<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".09" citation="COMAR 10.39.06.09" title_num="10" subtitle_num="39" chapter_num="06" heading="Training Program Approval.">
  <paragraph num="A.">
    <text>Approval.</text>
    <paragraph num="(1)">
      <text>Before a training program is offered, the dialysis technician training program shall be approved by the Board.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Board approval of a dialysis technician training program is valid for 2 years.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Procedure for Initial Approval.</text>
    <paragraph num="(1)">
      <text>At least 90 days before the proposed start date of the program, a program provider seeking initial approval of a dialysis technician training program shall:</text>
      <paragraph num="(a)">
        <text>Submit to the Board a complete application on the form required by the Board;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Demonstrate that the training program meets all the requirements of this regulation; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Provide any additional information requested by the Board during the Board’s review of the application.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Board Action.</text>
      <paragraph num="(a)">
        <text>Following receipt of a complete application, the Board’s professional staff may conduct a survey visit and submit a survey visit report to the Board.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The Board shall:</text>
        <paragraph num="(i)">
          <text>Approve a training program that meets all the requirements of this regulation; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Deny approval of a training program that does not meet all the requirements of this regulation.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Ongoing Responsibilities.</text>
    <paragraph num="(1)">
      <text>Board Approval of Substantial Program Changes.</text>
      <paragraph num="(a)">
        <text>An approved dialysis technician training program shall obtain approval from the Board before making any substantial changes to the program.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Substantial program changes include:</text>
        <paragraph num="(i)">
          <text>Changes to faculty;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Significant changes to curriculum, including an increase or decrease in program hours and changes to the modality of teaching; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Removal or addition of clinical facilities or classroom locations.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>An approved training program shall submit to the Board an annual report, on the form required by the Board, that includes:</text>
      <paragraph num="(a)">
        <text>Statistics on enrollments;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Program completions; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Attrition rates.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>The Board may make survey visits from time to time, without prior notice, to all approved dialysis technician training programs.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Renewal of Approval.</text>
    <paragraph num="(1)">
      <text>Expiration. Unless renewed, Board approval of a training program expires 2 years from the last date of approval.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Renewal application. At least 90 days before the date of expiration of approval, an approved training program applying for renewal shall submit:</text>
      <paragraph num="(a)">
        <text>A complete application on the form required by the Board; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>All accompanying documentation required by the application or requested by the Board.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Survey visit. Following receipt of a renewal application, the Board’s professional staff may conduct an announced or unannounced on-site survey visit and submit a survey visit report to the Board.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Board Action. The Board shall:</text>
      <paragraph num="(a)">
        <text>Renew approval of a training program for another 2-year term if the training program meets the requirements of this regulation; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Initiate withdrawal proceedings in accordance with §E of this regulation if the training program fails to meet the requirements of this regulation.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Enrollment. A training program that fails to renew its approval:</text>
      <paragraph num="(a)">
        <text>Shall be listed on nonrenewed status in the Board’s records; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>May not enroll any new students to the program following the expiration of approval.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Withdrawal of Approval.</text>
    <paragraph num="(1)">
      <text>Notice of Deficiencies.</text>
      <paragraph num="(a)">
        <text>If the Board determines that there is a basis for withdrawal of approval under §E(3) of this regulation, the Board shall issue a written notice of deficiencies to the training program.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The notice of deficiencies shall notify the training program of the:</text>
        <paragraph num="(i)">
          <text>Requirements with which the program has not complied;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Reasons for the Board’s determination; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Requirement to submit a written plan of correction in accordance with §E(2) of this regulation.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Plan of Correction.</text>
      <paragraph num="(a)">
        <text>A training program shall submit a written plan of correction within 30 days of the date of the notice of deficiencies unless granted an extension by the Board for good cause.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The written plan of correction shall:</text>
        <paragraph num="(i)">
          <text>Address all deficiencies noted by the Board; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Include dates of completion for correcting the deficiencies.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>The Board shall review the plan of correction and may approve or modify the dates of completion for correcting deficiencies.</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The training program shall correct the deficiencies within the time frame approved by the Board.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Grounds for withdrawal. The Board may withdraw approval of a training program that:</text>
      <paragraph num="(a)">
        <text>Fails to comply with any of the requirements of this regulation;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Fails to correct deficiencies within the time frame approved by the Board; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Enrolls new students after expiration of approval.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Procedure for Withdrawal.</text>
      <paragraph num="(a)">
        <text>Before withdrawing approval of a training program, the Board shall:</text>
        <paragraph num="(i)">
          <text>Notify the program of its intent to withdraw approval; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Give the program an opportunity to request an evidentiary hearing before the Board.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>The notice of intent to withdraw approval and hearing shall comply with State Government Article, Title 10, Subtitle 2, Annotated Code of Maryland.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>Reinstatement. A dialysis technician training program whose approval was withdrawn may apply for reinstatement of approval by submitting a reinstatement application demonstrating that the program meets all of the requirements of this regulation.</text>
  </paragraph>
</regulation>