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<subtitle num="57" heading="Board for the Certification of Residential Child Care Program Professionals" title_num="10" title_heading="Maryland Department of Health">
  <chapter num="01" heading="Definitions">
    <regulation prefix="Regulation" num=".01" heading="Definitions.">
      <paragraph num="A.">
        <text>In this subtitle, the following terms have the meanings indicated.</text>
      </paragraph>
      <paragraph num="B.">
        <text>Terms Defined.</text>
        <paragraph num="(1)">
          <text>“Acting program administrator” means an individual approved by the Board to practice as an interim residential child care program administrator for 180 days unless the time period is extended by the Board.</text>
        </paragraph>
        <paragraph num="(2)">
          <text>“Automatic sponsor” means an organization that is not required to apply to the Board for approval of sponsorship of continuing education.</text>
        </paragraph>
        <paragraph num="(3)">
          <text>“Authorized sponsor” means an organization or individual that has been approved by the Board to provide continuing education programs.</text>
        </paragraph>
        <paragraph num="(4)">
          <text>“Board” means the State Board for the Certification of Residential Child Care Program Professionals.</text>
        </paragraph>
        <paragraph num="(5)">
          <text>“Central Repository” means the Criminal Justice Information System Central Repository of the Department of Public Safety and Correctional Services.</text>
        </paragraph>
        <paragraph num="(6)">
          <text>“Certificate” means a certificate issued by the Board to practice as a:</text>
          <paragraph num="(a)">
            <text>Certified residential child care program administrator; or</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Certified residential child and youth care practitioner.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(7)">
          <text>“Certified program administrator” means an individual who is:</text>
          <paragraph num="(a)">
            <text>Certified by the Board; and</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Responsible for the day-to-day management and operation of a residential child care program and for assuring the care, treatment, safety, and protection of children.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(8)">
          <text>Certified Residential Child and Youth Care Practitioner.</text>
          <paragraph num="(a)">
            <text>“Certified residential child and youth care practitioner” means an individual who is:</text>
            <paragraph num="(i)">
              <text>Certified by the Board; and</text>
            </paragraph>
            <paragraph num="(ii)">
              <text>Assigned to perform the direct responsibilities related to activities of daily living, self-help, and socialization skills in a residential child care program under the direction of a certified program administrator.</text>
            </paragraph>
          </paragraph>
          <paragraph num="(b)">
            <text>“Certified residential child and youth care practitioner” does not include an individual assigned to perform the direct responsibilities related to activities of daily living, self-help, and socialization skills in a residential child care program licensed by the Developmental Disabilities Administration.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(9)">
          <text>“Chief Administrator” means the individual, regardless of title, who is appointed by the governing body of a residential child care program as having the responsibility for the overall administration of the program.</text>
        </paragraph>
        <paragraph num="(10)">
          <text>“Child protective services background clearance” means a search by a local department of social services of a central registry established under Family Law Article, Title 5, Subtitle 7, Annotated Code of Maryland, for information about child abuse and neglect investigations relating to an individual.</text>
        </paragraph>
        <paragraph num="(11)">
          <text>“Client” means children and youth placed in the residential child care program.</text>
        </paragraph>
        <paragraph num="(12)">
          <text>“Completed application” means an application submitted to the Board that contains sufficient information for the Board to make a decision on the application.</text>
        </paragraph>
        <paragraph num="(13)">
          <text>“Continuing education” means additional professional education by means of undergraduate or postgraduate studies, institutes, seminars, lectures, conferences, workshops, or other forms of continuing professional education approved by the Board.</text>
        </paragraph>
        <paragraph num="(14)">
          <text>“Continuing education unit” means a certified program administrator or certified residential child and youth care practitioner participation for 1 hour in an approved continuing education experience.</text>
        </paragraph>
        <paragraph num="(15)">
          <text>“Day-to-day management and operation” means the overall responsibility for the operation of a residential child care program as described in COMAR 10.57.02.01C.</text>
        </paragraph>
        <paragraph num="(16)">
          <text>“Delinquent” means the failure by a certificate holder to pay all undisputed taxes and unemployment insurance contributions, as determined by the Office of the Comptroller or the Secretary of Labor, that are payable to the Office of the Comptroller or the Secretary of Labor, in a manner satisfactory to the unit of the State responsible for collection of the payment.</text>
        </paragraph>
        <paragraph num="(17)">
          <text>“Examination” means a written test given or approved by the Board.</text>
        </paragraph>
        <paragraph num="(18)">
          <text>Human Service Field.</text>
          <paragraph num="(a)">
            <text>“Human service field” means, in the context of certification as a program administrator, having experience:</text>
            <paragraph num="(i)">
              <text>As a human service professional as defined in COMAR 14.31.06.03B;</text>
            </paragraph>
            <paragraph num="(ii)">
              <text>Serving children detained, committed, or under the jurisdiction of the Department of Juvenile Services; or</text>
            </paragraph>
            <paragraph num="(iii)">
              <text>Serving children in residential child care programs under the jurisdiction of the Department of Human Services or the Maryland Department of Health.</text>
            </paragraph>
          </paragraph>
          <paragraph num="(b)">
            <text>“Human service field” means, in the context of certification as a residential child and youth care practitioner, having experience:</text>
            <paragraph num="(i)">
              <text>As a human service professional defined in COMAR 14.31.06.03B; or</text>
            </paragraph>
            <paragraph num="(ii)">
              <text>Performing the direct responsibilities related to activities of daily living, self-help and socialization skills for children in a residential child care.</text>
            </paragraph>
          </paragraph>
        </paragraph>
        <paragraph num="(19)">
          <text>“Human service portfolio” means evidence provided to the Board on a form required by the Board documenting human service experience and mastery of core competencies as described in COMAR 10.57.03.</text>
        </paragraph>
        <paragraph num="(20)">
          <text>“Inappropriate sexual language” means:</text>
          <paragraph num="(a)">
            <text>A sexualized harassing comment;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>An eroticized or sexually provocative comment not reasonably associated with a health care matter; or</text>
          </paragraph>
          <paragraph num="(c)">
            <text>An inappropriate discussion of a sexually related matter.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(21)">
          <text>“Licensing authority” means the department of State government that issued the residential child care program's license to operate in the State.</text>
        </paragraph>
        <paragraph num="(22)">
          <text>“Practice of residential child care administration” means the exercise of final authority of any act or the making of any decision involved in the planning, organizing, directing, or controlling of the day-to-day operation of a residential child care program.</text>
        </paragraph>
        <paragraph num="(23)">
          <text>“Renewal certificate” means any certificate granted by the Board for the period immediately after a period for which the individual previously possessed the same or a substantially similar certificate.</text>
        </paragraph>
        <paragraph num="(24)">
          <text>“Renewal date” means the date upon which the certificate expires, as specified in the notice sent to the certified program administrator by the Board in accordance with Health Occupations Article, §20-310(a), Annotated Code of Maryland.</text>
        </paragraph>
        <paragraph num="(25)">
          <text>“Renewal period” means the 2-year period immediately before the renewal date.</text>
        </paragraph>
        <paragraph num="(26)">
          <text>Residential Child Care Program.</text>
          <paragraph num="(a)">
            <text>“Residential child care program” means an entity that provides care for children 24 hours per day within a structured set of services and activities that:</text>
            <paragraph num="(i)">
              <text>Are designed to achieve specific objectives relative to the needs of the children served; and</text>
            </paragraph>
            <paragraph num="(ii)">
              <text>Include the provision of food, clothing, shelter, education, social services, health, mental health, recreation, or any combination of those services and activities.</text>
            </paragraph>
          </paragraph>
          <paragraph num="(b)">
            <text>“Residential child care program” includes the residential child care programs identified in COMAR 14.31.06.02A and licensed by the:</text>
            <paragraph num="(i)">
              <text>Department of Human Services;</text>
            </paragraph>
            <paragraph num="(ii)">
              <text>Maryland Department of Health; and</text>
            </paragraph>
            <paragraph num="(iii)">
              <text>Department of Juvenile Services.</text>
            </paragraph>
          </paragraph>
          <paragraph num="(c)">
            <text>“Residential child care program” does not include the individuals or programs identified in COMAR 14.31.06.02C.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(27)">
          <text>“Residential child care supervisor” means an individual:</text>
          <paragraph num="(a)">
            <text>That provides supervision to a residential child care practitioner; and</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Who is certified as either a residential child care program administrator or residential child and youth care practitioner.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(28)">
          <text>“Sexual behavior” means:</text>
          <paragraph num="(a)">
            <text>A sexual act as specified in Criminal Law Article, §3-301(e) and (g), Annotated Code of Maryland; and</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Sexual contact as specified in Criminal Law Article, §3-301(f), Annotated Code of Maryland.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(29)">
          <text>“Sexual exploitation” means a situation in which the certified individual takes advantage of the unequal relationship between the certified residential child care program administrator or residential child and youth care practitioner and client or supervisee to obtain sexual favors.</text>
        </paragraph>
        <paragraph num="(30)">
          <text>“Sexual harassment” means deliberate or repeated comment, advance, gesture, solicitation, request, or physical contact of a sexual nature.</text>
        </paragraph>
        <paragraph num="(31)">
          <text>“Supervisee” means the individual to whom the certified residential child care program administrator or residential child and youth care practitioner provides professional, educational, or administrative supervision or direction.</text>
        </paragraph>
        <paragraph num="(32)">
          <text>“Supervisory or administrative capacity” means having the shared responsibility for implementing the operation of a program(s) and supervising at least 1 member of staff as described in COMAR 10.57.02.02B.</text>
        </paragraph>
        <paragraph num="(33)">
          <text>“Therapeutic deception” means a representation by the certified individual that sexual contact or sexual activity by or with the client is consistent with or part of the client's treatment.</text>
        </paragraph>
        <paragraph num="(34)">
          <text>“Tiered certification” means the Board’s process and the requirements that provide for an individual to become certified as a residential child and youth care practitioner.</text>
        </paragraph>
        <paragraph num="(35)">
          <text>“Verification” means a written or electronic notification created by the unit of the State responsible for collection of taxes or unemployment insurance contributions attesting that the renewal applicant is no longer delinquent.</text>
        </paragraph>
      </paragraph>
    </regulation>
    <annotations>
      <annotation type="Authority">Health Occupations Article, §§20-101 and 20-205, Annotated Code of Maryland</annotation>
      <annotation type="History" subtype="Administrative History">Effective date:</annotation>
      <annotation type="History" subtype="Administrative History">Regulation .01 adopted as an emergency provision effective January 7, 2008 (35:9 Md. R. 894); adopted permanently effective April 7, 2008 (35:7 Md. R. 749)</annotation>
      <annotation type="History" subtype="Administrative History">Regulation .01B amended effective April 19, 2010 (37:8 Md. R. 617); September 14, 2015 (42:18 Md. R. 1175); November 7, 2016 (43:22 Md. R. 1223)</annotation>
    </annotations>
  </chapter>
  <chapter num="02" heading="Certification — Residential Child Care Program Administrators">
    <regulation prefix="Regulation" num=".01" heading="Application Procedures.">
      <paragraph num="A.">
        <text>In order to obtain a certificate as a residential child care program administrator, the applicant shall submit to the Board:</text>
        <paragraph num="(1)">
          <text>An application on the form provided by the Board;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>The application fee set forth in COMAR 10.57.07;</text>
        </paragraph>
        <paragraph num="(3)">
          <text>Independent written verification from the applicant’s employer or employers describing the nature and duration of the applicant’s experience in the human service field;</text>
        </paragraph>
        <paragraph num="(4)">
          <text>A certified copy of a transcript with a school seal from an accredited college or university to document the receipt of a baccalaureate or master's degree; and</text>
        </paragraph>
        <paragraph num="(5)">
          <text>Evidence that the applicant:</text>
          <paragraph num="(a)">
            <text>Is of good moral character;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Has completed a State and national criminal history records check;</text>
          </paragraph>
          <paragraph num="(c)">
            <text>Unless waived in accordance with Health Occupations Article, §20–303(d), Annotated Code of Maryland, has submitted to a child protective services background clearance;</text>
          </paragraph>
          <paragraph num="(d)">
            <text>Meets the requirements of Regulations .02 and .03 of this chapter;</text>
          </paragraph>
          <paragraph num="(e)">
            <text>Is 21 years old or older; and</text>
          </paragraph>
          <paragraph num="(f)">
            <text>Is responsible for the day-to-day management and operation of a residential child care program.</text>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="B.">
        <text>Experience Required in §A(3) of this Regulation.</text>
        <paragraph num="(1)">
          <text>At least one employment verification under §A(3) of this regulation shall be provided by a present or former supervisor.</text>
        </paragraph>
        <paragraph num="(2)">
          <text>For individuals who are in a leadership role of a residential child care program and do not have a supervisor, an employment verification from the program's Chief Administrator or other appropriate program authority is sufficient to meet this requirement.</text>
        </paragraph>
        <paragraph num="(3)">
          <text>Employment verification shall be submitted to the Board:</text>
          <paragraph num="(a)">
            <text>On the form provided by the Board; and</text>
          </paragraph>
          <paragraph num="(b)">
            <text>In a sealed envelope that is signed by the writer on the back of the envelope over the seal.</text>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="C.">
        <text>Day-to-day management and operation of a residential child care program required in §A(5)(f) of this regulation includes, but is not limited to:</text>
        <paragraph num="(1)">
          <text>Administering, directing, or managing the residential child care program to ensure that the basic needs of the child are met;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Recruiting, hiring, training, and supervising staff;</text>
        </paragraph>
        <paragraph num="(3)">
          <text>Developing and implementing an appropriate staffing plan based upon the needs of the children in the residential child care program and in accordance with applicable laws and regulations;</text>
