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<regulation prefix="Regulation" num=".06" citation="COMAR 10.33.07.06" title_num="10" subtitle_num="33" chapter_num="07" heading="Grounds for Sanctioning and Sanctions.">
  <paragraph num="A.">
    <text>The Board may deny a license to any applicant, suspend or revoke the license of a licensee, place on probation, reprimand, or fine a licensee after proper notice and a hearing, if the applicant or licensee:</text>
    <paragraph num="(1)">
      <text>Violated any of the provisions of law or regulations pertaining to the licensing or practice of nursing home administration or assisted living management;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Violated any of the provisions of the law or regulations of the:</text>
      <paragraph num="(a)">
        <text>Licensing or oversight authority or agency of the State for nursing homes or assisted living programs; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Federal entity having jurisdiction over the operation of nursing homes;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Is incompetent to engage in the practice of nursing home administration or assisted living management or to act as a nursing home administrator or assisted living manager;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Engaged in fraud, deceit, or misrepresentation in the licensee’s or applicant’s capacity as a nursing home administrator or assisted living manager;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Wrongfully transferred or surrendered possession of, either temporarily or permanently, an individual’s license;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Paid, gave, caused to be paid or given, or offered to pay or be given to any person a commission or other valuable consideration for the solicitation or procurement, either directly or indirectly, of nursing home or assisted living program patronage;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Used fraudulent, misleading, or deceptive advertising;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Falsely impersonated another licensee;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Endangered or sanctioned the endangerment of the safety, health, or life of any resident of a nursing home or assisted living program;</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Violated a resident’s rights or allowed a resident’s rights to be violated;</text>
    </paragraph>
    <paragraph num="(11)">
      <text>Failed to oversee and facilitate the nursing home’s or assisted living program’s quality improvement processes to the extent that the safety, health, or life of any resident has been endangered;</text>
    </paragraph>
    <paragraph num="(12)">
      <text>Willfully permitted the unauthorized disclosure of information relating to a resident or the resident’s records;</text>
    </paragraph>
    <paragraph num="(13)">
      <text>Discriminated against residents, employees, or staff on account of race, religion, national origin, sexual orientation, or disability;</text>
    </paragraph>
    <paragraph num="(14)">
      <text>Violated the Code of Ethics set forth under COMAR 10.33.06;</text>
    </paragraph>
    <paragraph num="(15)">
      <text>Engaged in sexual behavior that would be considered unethical or unprofessional according to professional standards of conduct, including, but not limited to:</text>
      <paragraph num="(a)">
        <text>Sexual behavior with a resident or patient in the context of a professional evaluation, treatment, procedure, or service to the resident or patient, regardless of the setting in which the professional service is rendered;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Sexual behavior with a resident or patient under the pretext of diagnostic or therapeutic intent or benefit;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Solicitation of a sexual relationship, whether consensual or nonconsensual, with a resident or patient;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Sexual advances requesting sexual favors;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Therapeutically inappropriate or intentional touching of a sexual nature;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>A verbal comment of a sexual nature;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Physical contact of a sexual nature with a resident or patient;</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Discussion of unnecessary sexual matters with a resident or patient;</text>
      </paragraph>
      <paragraph num="(i)">
        <text>Direct or indirect observation of a resident or patient while the resident or patient is undressing or dressing;</text>
      </paragraph>
      <paragraph num="(j)">
        <text>Taking photographs or video of a resident or patient for a sexual purpose;</text>
      </paragraph>
      <paragraph num="(k)">
        <text>Sexual harassment of staff, students, or volunteers;</text>
      </paragraph>
      <paragraph num="(l)">
        <text>An unnecessary sensual act or comment;</text>
      </paragraph>
      <paragraph num="(m)">
        <text>Sexual contact with an incompetent or unconscious client, patient, or resident; or</text>
      </paragraph>
      <paragraph num="(n)">
        <text>Offering to provide services or material in exchange for sexual favors;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(16)">
      <text>Practiced as a nursing home administrator or assistant living manager in the State without a license from the Board or without proper authorization to practice as a nursing home administrator or assistant living manager;</text>
    </paragraph>
    <paragraph num="(17)">
      <text>Falsified continuing education records; or</text>
    </paragraph>
    <paragraph num="(18)">
      <text>Failed to cooperate with an investigation, proceedings, or other requirements of the Board.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The Board may, after due notice and an opportunity to be heard, suspend or revoke an AIT’s participation in a Board-approved AIT program, upon substantial evidence that the AIT has committed any of the actions listed in §A of this regulation.</text>
  </paragraph>
  <paragraph num="C.">
    <text>A licensee shall notify the Board in writing within 30 days if the licensee has been sanctioned by a licensing authority of another state for the practice as a nursing home administrator or assistant living manager.</text>
  </paragraph>
  <paragraph num="D.">
    <text>On finding that there has been a violation of Health Occupations Article, Title 9, Annotated Code of Maryland, or this subtitle, and in accordance with the applicable notice and due process procedures, the Board may order that the:</text>
    <paragraph num="(1)">
      <text>Licensee be fined;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Licensee be reprimanded;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Licensee be placed on probation with appropriate terms and conditions;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Licensee’s license be suspended, with or without terms and conditions; or</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Licensee’s license be revoked.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>The Board may order any of the sanctions listed in §A of this regulation in combination or individually as appropriate for the violations committed by the licensee.</text>
  </paragraph>
</regulation>