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<regulation prefix="Regulation" num=".08" citation="COMAR 10.34.11.08" title_num="10" subtitle_num="34" chapter_num="11" heading="Mitigating and Aggravating Factors to Be Considered in the Assessment of the Sanction and Penalty.">
  <paragraph num="A.">
    <text>Depending upon the facts and circumstances of each case, and to the extent that they apply, the Board may consider the following mitigating and aggravating factors in determining whether the sanction in a particular case should fall outside the range of sanctions established by the guidelines. These factors may include, but are not limited to, the following:</text>
    <paragraph num="(1)">
      <text>Mitigating Factors:</text>
      <paragraph num="(a)">
        <text>The licensee’s, registrant’s, or permit holder’s lack of a prior disciplinary record;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The licensee, registrant, or permit holder self-reported the violation to the Board;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The licensee’s, registrant’s, or permit holder’s full and voluntary admission of misconduct to the Board and cooperation during Board proceedings;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The licensee, registrant, or permit holder implemented remedial measures to correct or mitigate harm arising from the misconduct;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>The licensee, registrant, or permit holder made a timely good-faith effort to make restitution or to rectify the consequences of the misconduct;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Evidence of rehabilitation or rehabilitative potential;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Absence of premeditation to commit the misconduct;</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Absence of potential harm to public or adverse impact; and</text>
      </paragraph>
      <paragraph num="(i)">
        <text>The licensee’s, registrant’s, or permit holder’s conduct was an isolated incident and not likely to recur; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Aggravating Factors:</text>
      <paragraph num="(a)">
        <text>The licensee, registrant, or permit holder has a previous criminal or administrative disciplinary history;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The violation was committed deliberately or with gross negligence or recklessness;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The violation had the potential for, or caused, serious patient harm;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The violation was part of a pattern of detrimental conduct;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>The licensee, registrant, or permit holder was motivated to perform the violation for financial gain;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>The vulnerability of the patient or customer;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>The licensee, registrant, or permit holder attempted to hide error or misconduct from patients or others;</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Previous attempts at rehabilitation of the licensee, registrant, or permit holder were unsuccessful; and</text>
      </paragraph>
      <paragraph num="(i)">
        <text>The licensee, registrant, or permit holder committed the violation under the guise of treatment.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The existence of one or more of these factors does not impose on the Board or an Administrative Law Judge any requirement to articulate its reasoning for not exercising its discretion to impose a sanction outside of the range of sanctions set forth in this chapter.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Nothing in this regulation requires the Board or an Administrative Law Judge to make findings of fact with respect to any of these factors.</text>
  </paragraph>
</regulation>