        </paragraph>
        <paragraph num="(4)">
          <text>Coordinating, supervising, and implementing the services provided to ensure the child has access to appropriate medical, psychosocial and educational services as established in the child's service plan;</text>
        </paragraph>
        <paragraph num="(5)">
          <text>Maintaining records in a manner that conforms to the requirements of this chapter and other applicable laws and regulations;</text>
        </paragraph>
        <paragraph num="(6)">
          <text>Monitoring the quality of services provided by the residential child care program; and</text>
        </paragraph>
        <paragraph num="(7)">
          <text>Ensuring that all requirements of this chapter and other applicable laws and regulations are met.</text>
        </paragraph>
      </paragraph>
      <paragraph num="D.">
        <text>The Board may not consider an application completed until it has received all required materials.</text>
      </paragraph>
      <paragraph num="E.">
        <text>An applicant shall be responsible for the payment of any costs required to obtain supporting documentation for an application.</text>
      </paragraph>
      <paragraph num="F.">
        <text>Incomplete Applications.</text>
        <paragraph num="(1)">
          <text>If an incomplete application is submitted to the Board, the Board shall notify the applicant within 30 days after the receipt of an incomplete application of the materials that are required.</text>
        </paragraph>
        <paragraph num="(2)">
          <text>If the applicant fails to provide the required documentation within 120 days, the Board may:</text>
          <paragraph num="(a)">
            <text>Administratively close the application; or</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Deny the application, pursuant to Regulation .04E of this chapter.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(3)">
          <text>An applicant whose application is administratively closed or denied may reapply and submit with the new application proof of compliance with:</text>
          <paragraph num="(a)">
            <text>This subtitle; and</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Health Occupations Article, Title 20, Annotated Code of Maryland.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(4)">
          <text>An applicant whose application has been denied shall disclose on future applications that the applicant had been denied certification.</text>
        </paragraph>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".02" heading="Academic and Experience Requirements.">
      <paragraph num="A.">
        <text>Degrees and Experience. For certification as a certified program administrator, an applicant shall submit proof of one of the following to the Board:</text>
        <paragraph num="(1)">
          <text>Receipt of a baccalaureate degree from an accredited college or university and 4 years experience in the human service field with at least 3 years in a supervisory or administrative capacity; or</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Receipt of a master's degree from an accredited college or university and 2 years experience in the human service field with at least 1 year in a supervisory or administrative capacity.</text>
        </paragraph>
      </paragraph>
      <paragraph num="B.">
        <text>Supervisory or Administrative Capacity Required in §A of this regulation.</text>
        <paragraph num="(1)">
          <text>Supervisory or administrative capacity required under §A of this regulation includes the responsibility for hiring, assigning duties, disciplining and rewarding, approving leave requests, and formally evaluating.</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Experience within the following settings may not be considered supervisory or administrative capacity experience:</text>
          <paragraph num="(a)">
            <text>Child placing agency;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Child placing institutional experience;</text>
          </paragraph>
          <paragraph num="(c)">
            <text>Foster parenting; and</text>
          </paragraph>
          <paragraph num="(d)">
            <text>Serving as a caregiver in a foster home.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(3)">
          <text>Experience shall be obtained within 10 years before the application date.</text>
        </paragraph>
      </paragraph>
      <paragraph num="C.">
        <text>Review of Foreign Credentials. An applicant shall:</text>
        <paragraph num="(1)">
          <text>Provide proof of equivalency of the applicant's educational credentials to a baccalaureate degree or master's degree awarded from an accredited college or university in the United States; and</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Submit their educational credentials at the applicant's expense to an educational evaluation agency approved by the Board with the request that the evaluation report be sent directly to the Board.</text>
        </paragraph>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".03" heading="Examination Procedures.">
      <paragraph num="A.">
        <text>Unless waived by the Board as provided in §D of this regulation, an applicant shall pass a Board-approved written examination before certification.</text>
      </paragraph>
      <paragraph num="B.">
        <text>A minimum passing score of 75 percent is required on the examination.</text>
      </paragraph>
      <paragraph num="C.">
        <text>In order to qualify for certification, an applicant shall pass the examination within 3 years of the first time the applicant takes the examination.</text>
      </paragraph>
      <paragraph num="D.">
        <text>Waiver of Examination. The Board may waive the examination requirement for an applicant who:</text>
        <paragraph num="(1)">
          <text>Pays the application fee as provided in COMAR 10.57.07;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Is certified as a program administrator in any other state that the Board determines has a comparable certification process; and</text>
        </paragraph>
        <paragraph num="(3)">
          <text>Provides adequate evidence that:</text>
          <paragraph num="(a)">
            <text>At the time the applicant was certified in the other state, the applicant was qualified to take the examination that then was required by the laws of this State;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>The applicant qualified for a certificate in the other state by passing an examination given in that or any other state;</text>
          </paragraph>
          <paragraph num="(c)">
            <text>The applicant has completed a State and national criminal history records check; and</text>
          </paragraph>
          <paragraph num="(d)">
            <text>Unless waived by the Board in accordance with Health Occupations Article, §20–303(d), Annotated Code of Maryland, the applicant has submitted to a child protective services background clearance.</text>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="E.">
        <text>Reexamination.</text>
        <paragraph num="(1)">
          <text>An applicant who fails the examination:</text>
          <paragraph num="(a)">
            <text>May retake the examination three times within the 12-month period after a failed examination; and</text>
          </paragraph>
          <paragraph num="(b)">
            <text>May not retake the examination within 6-months of failing the examination for the third time.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(2)">
          <text>Before or on the day of the repeat examination, the applicant shall pay to the Board the examination fee as established in COMAR 10.57.07.</text>
        </paragraph>
        <paragraph num="(3)">
          <text>An applicant may request a waiver of the 6-month waiting period after failure of the third examination upon proof of exceptional circumstances.</text>
        </paragraph>
      </paragraph>
      <paragraph num="F.">
        <text>Applicants Requiring Special Accommodation.</text>
        <paragraph num="(1)">
          <text>An applicant with a disability may request modifications in examination materials or procedures.</text>
        </paragraph>
        <paragraph num="(2)">
          <text>The applicant shall make the request for modification in writing and include in the request the following:</text>
          <paragraph num="(a)">
            <text>The applicant's name;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>The date of the examination to be modified; and</text>
          </paragraph>
          <paragraph num="(c)">
            <text>A letter from the appropriate licensed professional which:</text>
            <paragraph num="(i)">
              <text>Confirms the disability; and</text>
            </paragraph>
            <paragraph num="(ii)">
              <text>Provides information describing the accommodations required.</text>
            </paragraph>
          </paragraph>
        </paragraph>
        <paragraph num="(3)">
          <text>Requests for modification and supporting documentation shall be received by the application deadline.</text>
        </paragraph>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".04" heading="Action on Application.">
      <paragraph num="A.">
        <text>Criminal History Record Information.</text>
        <paragraph num="(1)">
          <text>Upon receipt of an applicant’s criminal history records information in accordance with Health Occupations Article, §20-303, Annotated Code of Maryland, the Board shall consider the following factors in determining whether to grant a certificate:</text>
          <paragraph num="(a)">
            <text>The age at which the crime was committed;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>The circumstances surrounding the crime;</text>
          </paragraph>
          <paragraph num="(c)">
            <text>The length of time that has passed since the crime;</text>
          </paragraph>
          <paragraph num="(d)">
            <text>Subsequent work history;</text>
          </paragraph>
          <paragraph num="(e)">
            <text>Employment and character references; and</text>
          </paragraph>
          <paragraph num="(f)">
            <text>Other evidence that demonstrates whether the applicant poses a threat to the public health or safety.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(2)">
          <text>The Board may not issue a certificate if the criminal history record information required under Health Occupations Article, §20-303, Annotated Code of Maryland, has not been received.</text>
        </paragraph>
      </paragraph>
      <paragraph num="B.">
        <text>Upon review of a completed application, the Board shall:</text>
        <paragraph num="(1)">
          <text>Notify the applicant that the applicant is:</text>
          <paragraph num="(a)">
            <text>Approved for certification; and</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Qualified to take the examination; or</text>
          </paragraph>
        </paragraph>
        <paragraph num="(2)">
          <text>Deny certification.</text>
        </paragraph>
      </paragraph>
      <paragraph num="C.">
        <text>Denial of Applications.</text>
        <paragraph num="(1)">
          <text>The Board may deny certification if the applicant has:</text>
          <paragraph num="(a)">
            <text>Not completed the academic and experience requirements in Regulation .02 of this chapter;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Failed the examination requirements in Regulation .03 of this chapter;</text>
          </paragraph>
          <paragraph num="(c)">
            <text>Failed to remit a fee;</text>
          </paragraph>
          <paragraph num="(d)">
            <text>Failed to properly complete the application form;</text>
          </paragraph>
          <paragraph num="(e)">
            <text>Violated Health Occupations Article, Title 20, Annotated Code of Maryland, or any provision of this subtitle; or</text>
          </paragraph>
          <paragraph num="(f)">
            <text>Been shown to have a lack of good moral character.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(2)">
          <text>If the Board denies certification under §E(1)(e) or (f) of this regulation, the Board or the Board's designee shall:</text>
          <paragraph num="(a)">
            <text>Provide the applicant written notification of the Board's intent to deny and the basis for that denial; and</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Notify the applicant of the applicant's right to request a formal hearing to appeal the denial.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(3)">
          <text>An applicant whose certification has been denied may reapply and shall submit with the new application proof of compliance with:</text>
          <paragraph num="(a)">
            <text>This subtitle; and</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Health Occupations Article, Title 20, Annotated Code of Maryland.</text>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="D.">
        <text>Issuance of Certificate.</text>
        <paragraph num="(1)">
          <text>If the Board approves an applicant for certification and the applicant passes the State Standards Examination, the Board shall:</text>
          <paragraph num="(a)">
            <text>Send the applicant a notice specifying that the applicant has qualified for a certificate; and</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Issue a certificate, available online, to the applicant.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(2)">
          <text>The Board shall include on each certificate the:</text>
          <paragraph num="(a)">
            <text>Full name of the certificate holder; and</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Serial number assigned by the Board.</text>
          </paragraph>
        </paragraph>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".05" heading="Expiration and Renewal.">
      <paragraph num="A.">
        <text>Unless the Board suspends or revokes the certificate, the certification is effective for up to 2 years from the date issued and authorizes the individual to administer a residential child care program.</text>
      </paragraph>
      <paragraph num="B.">
        <text>At least 1 month before the certificate expires, the Board shall send to the certified program administrator, by electronic means or first-class mail to the last known electronic or physical address, a renewal notice that states:</text>
        <paragraph num="(1)">
          <text>The date on which the current certificate expires;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>The date by which the renewal application shall be received by the Board for the renewal to be issued; and</text>
        </paragraph>
        <paragraph num="(3)">
          <text>The amount of the renewal fee.</text>
        </paragraph>
      </paragraph>
      <paragraph num="C.">
        <text>The Board shall renew the certificate of a certified program administrator who:</text>
        <paragraph num="(1)">
          <text>Otherwise is entitled to obtain a certificate;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Pays to the Board a renewal fee set by the Board; and</text>
        </paragraph>
        <paragraph num="(3)">
          <text>Submits to the Board:</text>
          <paragraph num="(a)">
            <text>A renewal application on a form that the Board requires;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Satisfactory evidence of compliance with any continuing education and other qualifications and requirements set by the Board.</text>
          </paragraph>
          <paragraph num="(c)">
            <text>Unless waived by the Board in accordance with Health Occupations Article, §20-310(f), Annotated Code of Maryland, evidence of application for a child protective services background clearance; and</text>
          </paragraph>
          <paragraph num="(d)">
            <text>Evidence of having submitted to a State and national criminal history records check conducted by the Central Repository.</text>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="D.">
        <text>Criminal History Record Information.</text>
        <paragraph num="(1)">
          <text>Upon receipt of an applicant’s criminal history records information in accordance with Health Occupations Article, §20-303, Annotated Code of Maryland, the Board shall consider the following factors in determining whether to grant a certificate:</text>
          <paragraph num="(a)">
            <text>The age at which the crime was committed;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>The circumstances surrounding the crime;</text>
          </paragraph>
          <paragraph num="(c)">
            <text>The length of time that has passed since the crime;</text>
          </paragraph>
          <paragraph num="(d)">
            <text>Subsequent work history;</text>
          </paragraph>
          <paragraph num="(e)">
            <text>Employment and character references; and</text>
          </paragraph>
          <paragraph num="(f)">
            <text>Other evidence that demonstrates whether the applicant poses a threat to the public health or safety.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(2)">
          <text>The Board may not issue a certificate if the criminal history record information required under Health Occupations Article, §20-303, Annotated Code of Maryland, has not been received.</text>
        </paragraph>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".06" heading="Reinstatement.">
      <paragraph num="A.">
        <text>The Board shall reinstate the certificate of a program administrator who has failed to renew the certificate for any reason, if the individual:</text>
        <paragraph num="(1)">
          <text>Has not had the certificate suspended or revoked;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Meets the renewal requirements in Regulation .05 of this chapter;</text>
        </paragraph>
