<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.47.04.04" title_num="10" subtitle_num="47" chapter_num="04" heading="Type and Duration of Certification.">
  <paragraph num="A.">
    <text>Initial Certification.</text>
    <paragraph num="(1)">
      <text>After receipt of the completed written or electronic application provided by the Administration and after inspection by the Office of Health Care Quality, if there are no deficiencies, the Administration shall grant an initial certification.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The initial certification is valid for a period in the discretion of the Administration, not to exceed 6 months.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Provisional Certification.</text>
    <paragraph num="(1)">
      <text>After a program has been in operation for 4 months, after inspection by the Office of Health Care Quality, and, if there are deficiencies which are not life threatening, the Administration, with the program's consent, may grant a provisional certification to permit the program to correct its deficiencies as set forth in its plan of correction.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>If upon review of a written or electronic renewal application provided by the Administration, the Office of Health Care Quality finds deficiencies which are not life threatening, the Administration may grant a provisional certification to permit the program to correct the deficiencies as set forth in the plan of correction.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A provisional certification is valid for a period in the discretion of the Administration, not to exceed 6 months, and may be issued once.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>General Certification.</text>
    <paragraph num="(1)">
      <text>After a program has been in operation for 4 months, after inspection by the Office of Health Care Quality, if there are no deficiencies, the Administration shall grant the program a general certification.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A general certification is valid for 2 years from date of issue.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Surrender of Certification. A program shall surrender its certificate to the Administration on:</text>
    <paragraph num="(1)">
      <text>Revocation of the program's certification by the Administration;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Sale of the program;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Transfer of the program;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Assignment of the program;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Lease of the program;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Relocation of the program; or</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Voluntary decision to close the program.</text>
    </paragraph>
  </paragraph>
</regulation>