This chapter sets forth descriptions of, criteria for, and licensing requirements for, three specific programs that provide residential community-based behavioral health services. These programs shall comply with COMAR 10.63.01—.02, 10.63.04, and 10.63.06. Residential Rehabilitation Programs shall also comply with COMAR 10.63.03.09. This chapter applies to the following programs: Group Homes for Adults with Mental Illness; Residential Crisis Services (RCS) program; and Residential Rehabilitation Program (RRP). In order to be licensed under this subtitle, a group home for adults with mental illness shall: Meet the definition in Health-General Article, §10-514 (b), (d), and (e), Annotated Code of Maryland; Provide a home-like, supportive residential environment: In a small group home, which provides services for more than 3, but not more than 8 individuals with a mental health disorder; or In a large group home for more than 8, but not more than 16 individuals with a mental health disorder; and Meet the site requirements set out in Regulation .07 of this chapter verified through an annual site inspection conducted by the CSA or LBHA. A group home for adults with mental illness may not provide services for individuals with a primary diagnosis of developmental disability, as defined in Health-General Article, §7-101, Annotated Code of Maryland. In order to be licensed under this subtitle, a residential crisis services program: Shall provide short-term mental health treatment and support services in a structured environment for individuals who require 24-hour supervision due to a psychiatric crisis; Shall be designed to: Prevent psychiatric inpatient admission; Shorten the length of inpatient stay; Effectively use general hospital emergency departments; and Provide an alternative to psychiatric inpatient admission; Shall have staff who are on-site 24 hours per day, 7 days per week, whenever an individual is on-site receiving services; For adults, shall meet the site requirements set out in Regulation .07 of this chapter verified through an annual site inspection conducted by the CSA or LBHA; and For individuals younger than 21 years old, may offer services in an appropriately licensed therapeutic program, as appropriate. In order to be licensed under this subtitle, a residential rehabilitation program (RRP) shall: Serve individuals with a mental disorder; Be operated by a licensed PRP-A; Lease or own the RRP sites; Be approved by BHA for RRP funding; Provide a home-like, supportive residential environment; Provide services for no more than 3 individuals per RRP site, unless also licensed as a group home as provided in Regulation .03 of this chapter; Promote the individual’s ability to engage and participate in appropriate community activities; Enable the individual to develop the daily living skills needed for independent functioning; Have: On-site staffing, as needed to meet the needs of the individuals served; and Staff that are available on call, 24 hours per day, 7 days per week; Meet the site requirements as set out in Regulation .07 of this chapter, verified through an annual site inspection conducted by the CSA or LBHA, as appropriate; Have a written policy regarding the development of and process for implementation of a managed intervention plan (MIP) for an individual receiving residential services who may be at risk of an unplanned discharge, which: Is developed in collaboration with the individual, treatment team members, and CSA or LBHA, as appropriate; and Includes a description of additional individualized services and supports that may be needed, and identification of temporary residential alternatives, if any; and If an MIP is executed, develop a transition plan that: Is created in collaboration with the individual, treatment team members, CSA or LBHA, as appropriate, and ASO; and Includes the elements outlined in §K(2) of this regulation. A program seeking a license under this subtitle for a residential site shall submit to the CSA or LBHA a completed application that: Is on the form required by the Administration with all required documents attached; and Includes documentation that the residence: Is owned or leased by the applicant; or Will be owned or leased by the applicant; and Is located in a building that will have continuous fire, liability, and hazard insurance coverage. A program licensed to provide community-based behavioral health residential services under this chapter shall ensure that: All areas of a residence, including storage areas: Are safe; Clean; and Free of hazards and clutter; A residence has: No housing code or zoning violations; Working smoke alarms or smoke detectors that meet local fire codes for residential dwellings; Hot and cold running water: Adequate light, heat, and ventilation; and Sufficient, appropriate, and functional furnishings, equipment, supplies, and utensils comparable to those found in the residences of nondisabled individuals; Each resident: Has the resources to purchase or has access to food; Has the resources to acquire an adequate supply of soap, towels, and toilet tissue; Who self-administers medication, has access to a secure storage area for the resident’s medications; Has access to a secure storage area for funds and valuables; Has access to transportation; Has access to a telephone in the residence; and To the extent possible, may use personal possessions and preferences in furnishing and decorating the resident’s space. The following emergency procedures are followed: Posted near the telephone are telephone numbers for the: Fire department, police, ambulance, and poison control center; and Program’s on-call staff; and An emergency evacuation procedure that is explained to and practiced by residents within 10 days after entering residence and, at a minimum, every 3 months after that; Each bedroom has: A minimum of 70 square feet for a single bedroom and a minimum of 120 square feet for a double bedroom; An interior door, except for an efficiency apartment; Closet space in or convenient to each bedroom for each individual using the bedroom; Coverings for each window, for privacy; A bed with a clean mattress and pillow for each resident using the bedroom; At least two sets of bed linens per resident; and Not more than two residents using the bedroom; Each toilet and bathing area has: A minimum of one full bathroom for every four residents; and At least one toilet, one basin, and one tub or shower connected to hot and cold water; Easy access and conveniently located, not more than one floor level from living, dining, and sleeping rooms; and Privacy for the individual using it; and The program has a written relocation plan for each site that: Specifies where residents may live temporarily if the CSA or LBHA determines that conditions in the approved residence pose an imminent risk to the health, safety, or welfare of a resident; Is approved by the CSA or LBHA, as appropriate; and Is updated annually. Health-General Article, §§7.5-204, 8-402, 8-404, and 10-901, Annotated Code of Maryland Effective date: July 1, 2016 (43:10 Md. R. 585) Regulation .03 amended effective February 27, 2017 (44:4 Md. R. 255)