        <paragraph num="(3)">
          <text>Pays to the Board the reinstatement fee set by the Board;</text>
        </paragraph>
        <paragraph num="(4)">
          <text>Submits to the Board:</text>
          <paragraph num="(a)">
            <text>40 continuing education units taken within the last 2 years;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Evidence of having submitted to a State and national criminal history records check conducted by the Central Repository; and</text>
          </paragraph>
          <paragraph num="(c)">
            <text>Unless waived by the Board in accordance with Health Occupations Article, §20-311(c), Annotated Code of Maryland, evidence of application for a child protective services background clearance; and</text>
          </paragraph>
        </paragraph>
        <paragraph num="(5)">
          <text>Applies to the Board for reinstatement of the certificate within 5 years after the certificate expires.</text>
        </paragraph>
      </paragraph>
      <paragraph num="B.">
        <text>The Board may not reinstate the certificate of a program administrator who fails to apply for reinstatement of the certificate within 5 years after the certificate expires. However, the program administrator may be certified by meeting the current requirements for obtaining a new certificate under this subtitle.</text>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".07" heading="Duplicate or Corrected Certificate.">
      <text>The Board shall issue a duplicate certificate, electronically, to the certificate holder if:</text>
      <paragraph num="A.">
        <text>The certificate holder has a change of name and does the following:</text>
        <paragraph num="(1)">
          <text>Makes the request to the Board in writing on the form provided by the Board; and</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Provides appropriate legal documentation of the change; or</text>
        </paragraph>
      </paragraph>
      <paragraph num="B.">
        <text>The Board, as a result of its error, issues an incorrect certificate and the certificate holder:</text>
        <paragraph num="(1)">
          <text>Notifies the Board in writing within 6 weeks of discovery of the incorrect certificate; or</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Does not receive electronic verification of the certificate within 6 weeks of issuance and provides a statement to the Board attesting to the unavailability of the certificate online within 4 months of the date the certificate was issued by the Board.</text>
        </paragraph>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".08" heading="Resignation, Removal, or Death of a Program Administrator.">
      <paragraph num="A.">
        <text>If a program administrator resigns or is removed from a position as a program administrator by death or for any other unexpected cause, the residential child care program's Chief Administrator or other appropriate program authority shall immediately designate a certified program administrator to serve in that capacity.</text>
      </paragraph>
      <paragraph num="B.">
        <text>In the event a certified program administrator is not available, the residential child care program's Chief Administrator or other appropriate program authority may appoint a noncertified individual to serve in the capacity of acting program administrator for a period not exceeding 90 days if the individual:</text>
        <paragraph num="(1)">
          <text>Is approved by the Board; and</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Meets the minimum qualifications for a program administrator as set forth in COMAR 10.57.02.</text>
        </paragraph>
      </paragraph>
      <paragraph num="C.">
        <text>Approval of Noncertified Individual to Serve as Acting Program Administrator.</text>
        <paragraph num="(1)">
          <text>In order to obtain approval from the Board for the approval of a noncertified individual to serve as the acting program administrator, the residential child care program's Chief Administrator or other appropriate program authority shall immediately submit to the Board:</text>
          <paragraph num="(a)">
            <text>An application on the form provided by the Board;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>The application fee set forth in COMAR 10.57.07;</text>
          </paragraph>
          <paragraph num="(c)">
            <text>Written justification clarifying the reason why acting capacity is necessary, that includes:</text>
            <paragraph num="(i)">
              <text>The name and title of the individual requesting approval of a non-certified individual, including mailing address, phone, and email address;</text>
            </paragraph>
            <paragraph num="(ii)">
              <text>The qualifications and credentials of the individual selected for acting capacity; and</text>
            </paragraph>
            <paragraph num="(iii)">
              <text>A summary of the efforts made by the residential child care program to recruit a certified program administrator;</text>
            </paragraph>
          </paragraph>
          <paragraph num="(d)">
            <text>A copy of the individual's resume or curriculum vitae; and</text>
          </paragraph>
          <paragraph num="(e)">
            <text>The State and national criminal history records check.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(2)">
          <text>The Board shall review all of the documentation provided to verify that individual appointed meets the minimum qualifications of a program administrator as set forth in COMAR 10.57.02.</text>
        </paragraph>
        <paragraph num="(3)">
          <text>Upon review of the request, the Board may:</text>
          <paragraph num="(a)">
            <text>Approve the request for acting capacity;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Approve the request for acting capacity with conditions; or</text>
          </paragraph>
          <paragraph num="(c)">
            <text>Deny request for acting capacity.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(4)">
          <text>The 90 day period begins on the date that the program administrator leaves or is removed from the position as a program administrator.</text>
        </paragraph>
        <paragraph num="(5)">
          <text>The Board may extend the 90 day period for a further period of not more than 30 days.</text>
        </paragraph>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".09" heading="Display of Certificate and Renewal Certificates.">
      <text>An individual certified as a residential child care program administrator shall display an original certificate and certificate card, or certificate renewal card in a conspicuous place in the office or place of business or employment of the program administrator.</text>
    </regulation>
    <annotations>
      <annotation type="Authority">Health Occupations Article, §§20-205, 20-301, 20-302, 20-303, 20-305—20-307, 20-310, 20-311, and 20-404, Annotated Code of Maryland</annotation>
      <annotation type="History" subtype="Administrative History">Effective date:</annotation>
      <annotation type="History" subtype="Administrative History">Regulations .01—.06 adopted as an emergency provision effective January 7, 2008 (35:9 Md. R. 894); adopted permanently effective April 7, 2008 (35:7 Md. R. 749)</annotation>
      <annotation type="History" subtype="Administrative History">Chapter revised effective April 19, 2010 (37:8 Md. R. 617)</annotation>
      <annotation type="History" subtype="Administrative History">Chapter revised effective November 7, 2016 (43:22 Md. R. 1223)</annotation>
      <annotation type="History" subtype="Administrative History">Regulation .01 amended effective December 27, 2021 (48:26 Md. R. 1112)</annotation>
      <annotation type="History" subtype="Administrative History">Regulation .04 amended effective December 31, 2018 (45:26 Md. R. 1246)</annotation>
      <annotation type="History" subtype="Administrative History">Regulation .04B, D amended effective October 13, 2025 (52:20 Md. R. 1002)</annotation>
      <annotation type="History" subtype="Administrative History">Regulation .05A, B amended effective October 13, 2025 (52:20 Md. R. 1002)</annotation>
      <annotation type="History" subtype="Administrative History">Regulation .05D adopted effective December 31, 2018 (45:26 Md. R. 1246)</annotation>
      <annotation type="History" subtype="Administrative History">Regulation .07 amended effective October 13, 2025 (52:20 Md. R. 1002)</annotation>
    </annotations>
  </chapter>
  <chapter num="03" heading="Certification — Residential Child and Youth Care Practitioners">
    <regulation prefix="Regulation" num=".01" heading="Application Procedures.">
      <paragraph num="A.">
        <text>In order to obtain a certificate as a residential child and youth care practitioner, the applicant shall submit to the Board:</text>
        <paragraph num="(1)">
          <text>An application on the form provided by the Board;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>The application fee set forth in COMAR 10.57.07; and</text>
        </paragraph>
        <paragraph num="(3)">
          <text>Evidence the applicant:</text>
          <paragraph num="(a)">
            <text>Meets the academic and experience requirements set forth in Regulation .02 of this chapter;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Is of good moral character;</text>
          </paragraph>
          <paragraph num="(c)">
            <text>Has completed a State and national criminal history records check;</text>
          </paragraph>
          <paragraph num="(d)">
            <text>Unless waived by the Board in accordance with Health Occupations Article, §20–303(d), Annotated Code of Maryland, has a child protective services background clearance; and</text>
          </paragraph>
          <paragraph num="(e)">
            <text>Has completed the process for certification under one of the tiers outlined in Regulation .10 of this chapter.</text>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="B.">
        <text>Age Requirement. An individual seeking certification as a residential child and youth care practitioner shall be either:</text>
        <paragraph num="(1)">
          <text>21 years old or older; or</text>
        </paragraph>
        <paragraph num="(2)">
          <text>At least 18 years old and have earned at least an associate's or bachelor's degree from an accredited college or university.</text>
        </paragraph>
      </paragraph>
      <paragraph num="C.">
        <text>The Board may not consider an application completed until it has received all required materials.</text>
      </paragraph>
      <paragraph num="D.">
        <text>An applicant shall be responsible for the payment of any costs required to obtain supporting documentation for an application.</text>
      </paragraph>
      <paragraph num="E.">
        <text>Incomplete Applications.</text>
        <paragraph num="(1)">
          <text>If an incomplete application is submitted to the Board, the Board shall notify the applicant within 30 days after the receipt of the incomplete application of the materials that are required.</text>
        </paragraph>
        <paragraph num="(2)">
          <text>If the applicant fails to provide the required documentation within 120 days, the Board may:</text>
          <paragraph num="(a)">
            <text>Administratively close the application; or</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Deny the application, pursuant to Regulation .08E of this chapter.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(3)">
          <text>An applicant whose application is administratively closed or denied may reapply and submit with the new application proof of compliance with:</text>
          <paragraph num="(a)">
            <text>This subtitle; and</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Health Occupations Article, Title 20, Annotated Code of Maryland.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(4)">
          <text>An applicant whose application has been denied shall disclose on future applications that the applicant had been denied certification.</text>
        </paragraph>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".02" heading="Academic and Experience.">
      <paragraph num="A.">
        <text>Academic Experience. For certification as a certified residential child and youth care practitioner, an applicant shall submit the following documents to the Board:</text>
        <paragraph num="(1)">
          <text>A copy of a high school diploma or equivalent;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Evidence of at least 2 years experience in the health and human services field; and</text>
        </paragraph>
        <paragraph num="(3)">
          <text>Either:</text>
          <paragraph num="(a)">
            <text>Successful completion of an approved residential child and youth care practitioner training program; or</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Official transcripts of an associate’s or bachelor’s degree from an accredited college or university.</text>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="B.">
        <text>Review of Foreign Educational Credentials.</text>
        <paragraph num="(1)">
          <text>An applicant shall provide proof of equivalency of the applicant's educational credentials to a high school, associate's degree or bachelor's degree awarded from an accredited college or university in the United States.</text>
        </paragraph>
        <paragraph num="(2)">
          <text>An applicant shall submit the applicant's educational credentials at the applicant's expense to an educational evaluation agency approved by the Board with the request that the evaluation report be sent directly to the Board.</text>
        </paragraph>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".03" heading="Certification.">
      <paragraph num="A.">
        <text>In order to obtain certification as a residential child and youth care practitioner by completion of an approved residential child and youth care training program, the applicant shall:</text>
        <paragraph num="(1)">
          <text>Meet the age requirement set forth in Health Occupations Article, §20-302.1, Annotated Code of Maryland;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Submit to the Board:</text>
          <paragraph num="(a)">
            <text>The application;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>The application fee;</text>
          </paragraph>
          <paragraph num="(c)">
            <text>Evidence of completion of a State and national criminal history records check as required by Regulation .01 of this chapter;</text>
          </paragraph>
          <paragraph num="(d)">
            <text>Evidence of completion of a minimum of 10 hours of an on-site program orientation at a private provider site;</text>
          </paragraph>
          <paragraph num="(e)">
            <text>Evidence of completion of a Board-approved provider residential child and youth care training program; and</text>
          </paragraph>
        </paragraph>
        <paragraph num="(3)">
          <text>Pass a comprehensive residential child and youth care practitioner exam.</text>
        </paragraph>
      </paragraph>
      <paragraph num="B.">
        <text>The Board shall notify applicants who have been approved to take the required comprehensive examination of:</text>
        <paragraph num="(1)">
          <text>The applicant’s approval to sit for the examination; and</text>
        </paragraph>
        <paragraph num="(2)">
          <text>All testing dates and locations.</text>
        </paragraph>
      </paragraph>
      <paragraph num="C.">
        <text>The Board may waive the training program requirement set forth in Health Occupations Article, §20-302.1(f), Annotated Code of Maryland, for an applicant holding an Associate’s or Bachelor’s degree if the applicant:</text>
        <paragraph num="(1)">
          <text>Passes an examination; and</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Meets other requirements established by the Board.</text>
        </paragraph>
      </paragraph>
      <paragraph num="D.">
        <text>An applicant for whom the required education, experience, training, and examination is waived in accordance with Health Occupations Article, §20-302.1(h), Annotated Code of Maryland, shall submit the following to the Board to become certified:</text>
        <paragraph num="(1)">
          <text>The completed application;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>The application fee as required by COMAR 10.57.07;</text>
        </paragraph>
        <paragraph num="(3)">
          <text>Evidence of a completed criminal history records check as required by Regulation .01 of this chapter; and</text>
        </paragraph>
        <paragraph num="(4)">
          <text>Before October 1, 2015, satisfactory evidence that the applicant has worked in the State as a residential child and youth care practitioner for at least 2 years.</text>
        </paragraph>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".04" heading="Examination Procedures.">
      <paragraph num="A.">
        <text>An applicant shall pass a Board-approved examination before certification.</text>
      </paragraph>
      <paragraph num="B.">
        <text>A minimum passing score of 75 percent is required on the examination.</text>
      </paragraph>
      <paragraph num="C.">
        <text>An applicant shall pass the examination within 180 days of hire.</text>
      </paragraph>
      <paragraph num="D.">
        <text>Reexamination. An applicant who fails an examination may take the next examination given by the Board.</text>
      </paragraph>
      <paragraph num="E.">
        <text>Applicants Requiring Special Accommodation.</text>
        <paragraph num="(1)">
          <text>An applicant with a disability may request modifications in examination materials or procedures.</text>
        </paragraph>
        <paragraph num="(2)">
          <text>The applicant shall make the request for modification in writing and include in the request the following:</text>
