability company, association, representative of any kind, or non-governmental entity.</text>
    </paragraph>
    <paragraph num="(19)">
      <text>“Practice of assisted living management” means the exercise of final authority of any act or in the making of any decision involved in the planning, organizing, directing, or controlling of the day-to-day operation of an assisted living program.</text>
    </paragraph>
    <paragraph num="(20)">
      <text>“Practice of nursing home administration” means the exercise of final authority of any act or in the making of any decision involved in the planning, organizing, directing, or controlling of the day-to-day operation of a nursing home.</text>
    </paragraph>
    <paragraph num="(21)">
      <text>“Preceptor” means an individual certified to serve as an instructor in an AIT program to be a nursing home administrator, pursuant to this subtitle.</text>
    </paragraph>
    <paragraph num="(22)">
      <text>“State standards exam” means an examination developed by the Board based on the following chapters:</text>
      <paragraph num="(a)">
        <text>COMAR 10.07.02;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>COMAR 10.07.09;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>COMAR 10.09.10;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>COMAR 10.09.24; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>COMAR 10.15.03.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>