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<regulation prefix="Regulation" num=".05" citation="COMAR 10.38.10.05" title_num="10" subtitle_num="38" chapter_num="10" heading="Mitigating and Aggravating Factors to be Considered in the Assessment of the Sanction and Penalty.">
  <paragraph num="A.">
    <text>Depending on the facts and circumstances of each case, and to the extent that the facts and circumstances apply, the Board may consider, but not be limited to, the mitigating and aggravating factors outlined in §§B and C of this regulation in determining whether the sanction in a particular case should fall outside the range of sanctions established by the guidelines.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Mitigating Factors. The Board may consider the following mitigating factors:</text>
    <paragraph num="(1)">
      <text>The licensee’s lack of a prior disciplinary record;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The licensee self-reported the violation to the Board;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The licensee’s full and voluntary admission of misconduct to the Board and cooperation during Board proceedings;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The licensee implemented remedial measures to correct or mitigate harm arising from the misconduct;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>The licensee made timely good-faith effort to make restitution or to rectify the consequences of the misconduct;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Evidence of rehabilitation or rehabilitative potential;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Absence of premeditation to commit the misconduct;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Absence of potential harm to the public or adverse impact; and</text>
    </paragraph>
    <paragraph num="(9)">
      <text>The licensee’s conduct was an isolated incident and not likely to recur.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Aggravating Factors. The Board may consider the following aggravating factors:</text>
    <paragraph num="(1)">
      <text>The licensee has a previous criminal or administrative disciplinary history;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The violation was committed deliberately or with gross negligence or recklessness;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The violation had the potential for, or caused, serious patient harm;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The violation was part of a pattern of detrimental conduct;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>The licensee was motivated to perform the violation for financial gain;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>The vulnerability of the patient or patients;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>The licensee attempted to hide error or misconduct from patients or others;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Previous attempts at rehabilitation of the licensee were unsuccessful; and</text>
    </paragraph>
    <paragraph num="(9)">
      <text>The licensee committed the violation under the guise of treatment.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <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="E.">
    <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>