          <paragraph num="(a)">
            <text>The applicant's name;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>The date of the examination to be modified; and</text>
          </paragraph>
          <paragraph num="(c)">
            <text>A letter from the appropriate licensed professional which:</text>
            <paragraph num="(i)">
              <text>Confirms the disability; and</text>
            </paragraph>
            <paragraph num="(ii)">
              <text>Provides information describing the accommodations required.</text>
            </paragraph>
          </paragraph>
        </paragraph>
        <paragraph num="(3)">
          <text>Requests for modification and supporting documentation shall be received by the application deadline.</text>
        </paragraph>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".05" heading="Action on Application.">
      <paragraph num="A.">
        <text>Criminal History Record Information.</text>
        <paragraph num="(1)">
          <text>Upon receipt of an applicant’s criminal history records information in accordance with Health Occupations Article, §20-303, Annotated Code of Maryland, the Board shall consider the following factors in determining whether to grant a certificate:</text>
          <paragraph num="(a)">
            <text>The age at which the crime was committed;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>The circumstances surrounding the crime;</text>
          </paragraph>
          <paragraph num="(c)">
            <text>The length of time that has passed since the crime;</text>
          </paragraph>
          <paragraph num="(d)">
            <text>Subsequent work history;</text>
          </paragraph>
          <paragraph num="(e)">
            <text>Employment and character references; and</text>
          </paragraph>
          <paragraph num="(f)">
            <text>Other evidence that demonstrates whether the applicant poses a threat to the public health or safety.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(2)">
          <text>The Board may not issue a certificate if the criminal history record information required under Health Occupations Article, §20-303, Annotated Code of Maryland, has not been received.</text>
        </paragraph>
      </paragraph>
      <paragraph num="B.">
        <text>Upon review of a completed application, the Board shall do one of the following:</text>
        <paragraph num="(1)">
          <text>Deny certification; or</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Notify the applicant that the applicant is qualified to take the examination.</text>
        </paragraph>
      </paragraph>
      <paragraph num="C.">
        <text>Denial of Applications.</text>
        <paragraph num="(1)">
          <text>The Board may deny certification if the applicant has:</text>
          <paragraph num="(a)">
            <text>Not completed the academic and experience requirements in Regulation .02 of this chapter;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Failed the examination requirements in Regulation .03 of this chapter;</text>
          </paragraph>
          <paragraph num="(c)">
            <text>Failed to remit a fee;</text>
          </paragraph>
          <paragraph num="(d)">
            <text>Failed to properly complete the application form;</text>
          </paragraph>
          <paragraph num="(e)">
            <text>Violated Health Occupations Article, Title 20, Annotated Code of Maryland, or any provision of this subtitle; or</text>
          </paragraph>
          <paragraph num="(f)">
            <text>Been shown to lack good moral character.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(2)">
          <text>If the Board denies certification under §B(1)(e) or (f) of this regulation, the Board or the Board's designee shall:</text>
          <paragraph num="(a)">
            <text>Provide the applicant written notification of the Board's intent to deny and the basis for that denial; and</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Notify the applicant of the applicant's right to request a formal hearing to appeal the denial.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(3)">
          <text>An applicant whose certification has been denied may reapply and shall submit with the new application proof of compliance with:</text>
          <paragraph num="(a)">
            <text>This subtitle; and</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Health Occupations Article, Title 20, Annotated Code of Maryland.</text>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="D.">
        <text>Issuance of Certificate.</text>
        <paragraph num="(1)">
          <text>If the Board approves an applicant for certification and the applicant passes the examination, the Board shall:</text>
          <paragraph num="(a)">
            <text>Send the applicant a notice specifying that the applicant has qualified for a certificate; and</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Issue a certificate, available online, to the applicant.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(2)">
          <text>The Board shall include on each certificate the:</text>
          <paragraph num="(a)">
            <text>Full name of the certificate holder; and</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Serial number assigned by the Board.</text>
          </paragraph>
        </paragraph>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".06" heading="Expiration and Renewal.">
      <paragraph num="A.">
        <text>Unless the Board suspends or revokes the certificate, the certification:</text>
        <paragraph num="(1)">
          <text>Is effective for 2 years from the date issued; and</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Authorizes the individual to perform direct responsibilities related to activities of daily living, self-help, and socialization skills in a residential child care program.</text>
        </paragraph>
      </paragraph>
      <paragraph num="B.">
        <text>At least 1 month before the certificate expires, the Board shall send to the certified residential child and youth care practitioner by electronic or first-class mail to the last known electronic or physical address a renewal notice that states:</text>
        <paragraph num="(1)">
          <text>The date on which the current certificate expires;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>The date by which the renewal application shall be received by the Board for the renewal to be issued; and</text>
        </paragraph>
        <paragraph num="(3)">
          <text>The amount of the renewal fee.</text>
        </paragraph>
      </paragraph>
      <paragraph num="C.">
        <text>The Board shall renew the certificate of a certified residential child and youth care practitioner who:</text>
        <paragraph num="(1)">
          <text>Otherwise is entitled to obtain a certificate;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Pays to the Board a renewal fee set by the Board; and</text>
        </paragraph>
        <paragraph num="(3)">
          <text>Submits to the Board:</text>
          <paragraph num="(a)">
            <text>A renewal application on a form that the Board requires;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Satisfactory evidence of compliance with any continuing education and other qualifications and requirements set by the Board;</text>
          </paragraph>
          <paragraph num="(c)">
            <text>Unless waived by the Board in accordance with Health Occupations Article, §20-310(f), Annotated Code of Maryland, evidence of application for a child protective services background clearance; and</text>
          </paragraph>
          <paragraph num="(d)">
            <text>Evidence of having submitted to a State and national criminal history records check conducted by the Central Repository.</text>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="D.">
        <text>Criminal History Record Information.</text>
        <paragraph num="(1)">
          <text>Upon receipt of an applicant’s criminal history records information in accordance with Health Occupations Article, §20-303, Annotated Code of Maryland, the Board shall consider the following factors in determining whether to grant a certificate:</text>
          <paragraph num="(a)">
            <text>The age at which the crime was committed;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>The circumstances surrounding the crime;</text>
          </paragraph>
          <paragraph num="(c)">
            <text>The length of time that has passed since the crime;</text>
          </paragraph>
          <paragraph num="(d)">
            <text>Subsequent work history;</text>
          </paragraph>
          <paragraph num="(e)">
            <text>Employment and character references; and</text>
          </paragraph>
          <paragraph num="(f)">
            <text>Other evidence that demonstrates whether the applicant poses a threat to the public health or safety.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(2)">
          <text>The Board may not issue a certificate if the criminal history record information required under Health Occupations Article, §20-303, Annotated Code of Maryland, has not been received.</text>
        </paragraph>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".07" heading="Reinstatement.">
      <paragraph num="A.">
        <text>The Board shall reinstate the certificate of a residential child and youth care practitioner who has failed to renew the certificate for any reason, if the individual:</text>
        <paragraph num="(1)">
          <text>Has not had the certificate suspended or revoked;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Pays to the Board the reinstatement fee as established in COMAR 10.57.07;</text>
        </paragraph>
        <paragraph num="(3)">
          <text>Submits to the Board:</text>
          <paragraph num="(a)">
            <text>Evidence of completion of 20 continuing education units within the last 2 years;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Evidence of having submitted to a State and national criminal history records check conducted by the Central Repository; and</text>
          </paragraph>
          <paragraph num="(c)">
            <text>Unless waived by the Board in accordance with Health Occupations Article, §20-311(c), Annotated Code of Maryland, evidence of application for a child protective services background clearance; and</text>
          </paragraph>
        </paragraph>
        <paragraph num="(4)">
          <text>Applies to the Board for reinstatement of the certificate within 5 years after the certificate expires.</text>
        </paragraph>
      </paragraph>
      <paragraph num="B.">
        <text>The Board may not reinstate the certificate of residential child and youth care practitioner who fails to apply for reinstatement of the certificate within 5 years after the certificate expires. However, the residential child and youth care practitioner may be certified by meeting the current requirements for obtaining a new certificate under this subtitle.</text>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".08" heading="Duplicate or Corrected Certificate.">
      <text>The Board shall issue a duplicate certificate, electronically, to the certificate holder if:</text>
      <paragraph num="A.">
        <text>The certificate holder has a change of name and does the following:</text>
        <paragraph num="(1)">
          <text>Makes the request to the Board in writing on the form provided by the Board;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Provides appropriate legal documentation of the change; and</text>
        </paragraph>
        <paragraph num="(3)">
          <text>Pays the fee as specified in COMAR 10.57.07; or</text>
        </paragraph>
      </paragraph>
      <paragraph num="B.">
        <text>The Board, as a result of its error, issues an incorrect certificate and the certificate holder:</text>
        <paragraph num="(1)">
          <text>Notifies the Board in writing within 6 weeks of discovery of the incorrect certificate; or</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Does not receive electronic verification of the certificate within 6 weeks of issuance and the certificate holder provides a statement to the Board attesting to the unavailability of the certificate online within 4 months of the date the certificate was issued by the Board.</text>
        </paragraph>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".09" heading="Initial and Renewal Certificates.">
      <paragraph num="A.">
        <text>A certified residential child care and youth care practitioner shall provide to the residential child care program where they are employed:</text>
        <paragraph num="(1)">
          <text>The certificate card; or</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Written verification from the Board of their certification.</text>
        </paragraph>
      </paragraph>
      <paragraph num="B.">
        <text>Upon renewal of certification, the certified residential child and youth care practitioner shall provide to the residential child care program where they are employed:</text>
        <paragraph num="(1)">
          <text>The certificate renewal card; or</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Written verification from the Board of the renewal of their certification.</text>
        </paragraph>
      </paragraph>
    </regulation>
    <annotations>
      <annotation type="Authority">Health Occupations Article, §§20-205, 20-301, 20-302.1, 20-303, 20-305, 20-307, 20-310, and 20-311, Annotated Code of Maryland</annotation>
      <annotation type="History" subtype="Administrative History">Effective date:</annotation>
      <annotation type="History" subtype="Administrative History">Chapter, Continuing Education, recodified to COMAR 10.57.04 effective April 19, 2010 (37:8 Md. R. 617)</annotation>
      <annotation type="History" subtype="Administrative History">Regulations .01—.12 adopted under a new Chapter, COMAR 10.57.03, Certification — Residential Child and Youth Care Practitioners, effective April 19, 2010 (37:8 Md. R. 617)</annotation>
      <annotation type="History" subtype="Administrative History">Regulation .01A amended effective September 29, 2014 (41:19 Md. R. 1080)</annotation>
      <annotation type="History" subtype="Administrative History">Regulation .13 adopted effective September 29, 2014 (41:19 Md. R. 1080)</annotation>
      <annotation type="History" subtype="Administrative History">Chapter revised effective September 14, 2015 (42:18 Md. R. 1175)</annotation>
      <annotation type="History" subtype="Administrative History">Regulation .01 amended effective December 27, 2021 (48:26 Md. R. 1112)</annotation>
      <annotation type="History" subtype="Administrative History">Regulation .01A amended effective November 7, 2016 (43:22 Md. R. 1223)</annotation>
      <annotation type="History" subtype="Administrative History">Regulation .02 amended effective November 7, 2016 (43:22 Md. R. 1223)</annotation>
      <annotation type="History" subtype="Administrative History">Regulation .02A amended effective January 29, 2018 (45:2 Md. R. 69)</annotation>
      <annotation type="History" subtype="Administrative History">Regulation .03 amended effective October 13, 2025 (52:20 Md. R. 1002)</annotation>
      <annotation type="History" subtype="Administrative History">Regulation .05 amended effective November 7, 2016 (43:22 Md. R. 1223); December 31, 2018 (45:26 Md. R. 1246)</annotation>
      <annotation type="History" subtype="Administrative History">Regulation .05D amended effective October 13, 2025 (52:20 Md. R.1002)</annotation>
      <annotation type="History" subtype="Administrative History">Regulation .06B, C amended effective November 7, 2016 (43:22 Md. R. 1223)</annotation>
      <annotation type="History" subtype="Administrative History">Regulation .06D adopted effective December 31, 2018 (45:26 Md. R. 1246)</annotation>
      <annotation type="History" subtype="Administrative History">Regulation .07A amended effective November 7, 2016 (43:22 Md. R. 1223)</annotation>
      <annotation type="History" subtype="Administrative History">Regulation .08 amended effective October 13, 2025 (52:20 Md. R. 1002)</annotation>
      <annotation type="History" subtype="Administrative History">Regulation .10 repealed effective October 13, 2025 (52:20 Md. R. 1002)</annotation>
    </annotations>
  </chapter>
  <chapter num="04" heading="Continuing Education">
    <regulation prefix="Regulation" num=".01" heading="Conditions of Certification Renewal; Continuing Education Units Required.">
      <paragraph num="A.">
        <text>The Board shall renew a certificate for an additional 2-year period if the certified program administrator:</text>
        <paragraph num="(1)">
          <text>Otherwise is entitled to be certified as set forth in COMAR 10.57.02;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Pays to the Board the renewal fee as set forth in COMAR 10.57.06; and</text>
        </paragraph>
        <paragraph num="(3)">
          <text>Submits to the Board:</text>
          <paragraph num="(a)">
            <text>A renewal application on the form that the Board requires; and</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Satisfactory evidence of having completed:</text>
            <paragraph num="(i)">
              <text>For a certificate holder who obtained initial certification 2 years to 18 months before the renewal date, 40 continuing education units approved by the Board;</text>
            </paragraph>
            <paragraph num="(ii)">
              <text>For a certificate holder who obtained initial certification within 18 months to 1 year before the renewal date, 30 continuing education units approved by the Board;</text>
            </paragraph>
            <paragraph num="(iii)">
              <text>For a certificate holder who obtained initial certification within 1 year to 6 months before the renewal date, 20 continuing education units approved by the Board; and</text>
            </paragraph>
            <paragraph num="(iv)">
              <text>For a certificate holder who obtained initial certification within 6 months before the renewal date, 10 continuing education units approved by the Board.</text>
            </paragraph>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="B.">
        <text>The Board shall renew the certificate for an additional 2-year period if the certified residential child and youth care practitioner:</text>
        <paragraph num="(1)">
          <text>Otherwise is entitled to be certified as set forth in COMAR 10.57.03;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Pays to the Board the renewal fee as established in COMAR 10.57.07; and</text>
        </paragraph>
        <paragraph num="(3)">
          <text>Submits to the Board:</text>
          <paragraph num="(a)">
            <text>A renewal application on the form that the Board requires; and</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Satisfactory evidence of having completed, within the 2-year period before the renewal date, a minimum of 20 continuing education units approved by the Board.</text>
          </paragraph>
        </paragraph>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".02" heading="Qualifying Continuing Education.">
      <paragraph num="A.">
        <text>The certified program administrator or certified residential child and youth care practitioner shall complete continuing education units that foster improvement, advancement, and extension of the certified program administrator's or certified residential child and youth care practitioner professional skill and knowledge relating to residential child care programs.</text>
      </paragraph>
      <paragraph num="B.">
        <text>Continuing education may include:</text>
        <paragraph num="(1)">
          <text>Academic course work which qualifies for credit toward an undergraduate or a graduate degree from an accredited institution with one semester hour of academic course work equivalent to 15 continuing education units and one quarter hour of academic course work equivalent to 3.75 continuing education units;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Workshops, seminars, symposiums, conferences, institutes, audiovisual self-study, and similar programs with 1 hour of attendance equivalent to 1 continuing education unit unless otherwise noted by an automatic or authorized sponsor;</text>
        </paragraph>
        <paragraph num="(3)">
          <text>Publications with 1 hour of authoring, editing, or review equal to 1 continuing education unit, up to a maximum of 12 continuing education units in a renewal period;</text>
        </paragraph>
        <paragraph num="(4)">
          <text>Presentations or teaching up to a maximum of twice the number of continuing education units available to a participant in the program;</text>
        </paragraph>
        <paragraph num="(5)">
          <text>Staff development, including but not limited to an educational program planned by an agency to assist employees in becoming knowledgeable and competent in fulfilling role expectations within that agency with 1 hour of attendance equivalent to 1 continuing education unit;</text>
        </paragraph>
        <paragraph num="(6)">
          <text>Invited speaker sessions, in-house seminars, and case conferences which are specifically designed for training, teaching, or both, with 1 hour of attendance equivalent to 1 continuing education unit;</text>
        </paragraph>
        <paragraph num="(7)">
          <text>Attendance or presentation of programs offered at professional meetings of local, state, regional or international professional organizations or societies;</text>
        </paragraph>
        <paragraph num="(8)">
          <text>Home-study courses provided by automatic sponsors or approved sponsors with proof of satisfactory completion up to a maximum of 10 continuing education units in a renewal period; or</text>
        </paragraph>
        <paragraph num="(9)">
          <text>Attendance at Board meetings with 1 hour of attendance equivalent to 1 continuing education unit up to a maximum of 2 continuing education units.</text>
        </paragraph>
      </paragraph>
      <paragraph num="C.">
        <text>Of the required continuing education units in each 2-year period, a maximum of 5 continuing education units may have a content area focusing on behavior management.</text>
      </paragraph>
      <paragraph num="D.">
        <text>Continuing education may not include certification or recertification in CPR or first aid.</text>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".03" heading="Obtaining Board Approval for Continuing Education Activities.">
      <paragraph num="A.">
        <text>Authorization of Sponsors of Continuing Education.</text>
        <paragraph num="(1)">
          <text>The following organizations are recognized by the Board as automatic sponsors, and may sponsor, or approve, or both, continuing education:</text>
          <paragraph num="(a)">
            <text>State, regional, national, or international associations for:</text>
            <paragraph num="(i)">
              <text>Child and family services;</text>
            </paragraph>
            <paragraph num="(ii)">
              <text>Dietetics;</text>
            </paragraph>
            <paragraph num="(iii)">
              <text>Education;</text>
            </paragraph>
            <paragraph num="(iv)">
              <text>Medical or allied health professionals;</text>
            </paragraph>
            <paragraph num="(v)">
              <text>Professional counseling or therapy;</text>
            </paragraph>
            <paragraph num="(vi)">
              <text>Psychiatry;</text>
            </paragraph>
            <paragraph num="(vii)">
              <text>Psychology;</text>
            </paragraph>
            <paragraph num="(viii)">
              <text>Nursing; and</text>
            </paragraph>
            <paragraph num="(ix)">
              <text>Social work;</text>
            </paragraph>
          </paragraph>
          <paragraph num="(b)">
            <text>National, regional, or State accredited academic institutions offering academic courses or programs that apply to the field of residential child care;</text>
          </paragraph>
          <paragraph num="(c)">
            <text>Agencies, institutions, organizations, or individuals authorized as automatic sponsors or approved sponsors of continuing education by the State Board of Social Work Examiners under COMAR 10.42.06; and</text>
          </paragraph>
          <paragraph num="(d)">
            <text>Agencies, institutions, organizations, or individuals approved by any State licensing or certification boards under Health Occupations Article, Annotated Code of Maryland.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(2)">
          <text>The following may be authorized to sponsor continuing education on application and approval by the Board:</text>
          <paragraph num="(a)">
            <text>Licensed health professionals;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Individuals with documented expertise in an area related to the practice of residential child care; and</text>
          </paragraph>
          <paragraph num="(c)">
            <text>Agencies, institutions, or organizations not entitled to automatic authorization, but which provide continuing education programs.</text>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="B.">
        <text>Application for Authorization to Sponsor Continuing Education.</text>
        <paragraph num="(1)">
          <text>Applicants meeting the requirements of this chapter, who are not automatically authorized to sponsor continuing education programs, may apply to the Board for authorization to sponsor programs.</text>
        </paragraph>
        <paragraph num="(2)">
          <text>The Board shall:</text>
          <paragraph num="(a)">
            <text>Provide the applicant with an application form; and</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Charge a fee for processing the application to sponsor continuing education programs as provided in COMAR 10.57.07.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(3)">
          <text>An applicant for authorization to sponsor continuing education shall submit an application on the form provided by the Board for approval of the sponsor's credentials at least 45 days before conducting the sponsor's first program.</text>
        </paragraph>
        <paragraph num="(4)">
          <text>The Board shall give notice to an applicant that the applicant has been approved or disapproved as a sponsor.</text>
        </paragraph>
        <paragraph num="(5)">
          <text>If approved, the sponsor shall be placed on a provisional status until five continuing education programs have been submitted and approved as meeting the objectives of this chapter.</text>
        </paragraph>
        <paragraph num="(6)">
          <text>Within 30 days after conducting each of the five programs required to become an authorized sponsor, a provisional sponsor shall submit:</text>
          <paragraph num="(a)">
            <text>A summary of attendance including the number of participants grouped by profession; and</text>
          </paragraph>
          <paragraph num="(b)">
            <text>A summarized report of the participant evaluations of the continuing education program.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(7)">
          <text>The Board shall notify the provisional sponsor in writing after receiving documentation of completion of all of the requirements of this regulation, if the requirements to be an authorized sponsor have been satisfied.</text>
        </paragraph>
        <paragraph num="(8)">
          <text>The Board may waive the fee charged for processing the application, if the sponsor applying for authorization has demonstrated a capacity to offer acceptable continuing education programs to residential child care program professionals for no cost or nominal cost.</text>
        </paragraph>
        <paragraph num="(9)">
          <text>Provisional sponsors may not be described as authorized sponsors in course description literature or other information.</text>
        </paragraph>
      </paragraph>
      <paragraph num="C.">
        <text>Authorized Sponsor Requirements.</text>
        <paragraph num="(1)">
          <text>Authorized sponsors shall include the following in the program descriptions:</text>
          <paragraph num="(a)">
            <text>The number of continuing education units which will be certified by the sponsor in a certificate awarded to the residential child care program professional;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>A statement that the named sponsor is authorized by the Board; and</text>
          </paragraph>
          <paragraph num="(c)">
            <text>A statement that the named sponsor maintains responsibility for the program.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(2)">
          <text>The Board shall maintain a roster of authorized sponsors.</text>
        </paragraph>
        <paragraph num="(3)">
          <text>The Board shall require a sponsor to maintain documentation of continuing education for 4 years which includes:</text>
          <paragraph num="(a)">
            <text>Registration and attendance records;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Stated purpose;</text>
          </paragraph>
          <paragraph num="(c)">
            <text>Content of presentation;</text>
          </paragraph>
          <paragraph num="(d)">
            <text>Time and length of activity; and</text>
          </paragraph>
          <paragraph num="(e)">
            <text>Participant evaluations.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(4)">
          <text>The Board may audit authorized sponsors at any time.</text>
        </paragraph>
      </paragraph>
      <paragraph num="D.">
        <text>Suspension or Revocation of Sponsorship Authorization.</text>
        <paragraph num="(1)">
          <text>Authorization as a sponsor or status as a provisional sponsor may be suspended or revoked if the sponsor does not comply with the requirements of §C of this regulation.</text>
        </paragraph>
        <paragraph num="(2)">
          <text>The Board shall provide an opportunity for a hearing on request for reconsideration of the Board's decision to suspend or revoke sponsorship authorization, if a written request for reconsideration and hearing is received by the Board within 30 days after the affected party has been notified of the Board's action.</text>
        </paragraph>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".04" heading="Reporting, Documenting, and Auditing Compliance with Continuing Education Requirements.">
      <paragraph num="A.">
        <text>A certified program administrator or certified residential child and youth care practitioner who has completed the continuing education requirements shall attest to that on a form supplied by the Board as part of the application for certificate renewal.</text>
      </paragraph>
      <paragraph num="B.">
        <text>The Board shall audit a percentage of certified program administrators and certified residential child and youth care practitioners, to be determined by the Board, for each reporting period.</text>
      </paragraph>
      <paragraph num="C.">
        <text>On request by the Board, a certified program administrator or certified residential child and youth care practitioner shall provide full documentation of the credit hours completed in accordance with the requirements of this regulation.</text>
      </paragraph>
      <paragraph num="D.">
        <text>Documentation. A certified program administrator or certified residential child and youth care practitioner shall provide to the Board:</text>
        <paragraph num="(1)">
          <text>An official transcript for credit hours earned in a course taken for credit;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>A certificate of completion;</text>
        </paragraph>
        <paragraph num="(3)">
          <text>If a certificate of completion is not available:</text>
          <paragraph num="(a)">
            <text>Dates on which the program was presented;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Names of the presenters;</text>
          </paragraph>
          <paragraph num="(c)">
            <text>Topics presented; and</text>
          </paragraph>
          <paragraph num="(d)">
            <text>An outline of the presentation;</text>
          </paragraph>
        </paragraph>
        <paragraph num="(4)">
          <text>If a certificate of completion is not available for an audiovisual instruction program or a home study course, proof of completion of the program or course, such as post-test passing score or other satisfactory proof as determined by the Board;</text>
        </paragraph>
        <paragraph num="(5)">
          <text>Proof of presentations made;</text>
        </paragraph>
        <paragraph num="(6)">
          <text>Reprints of publications;</text>
        </paragraph>
        <paragraph num="(7)">
          <text>Dates, times, and names of participants in journal clubs and organized learning experiences; or</text>
        </paragraph>
        <paragraph num="(8)">
          <text>If credit is claimed for instruction of students, letters from educational institutions.</text>
        </paragraph>
      </paragraph>
      <paragraph num="E.">
        <text>Record and Retention for Active or Lapsed Certificate.</text>
        <paragraph num="(1)">
          <text>Active Certificates.</text>
          <paragraph num="(a)">
            <text>A certified program administrator or certified residential child and youth care practitioner shall retain records documenting completion of continuing education requirements for 1 year after the certificate renewal date for which the report of continuing education was submitted to the Board.</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Documentation may be requested by the Board at any time within that 1-year period.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(2)">
          <text>Lapsed Certificate. A certified program administrator or certified residential child and youth care practitioner with a lapsed license shall:</text>
          <paragraph num="(a)">
            <text>Retain records documenting completion of continuing education requirements for each 2-year period that the license was lapsed, up to a maximum of 80 credit hours; and</text>
          </paragraph>
          <paragraph num="(b)">
            <text>File with the Board documentation of completion of continuing education units at the time of reinstatement.</text>
          </paragraph>
        </paragraph>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".05" heading="Waiver of Continuing Education Requirements.">
      <text>The Board, at its discretion, may waive all or part of the requirements of Regulation .01A(3)(b) or B(3)(b) of this chapter.</text>
    </regulation>
    <annotations>
      <annotation type="Authority">Health Occupations Article, §20-205, Annotated Code of Maryland</annotation>
      <annotation type="History" subtype="Administrative History">Effective date:</annotation>
      <annotation type="History" subtype="Administrative History">Regulations .01—.04 adopted as an emergency provision effective January 7, 2008 (35:9 Md. R. 894); adopted permanently effective April 7, 2008 (35:7 Md. R. 749)</annotation>
      <annotation type="History" subtype="Administrative History">Chapter revised and recodified from COMAR 10.57.03 effective April 19, 2010 (37:8 Md. R. 617)</annotation>
      <annotation type="History" subtype="Administrative History">Regulation .01A amended effective March 3, 2014 (41:4 Md. R. 302)</annotation>
    </annotations>
  </chapter>
  <chapter num="05" heading="Code of Ethics">
    <regulation prefix="Regulation" num=".01" heading="Scope.">
      <text>This chapter applies to all individuals licensed by the Board including:</text>
      <paragraph num="A.">
        <text>Certified residential child care program administrators; and</text>
      </paragraph>
      <paragraph num="B.">
        <text>Certified residential child and youth care practitioners.</text>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".02" heading="Public Protection.">
      <text>The residential child care program administrator and the residential child and youth care practitioner accept the obligation to protect the public by:</text>
      <paragraph num="A.">
        <text>Upholding the Code of Ethics, as set forth in this chapter; and</text>
      </paragraph>
      <paragraph num="B.">
        <text>Reporting alleged violations of this chapter to the Board.</text>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".03" heading="General Conduct.">
      <paragraph num="A.">
        <text>The primary concern of the residential child care program administrator and the residential child and youth care practitioner shall be the welfare of children and youth placed in the residential child care program.</text>
      </paragraph>
      <paragraph num="B.">
        <text>The certified residential child and youth care practitioner shall:</text>
        <paragraph num="(1)">
          <text>Function with discretion and integrity in relationships with other health professionals;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Carry out all duties with honesty, integrity, self-respect, and fairness;</text>
        </paragraph>
        <paragraph num="(3)">
          <text>Maintain documentation in the client's record which:</text>
          <paragraph num="(a)">
            <text>Is legible;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Accurately reflects the services provided, including treatment plans, treatment goals, and progress notes;</text>
          </paragraph>
          <paragraph num="(c)">
            <text>Indicates the time and date services were provided;</text>
          </paragraph>
          <paragraph num="(d)">
            <text>Protects the client's privacy by including only information directly relevant to the delivery of services;</text>
          </paragraph>
          <paragraph num="(e)">
            <text>Is sufficient and timely to facilitate the delivery and continuity of services to be delivered in the future; and</text>
          </paragraph>
          <paragraph num="(f)">
            <text>Is reasonably accessible for the period required by law, after termination of services;</text>
          </paragraph>
        </paragraph>
        <paragraph num="(4)">
          <text>Inform the Board of unethical conduct by a certified residential child care program administrator or residential child and youth care practitioner; and</text>
        </paragraph>
        <paragraph num="(5)">
          <text>Inform the Board about an individual who is not certified by the Board but who represents that the individual is a residential child care program administrator or residential child and youth care practitioner, or offering to practice residential child care administration.</text>
        </paragraph>
      </paragraph>
      <paragraph num="C.">
        <text>In the capacity or identity as a certified residential child care program administrator or certified residential child and youth care practitioner may not:</text>
        <paragraph num="(1)">
          <text>Participate in or condone dishonest behavior, fraudulent activities, deceitful practices, or misrepresentation;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Misrepresent professional qualifications, education, experience, or affiliation;</text>
        </paragraph>
        <paragraph num="(3)">
          <text>Exploit a relationship with a client for personal advantage or satisfaction;</text>
        </paragraph>
        <paragraph num="(4)">
          <text>Engage in solicitation which amounts to fraud, intimidation, or undue influence, including but not limited to in-person, telephone, or direct mail solicitation;</text>
        </paragraph>
        <paragraph num="(5)">
          <text>Practice, condone, or facilitate discrimination, or collaborate to discriminate on the basis of race, color, sex, sexual orientation, age, religion, national origin, marital status, political belief, disability, or other preference or personal characteristic, condition, or status with an individual or group of individuals;</text>
        </paragraph>
        <paragraph num="(6)">
          <text>Engage or participate in an action that violates or diminishes the civil or legal rights of a client;</text>
        </paragraph>
        <paragraph num="(7)">
          <text>Share with another individual a confidence revealed by a client without the client's consent, except if there is danger to self or another individual , or for a compelling professional reason; or</text>
        </paragraph>
        <paragraph num="(8)">
          <text>Enter into a nonprofessional, social, or dual relationship with a client, or an individual with whom the client has a close personal relationship.</text>
        </paragraph>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".04" heading="Sexual Misconduct.">
      <paragraph num="A.">
        <text>The certified residential child care program administrator or certified residential child and youth care practitioner may not engage in sexual misconduct with a client or supervisee. Sexual misconduct includes but is not limited to:</text>
        <paragraph num="(1)">
          <text>Inappropriate sexual language;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Sexual exploitation;</text>
        </paragraph>
        <paragraph num="(3)">
          <text>Sexual harassment;</text>
        </paragraph>
        <paragraph num="(4)">
          <text>Sexual behavior; and</text>
        </paragraph>
        <paragraph num="(5)">
          <text>Deception in the practice of residential care administration.</text>
        </paragraph>
      </paragraph>
      <paragraph num="B.">
        <text>Concurrent Sexual Relationships. The certified residential child care program administrator or certified residential child and youth care practitioner may not engage in either consensual or forced sexual behavior with:</text>
        <paragraph num="(1)">
          <text>A client;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>A supervisee over whom the certified residential child care program administrator or certified residential child and youth care practitioner exercises professional authority or with whom the licensee maintains direct supervision or education while the professional relationship continues or exist; or</text>
        </paragraph>
        <paragraph num="(3)">
          <text>An individual with whom the client has a close personal relationship, including but not limited to a relative or a significant individual in the client's life if there is a risk of exploitation or potential harm to the client.</text>
        </paragraph>
      </paragraph>
      <paragraph num="C.">
        <text>Sexual Harassment.</text>
        <paragraph num="(1)">
          <text>The certified program administrator or certified residential child and youth care practitioner may not sexually harass a client or supervisee.</text>
        </paragraph>
        <paragraph num="(2)">
          <text>If sexually harassed by a client, the certified program administrator or certified residential child and youth care practitioner shall comply with the provider agency incident reporting process as required under COMAR 14.31.06.18A(2).</text>
        </paragraph>
      </paragraph>
      <paragraph num="D.">
        <text>Deceit When Providing Residential Child Care Administration. The certified residential child care program administrator or certified residential child and youth care practitioner may not:</text>
        <paragraph num="(1)">
          <text>Engage in sexual activity with a client or an individual in a close personal relationship with the client, on the pretense of therapeutic intent or benefit;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Represent to the client or individual in close personal contact with the client that sexual contact or activity by or with the certified residential child care program administrator or certified residential child and youth care practitioner is consistent with or part of the client's care; or</text>
        </paragraph>
        <paragraph num="(3)">
          <text>Suggest, recommend, or encourage the client to engage in a sexually provocative act, including but not limited to:</text>
          <paragraph num="(a)">
            <text>Sexual contact with the certified residential child care program administrator or certified residential child and youth care practitioner;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Genital stimulation by or of the client or certified residential child care program administrator or certified residential child and youth care practitioner;</text>
          </paragraph>
          <paragraph num="(c)">
            <text>Undressing by or of the certified program administrator or certified residential child and youth care practitioner in the presence of the client, or of the client in the presence of the certified residential child program administrator or certified residential child and youth care practitioner; or</text>
          </paragraph>
          <paragraph num="(d)">
            <text>Discussion or disclosure of a sexually provocative or erotic nature, not necessitated by residential child care administration protocol.</text>
          </paragraph>
        </paragraph>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".05" heading="Physical Contact.">
      <text>The certified residential child care program administrator or certified residential child and youth care practitioner engaging in physical contact with a client as an accepted component of a professionally recognized, nontraditional treatment modality shall have documented in the client's record by a licensed or certified health care professional:</text>
      <paragraph num="A.">
        <text>An assessment of the client;</text>
      </paragraph>
      <paragraph num="B.">
        <text>A written rationale for the use of the treatment modality for the client; and</text>
      </paragraph>
      <paragraph num="C.">
        <text>A copy of the informed consent, signed and dated by the client and the licensed or certified health care professional, which addresses:</text>
        <paragraph num="(1)">
          <text>The risks and benefits of the treatment modality;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>The objective or objectives and intended outcome or outcomes of the proposed treatment;</text>
        </paragraph>
        <paragraph num="(3)">
          <text>Available alternative interventions; and</text>
        </paragraph>
        <paragraph num="(4)">
          <text>A description of the physical contact which may be reasonably anticipated by the client in the course of the proposed treatment.</text>
        </paragraph>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".06" heading="Sanctions.">
      <paragraph num="A.">
        <text>A certified residential child care program administrator or certified residential child and youth care practitioner is subject to sanctions if the certified residential child care program administrator or certified residential child and youth care practitioner:</text>
        <paragraph num="(1)">
          <text>Has engaged in sexual misconduct with a client or supervisee;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Has engaged in sexual behavior that would be considered unethical or unprofessional according to the professional standards of conduct, including but not limited to:</text>
          <paragraph num="(a)">
            <text>Sexual behavior or knowledge of sexual behavior with a client placed in the residential child care program;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Solicitation of a sexual relationship with a client placed in the residential child care program;</text>
          </paragraph>
          <paragraph num="(c)">
            <text>Sexual advances, requesting sexual favors, or both;</text>
          </paragraph>
          <paragraph num="(d)">
            <text>A verbal comment of a sexual nature;</text>
          </paragraph>
          <paragraph num="(e)">
            <text>Physical contact of a sexual nature with a client placed in the residential child care program;</text>
          </paragraph>
          <paragraph num="(f)">
            <text>Discussion of unnecessary sexual matters with a client placed in the residential child care program;</text>
          </paragraph>
          <paragraph num="(g)">
            <text>Direct or indirect observation of a client while the client is undressing or dressing;</text>
          </paragraph>
          <paragraph num="(h)">
            <text>The taking of photographs of a client placed in the residential child care program for a sexual purpose;</text>
          </paragraph>
          <paragraph num="(i)">
            <text>Sexual harassment of staff, students, or volunteers;</text>
          </paragraph>
          <paragraph num="(j)">
            <text>Sexual contact with a client placed in the residential child care program; or</text>
          </paragraph>
          <paragraph num="(k)">
            <text>Offering to provide services, such as drugs, in exchange for sexual favors;</text>
          </paragraph>
        </paragraph>
        <paragraph num="(3)">
          <text>Has violated any of the provisions of the:</text>
          <paragraph num="(a)">
            <text>Law pertaining to the certification of residential child care program administrators or residential child and youth care practitioners; or</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Regulations of the Board pertaining to the certification of residential child care program administrators or residential child and youth care practitioners;</text>
          </paragraph>
        </paragraph>
        <paragraph num="(4)">
          <text>Has violated any of the provisions of the law or regulations of the certification, supervising authority, or agency of the State or political subdivision of the State having jurisdiction of the operation, licensure, or certification of residential child care programs;</text>
        </paragraph>
        <paragraph num="(5)">
          <text>Is professionally, physically, or mentally incompetent to act as a residential child care program administrator or residential child and youth care practitioner;</text>
        </paragraph>
        <paragraph num="(6)">
          <text>Has practiced fraud, deceit, or misrepresentation in the capacity as a residential child care program administrator or residential child and youth care practitioner;</text>
        </paragraph>
        <paragraph num="(7)">
          <text>Has wrongfully transferred or surrendered possession, either temporarily or permanently, of their certificate card to any other individual;</text>
        </paragraph>
        <paragraph num="(8)">
          <text>Has used fraudulent, misleading, or deceptive advertising;</text>
        </paragraph>
        <paragraph num="(9)">
          <text>Has endangered or sanctioned the endangerment of the safety, health, and life of any client;</text>
        </paragraph>
        <paragraph num="(10)">
          <text>Has willfully permitted unauthorized disclosure of information relating to a client's records;</text>
        </paragraph>
        <paragraph num="(11)">
          <text>Has discriminated in respect to clients placed in the residential child care program, employees, or staff on account of race, religion, color, national origin, disability, gender, sexual orientation, or any other area that the Board deems inappropriate; or</text>
        </paragraph>
        <paragraph num="(12)">
          <text>Has practiced as a residential child care program administrator or residential child and youth care practitioner without holding a certificate to practice in the State.</text>
        </paragraph>
      </paragraph>
      <paragraph num="B.">
        <text>A sanction constitutes the minimum disciplinary measure and does not preclude the Board from imposing additional penalties as it deems appropriate to an individual case.</text>
      </paragraph>
      <paragraph num="C.">
        <text>The Board shall advise all applicable licensing authorities of the suspension or revocation of a certificate on the grounds of sexual misconduct.</text>
      </paragraph>
      <paragraph num="D.">
        <text>The certified residential child care program administrator or certified residential child and youth care practitioner may not prohibit the client from reporting sexual misconduct as a condition of settlement of a legal cause of action.</text>
      </paragraph>
      <paragraph num="E.">
        <text>The Board may deny certification to any applicant, suspend or revoke a certification of a residential child care program administrator or a residential child and youth care practitioner, or reprimand or otherwise discipline a residential child care program administrator or a residential child and youth care practitioner after due notice and an opportunity to be heard at a formal hearing, upon evidence that the applicant, child care program administrator, or residential child and youth care practitioner has violated this chapter.</text>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".07" heading="Rehearings.">
      <paragraph num="A.">
        <text>A party aggrieved by the decision and order rendered may apply for rehearing within 10 days after service on him of the decision and order. Action on an application shall lie in the discretion of the Board.</text>
      </paragraph>
      <paragraph num="B.">
        <text>Unless otherwise ordered, neither the rehearing nor the application for it stays the enforcement of the order, or excuses the individual affected for failure to comply with its terms.</text>
      </paragraph>
      <paragraph num="C.">
        <text>The Board may consider facts not presented in the original hearing, including facts arising after the date of the original hearing, and may by new order abrogate, change, or modify its original order.</text>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".08" heading="Appeals.">
      <text>An individual whose certificate has been revoked or suspended by the Board, or any individual placed on probation or reprimand under this chapter, may appeal the Board's decision as provided by law.</text>
    </regulation>
    <annotations>
      <annotation type="Authority">Health Occupations Article, §§1-212, 20-205, and 20-213, Annotated Code of Maryland</annotation>
      <annotation type="History" subtype="Administrative History">Effective date:</annotation>
      <annotation type="History" subtype="Administrative History">Regulations .01—.02 adopted as an emergency provision effective January 7, 2008 (35:9 Md. R. 894); adopted permanently effective April 7, 2008 (35:7 Md. R. 749)</annotation>
      <annotation type="History" subtype="Administrative History">Chapter revised and recodified from COMAR 10.57.04 to COMAR 10.57.05 effective April 19, 2010 (37:8 Md. R. 617)</annotation>
      <annotation type="History" subtype="Administrative History">Regulation .04 amended effective October 13, 2025 (52:20 Md. R. 1002)</annotation>
    </annotations>
  </chapter>
  <chapter num="06" heading="Hearing Procedures">
    <regulation prefix="Regulation" num=".01" heading="Notice of Hearing.">
      <paragraph num="A.">
        <text>Written notice of a hearing shall be sent by the Board to all interested parties at least 30 days before the hearing. The notice shall state the:</text>
        <paragraph num="(1)">
          <text>Date, time, and place of the hearing; and</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Except as provided in §C of this regulation, issues or charges involved in the proceeding.</text>
        </paragraph>
      </paragraph>
      <paragraph num="B.">
        <text>Service upon a party shall be by delivery of the charging document and copy of the complaint to the party in person. Instead of personal service, the Board may serve the charging document and a copy of the complaint by registered or certified mail, restricted delivery, return receipt requested.</text>
      </paragraph>
      <paragraph num="C.">
        <text>If by reason of the nature of the proceeding the issues cannot be fully stated in advance of the hearing, or if subsequent amendment of the issues is necessary, the issues or charges shall be fully stated as soon as practicable.</text>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".02" heading="Representation of Parties.">
      <text>Each party appearing at formal hearings shall have the right to appear in proper person or by or with counsel.</text>
    </regulation>
    <regulation prefix="Regulation" num=".03" heading="Prehearing Procedures.">
      <paragraph num="A.">
        <text>Discovery.</text>
        <paragraph num="(1)">
          <text>Discovery on Request. By written request served on the other party and filed with the Board or the Office of Administrative Hearings, as appropriate, a party may require another party to produce, within 15 days, the following:</text>
          <paragraph num="(a)">
            <text>A list of witnesses to be called;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Copies of documents intended to be produced at the hearing; or</text>
          </paragraph>
          <paragraph num="(c)">
            <text>Both §A(1)(a) and (b) of this regulation.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(2)">
          <text>Mandatory Discovery.</text>
          <paragraph num="(a)">
            <text>Each party shall provide to the other party not later than 15 days before the prehearing conference, if scheduled, or 45 days before the scheduled hearing date, whichever is earlier:</text>
            <paragraph num="(i)">
              <text>The name and curriculum vitae of any expert witness who will testify at the hearing; and</text>
            </paragraph>
            <paragraph num="(ii)">
              <text>A detailed written report summarizing the expert's testimony, which includes the opinion offered and the factual basis and reasons underlying the opinion.</text>
            </paragraph>
          </paragraph>
          <paragraph num="(b)">
            <text>If the Board or the Office of Administrative Hearings, as appropriate, finds that the report is not sufficiently specific, or otherwise fails to comply with the requirements of this section, the Board or the Office of Administrative Hearings, as appropriate, shall exclude from the hearing the testimony of the expert and any report of the expert.</text>
          </paragraph>
          <paragraph num="(c)">
            <text>The Board or the Office of Administrative Hearings, as appropriate, shall consider and decide arguments regarding the sufficiency of the report:</text>
            <paragraph num="(i)">
              <text>At the prehearing conference, if scheduled; or</text>
            </paragraph>
            <paragraph num="(ii)">
              <text>Immediately before the scheduled hearing.</text>
            </paragraph>
          </paragraph>
          <paragraph num="(d)">
            <text>If an expert adopts a sufficiently specific charging document as the expert's report, that adoption satisfies the requirements set forth in this section.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(3)">
          <text>Parties are not entitled to discovery of items other than as listed in §A(1) and (2) of this regulation.</text>
        </paragraph>
        <paragraph num="(4)">
          <text>Both parties have a continuing duty to supplement their disclosures of witnesses and documents.</text>
        </paragraph>
        <paragraph num="(5)">
          <text>Absent unforeseen circumstances which would otherwise impose an extraordinary hardship on a party, witnesses or documents may not be added to the list:</text>
          <paragraph num="(a)">
            <text>After the prehearing conference, if scheduled; or</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Later than 15 days before the hearing, if no prehearing conference is scheduled.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(6)">
          <text>The prohibition against adding witnesses does not apply to witnesses or documents to be used for impeachment or rebuttal purposes.</text>
        </paragraph>
        <paragraph num="(7)">
          <text>Construction.</text>
          <paragraph num="(a)">
            <text>In hearings conducted by an administrative law judge of the Office of Administrative Hearings, this chapter shall, whenever possible, be construed as supplementing and in harmony with COMAR 28.02.01.</text>
          </paragraph>
          <paragraph num="(b)">
            <text>In the event of a conflict between this and COMAR 28.02.01, this chapter applies.</text>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="B.">
        <text>Prehearing Conferences. The Board may set prehearing conferences as it considers appropriate.</text>
      </paragraph>
      <paragraph num="C.">
        <text>Oaths and Subpoenas.</text>
        <paragraph num="(1)">
          <text>The Board may administer oaths and compel the attendance of witnesses and the production of physical evidence before it from witnesses upon whom process is served anywhere within the State as in civil cases in the circuit court of the county or of Baltimore city, by subpoena issued over the signature of an officer or the executive secretary of the Board.</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Upon a request by a party and statement under oath that the testimony or evidence is necessary to the party's defense, the Board shall issue a subpoena on the party's behalf.</text>
        </paragraph>
      </paragraph>
      <paragraph num="D.">
        <text>Motions.</text>
        <paragraph num="(1)">
          <text>Motions filed by a party shall be:</text>
          <paragraph num="(a)">
            <text>Accompanied by a memorandum of points and authorities; and</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Filed with the Board at least 10 working days before the hearing and a copy served on the opposing party.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(2)">
          <text>Any response shall be filed with the Board at least 5 working days before the hearing and a copy shall be served on the opposing party.</text>
        </paragraph>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".04" heading="Conduct of the Hearing.">
      <paragraph num="A.">
        <text>Board Majority. Each hearing shall be held before not less than a quorum of the Board unless the hearing authority is delegated pursuant to State Government Article, §10-207, Annotated Code of Maryland. A delegation of authority shall be subject to the provisions of State Government Article, §10-212, Annotated Code of Maryland. Board action shall be by majority vote of those Board members present at the hearing.</text>
      </paragraph>
      <paragraph num="B.">
        <text>Duties of Presiding Officer.</text>
        <paragraph num="(1)">
          <text>The Chairman, or in the Chairman's absence a member designated by the Chairman, shall be the presiding officer, or if in a delegated hearing, a hearing examiner shall be the presiding officer.</text>
        </paragraph>
        <paragraph num="(2)">
          <text>The presiding officer shall:</text>
          <paragraph num="(a)">
            <text>Have complete charge of the hearing;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Permit the examination of witnesses;</text>
          </paragraph>
          <paragraph num="(c)">
            <text>Admit evidence;</text>
          </paragraph>
          <paragraph num="(d)">
            <text>Rule on the admissibility of evidence; and</text>
          </paragraph>
          <paragraph num="(e)">
            <text>Adjourn or recess the hearing from time to time.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(3)">
          <text>The presiding officer may set reasonable time limits on arguments and presentation of evidence.</text>
        </paragraph>
        <paragraph num="(4)">
          <text>The presiding officer shall be responsible for decorum in hearings and may suspend the proceedings as necessary to maintain decorum.</text>
        </paragraph>
      </paragraph>
      <paragraph num="C.">
        <text>Legal Advisor and Counsel for the Board.</text>
        <paragraph num="(1)">
          <text>The presiding officer may request the Office of the Attorney General to participate in any hearing to present the case on behalf of the Board.</text>
        </paragraph>
        <paragraph num="(2)">
          <text>The member of the Office of the Attorney General presenting the case on behalf of the Board shall have all of the following rights:</text>
          <paragraph num="(a)">
            <text>The submission of evidence;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Examination and cross-examination of witnesses;</text>
          </paragraph>
          <paragraph num="(c)">
            <text>Presentation of summation and argument; and</text>
          </paragraph>
          <paragraph num="(d)">
            <text>Filing of objections, exceptions, and motions.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(3)">
          <text>The presiding officer may also request a representative of the Office of the Attorney General to act as legal advisor to the Board as to questions of evidence and law.</text>
        </paragraph>
      </paragraph>
      <paragraph num="D.">
        <text>Order of Procedure. The State shall present its case first. Then the respondent shall present the respondent's case. After this the State may present rebuttal.</text>
      </paragraph>
      <paragraph num="E.">
        <text>Examination of Witnesses and Introduction of Evidence.</text>
        <paragraph num="(1)">
          <text>The rules of evidence in all hearings under these regulations shall be as set forth in State Government Article, §§10-208 and 10-209, Annotated Code of Maryland.</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Each party has the right to:</text>
          <paragraph num="(a)">
            <text>Call witnesses and present evidence;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Cross-examine witnesses called by the Board or other party; and</text>
          </paragraph>
          <paragraph num="(c)">
            <text>Present summation and argument and file objections, exceptions, and motions.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(3)">
          <text>If a party is represented by counsel, the submission of evidence, examination and cross-examination of witnesses, and filing of objections, exceptions, and motions shall be done and presented solely by this counsel.</text>
        </paragraph>
        <paragraph num="(4)">
          <text>Witnesses.</text>
          <paragraph num="(a)">
            <text>The presiding officer, or any individual designated by the presiding officer for the purpose, may examine any witness called to testify.</text>
          </paragraph>
          <paragraph num="(b)">
            <text>The presiding officer may call as a witness any individual in attendance at the hearing.</text>
          </paragraph>
          <paragraph num="(c)">
            <text>Any member of the Board may examine any witness called to testify.</text>
          </paragraph>
        </paragraph>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".05" heading="Records and Transcript.">
      <paragraph num="A.">
        <text>The Board shall prepare an official record, which shall include all pleadings, testimonies, exhibits, and other memoranda or material filed in the proceeding.</text>
      </paragraph>
      <paragraph num="B.">
        <text>A stenographic record of the proceedings shall be made at the expense of the Board. This record need not be transcribed unless requested by a party or by the Board. The cost of any typewritten transcripts of any proceedings or part of them shall be paid by the party requesting the transcript.</text>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".06" heading="Decision and Order.">
      <paragraph num="A.">
        <text>Each decision and order rendered by the Board shall be in writing and shall be accompanied by findings of fact and conclusions of law.</text>
      </paragraph>
      <paragraph num="B.">
        <text>A copy of the decision and order and accompanying findings and conclusions shall be delivered or mailed promptly to each party or attorney of record.</text>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".07" heading="Rehearings.">
      <paragraph num="A.">
        <text>A party aggrieved by the decision and order rendered may apply for rehearing within 10 days after service on him of the decision and order. Action on an application shall lie in the discretion of the Board.</text>
      </paragraph>
      <paragraph num="B.">
        <text>Unless otherwise ordered, neither the rehearing nor the application for it stays the enforcement of the order, or excuses the individual affected for failure to comply with its terms.</text>
      </paragraph>
      <paragraph num="C.">
        <text>The Board may consider facts not presented in the original hearing, including facts arising after the date of the original hearing, and may by new order abrogate, change, or modify its original order.</text>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".08" heading="Appeals.">
      <text>An individual whose certificate has been revoked or suspended by the Board, or any individual placed on probation or reprimand under this chapter, may appeal the Board's decision as provided by law.</text>
    </regulation>
    <annotations>
      <annotation type="Authority">Health Occupations Article, §§20-205 and 20-314; State Government Article, §10-206; Annotated Code of Maryland</annotation>
      <annotation type="History" subtype="Administrative History">Effective date:</annotation>
      <annotation type="History" subtype="Administrative History">Regulations .01—.08 adopted as an emergency provision effective January 7, 2008 (35:9 Md. R. 894); adopted permanently effective April 7, 2008 (35:7 Md. R. 749)</annotation>
      <annotation type="History" subtype="Administrative History">Chapter recodified from COMAR 10.57.05 to COMAR 10.57.06 effective April 19, 2010 (37:8 Md. R. 617)</annotation>
    </annotations>
  </chapter>
  <chapter num="07" heading="Fees">
    <regulation prefix="Regulation" num=".01" heading="Fee Schedule.">
      <text>The following fees are established by the Board:</text>
      <paragraph num="A.">
        <text>Residential Child Care Program Administrators:</text>
        <paragraph num="(1)">
          <text>The Board shall prorate the initial application fee for applicants who apply for initial certification in the following manner:</text>
          <paragraph num="(a)">
            <text>Within 2 years to 18 months of the renewal date . . . $200;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Within 18 months to 1 year of the renewal date . . . $150;</text>
          </paragraph>
          <paragraph num="(c)">
            <text>Within 1 year to 6 months of the renewal date . . . $100; and</text>
          </paragraph>
          <paragraph num="(d)">
            <text>Within 6 months of the renewal date . . . $50;</text>
          </paragraph>
        </paragraph>
        <paragraph num="(2)">
          <text>State Comprehensive Examination (charged each time an applicant takes the examination) . . . $125;</text>
        </paragraph>
        <paragraph num="(3)">
          <text>Biennial Certificate Renewal . . . $200;</text>
        </paragraph>
        <paragraph num="(4)">
          <text>Reinstatement Fee . . . $200;</text>
        </paragraph>
        <paragraph num="(5)">
          <text>Acting Capacity Approval—$75; and</text>
        </paragraph>
        <paragraph num="(6)">
          <text>Authorization to serve as the residential child care program administrator for 2 individually licensed organizations—$100;</text>
        </paragraph>
      </paragraph>
      <paragraph num="B.">
        <text>Residential Child and Youth Care Practitioner:</text>
        <paragraph num="(1)">
          <text>Initial Application . . . $50;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Biennial Certificate Renewal—$ 50; and</text>
        </paragraph>
        <paragraph num="(3)">
          <text>Reinstatement Fee . . . $50;</text>
        </paragraph>
      </paragraph>
      <paragraph num="C.">
        <text>Other Fees:</text>
        <paragraph num="(1)">
          <text>Application for approval of a continuing education program of studies . . . $100;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Fine for failure to notify the Board within 30 days of a change in the:</text>
          <paragraph num="(a)">
            <text>Name of the certificate holder;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Home address of the certificate holder;</text>
          </paragraph>
          <paragraph num="(c)">
            <text>Electronic mail address of the certificate holder; or</text>
          </paragraph>
          <paragraph num="(d)">
            <text>Name or address of employer or business connection of the certificate holder . . . $50;</text>
          </paragraph>
        </paragraph>
        <paragraph num="(3)">
          <text>Returned check fee . . . $25;</text>
        </paragraph>
        <paragraph num="(4)">
          <text>Diskettes, Labels or Rosters of Certified Individuals. Persons may purchase diskettes, labels, or rosters of certified:</text>
          <paragraph num="(a)">
            <text>Residential Child Care Program Administrators . . . $50; or</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Residential Child and Youth Care Practitioner . . . $100;</text>
          </paragraph>
        </paragraph>
        <paragraph num="(5)">
          <text>Written verification of certification . . . $15;</text>
        </paragraph>
        <paragraph num="(6)">
          <text>Failure to appear at Standards Examination without justification . . . $15; and</text>
        </paragraph>
        <paragraph num="(7)">
          <text>Missing documentation reprocessing fee . . . $5.</text>
        </paragraph>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".02" heading="Refunds.">
      <text>Fees are nonrefundable and nontransferable.</text>
    </regulation>
    <annotations>
      <annotation type="Authority">Health Occupations Article, §20-206, Annotated Code of Maryland</annotation>
      <annotation type="History" subtype="Administrative History">Effective date:</annotation>
      <annotation type="History" subtype="Administrative History">Regulations .01—.04 adopted as an emergency provision effective January 7, 2008 (35:9 Md. R. 894); adopted permanently effective April 7, 2008 (35:7 Md. R. 749)</annotation>
      <annotation type="History" subtype="Administrative History">Chapter revised and recodified from COMAR 10.57.06 to COMAR 10.57.07 effective April 19, 2010 (37:8 Md. R. 617)</annotation>
      <annotation type="History" subtype="Administrative History">Regulation .01 amended effective October 13, 2025 (52:20 Md. R. 1002)</annotation>
      <annotation type="History" subtype="Administrative History">Regulation .01A amended effective March 3, 2014 (41:4 Md. R. 302)</annotation>
      <annotation type="History" subtype="Administrative History">Regulation .01A, B amended effective September 14, 2015 (42:18 Md. R. 1175)</annotation>
    </annotations>
  </chapter>
  <chapter num="08" heading="Compelling Purpose Disclosure">
    <regulation prefix="Regulation" num=".01" heading="Disclosure for Compelling Public Purpose.">
      <paragraph num="A.">
        <text>A custodian may disclose information in a certification or investigative file if the custodian determines that a compelling public purpose exists to warrant disclosure.</text>
      </paragraph>
      <paragraph num="B.">
        <text>A custodian may find that a compelling public purpose warrants disclosure of information in a certification or investigative file, whether or not there has been a request for the information, under the following circumstances:</text>
        <paragraph num="(1)">
          <text>The information concerns possible criminal activity and is disclosed to a federal, state, or local law enforcement or prosecutorial official or authority;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>The information concerns a possible regulatory violation and is disclosed to a federal, state, or local regulatory authority which has jurisdiction over the individual whose conduct may be a violation and the information disclosed is limited to the possible regulatory violation by that individual; or</text>
        </paragraph>
        <paragraph num="(3)">
          <text>The information concerns conduct by an individual which the custodian reasonably believes may pose a risk to the public health, safety, or welfare and is disclosed to a law enforcement authority, administrative official, or agency which regulates the individual, or to a hospital or other health care facility where the individual has privileges.</text>
        </paragraph>
      </paragraph>
    </regulation>
    <annotations>
      <annotation type="Authority">General Provisions Article, §4-333; Health Occupations Article, §20-205; Annotated Code of Maryland</annotation>
      <annotation type="History" subtype="Administrative History">Effective date:</annotation>
      <annotation type="History" subtype="Administrative History">Regulations .01—.02 adopted as an emergency provision effective January 7, 2008 (35:9 Md. R. 894); adopted permanently effective April 7, 2008 (35:7 Md. R. 749)</annotation>
      <annotation type="History" subtype="Administrative History">Chapter recodified from COMAR 10.57.07 to COMAR 10.57.08 effective April 19, 2010 (37:8 Md. R. 617)</annotation>
      <annotation type="History" subtype="Administrative History">Regulation .01A amended effective April 19, 2010 (37:8 Md. R. 617)</annotation>
    </annotations>
  </chapter>
  <chapter num="09" heading="Tax Compliance Regulations">
    <regulation prefix="Regulation" num=".01" heading="Outstanding Taxes or Unemployment Insurance Contributions.">
      <paragraph num="A.">
        <text>When a renewal applicant has been identified as delinquent by the Office of the Comptroller or the Maryland Department of Labor, the Board shall issue a written notice to the renewal applicant stating that:</text>
        <paragraph num="(1)">
          <text>The renewal applicant has been identified by the Office of the Comptroller or the Maryland Department of Labor, as delinquent in the payment of taxes or unemployment insurance contributions as applicable; and</text>
        </paragraph>
        <paragraph num="(2)">
          <text>The renewal certificate will be withheld until verification is received by the Board from the unit of the State responsible for collection of taxes or unemployment insurance contributions.</text>
        </paragraph>
      </paragraph>
      <paragraph num="B.">
        <text>If the Board does not receive a verification within 60 days after the expiration date of the current certificate, the certificate holder may be considered for reinstatement under Health Occupations Article, §20-311, Annotated Code of Maryland.</text>
      </paragraph>
    </regulation>
    <annotations>
      <annotation type="Authority">Health Occupations Article, §§1-213 and 20-205, Annotated Code of Maryland</annotation>
      <annotation type="History" subtype="Administrative History">Effective date:</annotation>
      <annotation type="History" subtype="Administrative History">Regulation .01 adopted as an emergency provision effective January 7, 2008 (35:9 Md. R. 894); adopted permanently effective April 7, 2008 (35:7 Md. R. 749)</annotation>
      <annotation type="History" subtype="Administrative History">Chapter recodified from COMAR 10.57.08 to COMAR 10.57.09 effective April 19, 2010 (37:8 Md. R. 617)</annotation>
    </annotations>
  </chapter>
  <chapter num="10" heading="Disciplinary Sanctions and Monetary Penalties">
    <regulation prefix="Regulation" num=".01" heading="Scope.">
      <text>This chapter establishes standards for the imposition of disciplinary sanctions, not exceeding the maximum provided pursuant to Health Occupations Article, §20-405, Annotate Code of Maryland, against any residential child care program administrator or residential child and youth care practitioner in the state if, after a hearing or by consent after the right to a hearing has been waived, the Board finds that there are grounds under Health Occupations Article, §20-313, Annotate Code of Maryland, to deny a certificate to any applicant, reprimand a certificate holder, place a certificate holder on probation, suspend or revoke a certificate, or impose a fine or a term of imprisonment against a certificate holder under Health Occupations Article, §20-405, Annotated Code of Maryland.</text>
    </regulation>
    <regulation prefix="Regulation" num=".02" heading="Definitions.">
      <paragraph num="A.">
        <text>In this chapter, the following terms have the meanings indicated.</text>
      </paragraph>
      <paragraph num="B.">
        <text>Terms Defined.</text>
        <paragraph num="(1)">
          <text>“Board” means the State Board for the Certification of Residential Child Care Program Professionals.</text>
        </paragraph>
        <paragraph num="(2)">
          <text>“Certificate” means a certificate issued by the Board to practice as a residential child care program administrator or a residential child and youth care practitioner.</text>
        </paragraph>
        <paragraph num="(3)">
          <text>“Sanction” means a formal disciplinary action reprimanding, restricting, suspending, or revoking a certificate.</text>
        </paragraph>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".03" heading="Imposition of a Penalty — General.">
      <paragraph num="A.">
        <text>Imposition of a Penalty After a Hearing. If, after a hearing under Health Occupations Article, §20-313, Annotated Code of Maryland, and subject to the guidelines set forth in this subtitle, the Board finds that there are grounds under Health Occupations Article, §20-313, Annotated Code of Maryland, to reprimand or suspend or revoke a certificate, the Board may impose a penalty as set forth in this chapter:</text>
        <paragraph num="(1)">
          <text>Instead of, or in addition to, reprimanding the certificate holder; or</text>
        </paragraph>
        <paragraph num="(2)">
          <text>In addition to revoking the certificate.</text>
        </paragraph>
      </paragraph>
      <paragraph num="B.">
        <text>Imposition of a Penalty Without a Hearing. If, after disciplinary procedures have been brought against a certified residential child care program administrator or a certified residential child and youth care practitioner, the certified residential child care program administrator or certified residential child and youth care practitioner waives the right to a hearing required under State Government Article, Title 10, Annotated Code of Maryland, and subject to the guidelines set forth in this subtitle, if the Board finds that there are grounds under Health Occupations Article, §20-313, Annotated Code of Maryland, to reprimand the certified residential child care program administrator or certified residential child and youth care practitioner, place the certificate on probation, or suspend or revoke a certificate, the Board may impose a penalty for each violation in addition to reprimanding, placing the certificate on probation, or suspending or revoking the certificate.</text>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".04" heading="Guidelines for Disciplinary Sanctions or Imposition of a Penalty.">
      <paragraph num="A.">
        <text>Subject to the provisions of this section, the Board may impose the following sanctions and penalties for violations of the Maryland Certification of Residential Child Care Program Professionals Act and its regulations according to the minimum and maximum sanctions and penalties set forth in the following categories:</text>
        <paragraph num="(1)">
          <text>Fraudulently or Deceptively Obtains, Attempts to Obtain a Certificate.</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Fraudulently or Deceptively Uses a Certificate.</text>
        </paragraph>
        <paragraph num="(3)">
          <text>Criminal Convictions or Nolo Contendere.(whether or not any appeal or other proceeding is pending to have the conviction set aside).</text>
        </paragraph>
        <paragraph num="(4)">
          <text>Impairment (mentally, physically, or through the use of drugs or alcohol).</text>
        </paragraph>
        <paragraph num="(5)">
          <text>Reciprocal Discipline.</text>
        </paragraph>
        <paragraph num="(6)">
          <text>Unauthorized Practice.</text>
        </paragraph>
        <paragraph num="(7)">
          <text>Willfully Makes or Files a False Report, Willfully Fails, Obstructs the Filing, or Induces Another to Fail to File or Record a Report as Required by Law.</text>
        </paragraph>
        <paragraph num="(8)">
          <text>Unprofessional Conduct in Performing Duties.</text>
        </paragraph>
        <paragraph num="(9)">
          <text>Discrimination.</text>
        </paragraph>
        <paragraph num="(10)">
          <text>Sexual Misconduct.</text>
        </paragraph>
        <paragraph num="(11)">
          <text>Continuing Education Violations.</text>
        </paragraph>
        <paragraph num="(12)">
          <text>Failure to Cooperate.</text>
        </paragraph>
        <paragraph num="(13)">
          <text>Unauthorized Practice.</text>
        </paragraph>
        <paragraph num="(14)">
          <text>Noncompliance with Board Orders.</text>
        </paragraph>
        <paragraph num="(15)">
          <text>Other Violations.</text>
        </paragraph>
      </paragraph>
      <paragraph num="B.">
        <text>If a certified residential child care program administrator or residential child and youth care practitioner is found in violation of more than one category enumerated in this chapter, the category or categories containing the highest maximum sanction shall control.</text>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".05" heading="Mitigating and Aggravating Factors to be Considered in the Assessment of a Sanction.">
      <text>Depending on the facts and circumstances of each case, and to the extent that they apply, the Board may consider the following aggravating and mitigating 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:</text>
      <paragraph num="A.">
        <text>Mitigating Factors:</text>
        <paragraph num="(1)">
          <text>The certified residential child care program administrator or residential child and youth care practitioner’s lack of a prior disciplinary record;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>The certified residential child care program administrator or residential child and youth care practitioner’s self-report violation to the Board;</text>
        </paragraph>
        <paragraph num="(3)">
          <text>The certified residential child care program administrator or residential child and youth care practitioner’s full and voluntary admissions of misconduct to the Board and cooperation during Board proceedings;</text>
        </paragraph>
        <paragraph num="(4)">
          <text>Implementation of remedial measures to correct or mitigate harm arising from misconduct;</text>
        </paragraph>
        <paragraph num="(5)">
          <text>Timely good-faith effort to make restitution or to rectify consequences of 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 public or adverse impact; and,</text>
        </paragraph>
        <paragraph num="(9)">
          <text>The certified residential child care program administrator or residential child and youth care practitioner’s conduct was an isolated incident and not likely to recur.</text>
        </paragraph>
      </paragraph>
      <paragraph num="B.">
        <text>Aggravating Factors:</text>
        <paragraph num="(1)">
          <text>The certified residential child care program administrator or residential child and youth care practitioner’s 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 has the potential for, or caused, serious client harm;</text>
        </paragraph>
        <paragraph num="(4)">
          <text>The violation was part of a pattern of detrimental conduct;</text>
        </paragraph>
        <paragraph num="(5)">
          <text>The certified residential child care program administrator or residential child and youth care practitioner was motivated to perform the violation by his or her financial gain;</text>
        </paragraph>
        <paragraph num="(6)">
          <text>The vulnerability of the client or clients;</text>
        </paragraph>
        <paragraph num="(7)">
          <text>The certified residential child care program administrator or residential child and youth care practitioner attempted to hide error or misconduct from clients or others;</text>
        </paragraph>
        <paragraph num="(8)">
          <text>The certified residential child care program administrator or residential child and youth care practitioner concealed, falsified, or destroyed evidence or presented false testimony or evidence;</text>
        </paragraph>
        <paragraph num="(9)">
          <text>The certified residential child care program administrator or residential child and youth care practitioner failed to cooperate with the investigation;</text>
        </paragraph>
        <paragraph num="(10)">
          <text>Previous attempts at rehabilitation of the certified residential child care program administrator or residential child and youth care practitioner were unsuccessful; and</text>
        </paragraph>
        <paragraph num="(11)">
          <text>The certified residential child care program administrator or residential child and youth care practitioner committed the violation under the guise of treatment.</text>
        </paragraph>
      </paragraph>
      <paragraph num="C.">
        <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="D.">
        <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>
    <annotations>
      <annotation type="Authority">Health Occupations Article, §§1-606, 20-313, and 20-405, Annotated Code of Maryland</annotation>
      <annotation type="History" subtype="Administrative History">Effective date: June 11, 2012 (39:11 Md. R. 688)</annotation>
    </annotations>
  </chapter>
</subtitle>