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<regulation prefix="Regulation" num=".06" citation="COMAR 14.31.05.06" title_num="14" subtitle_num="31" chapter_num="05" heading="Monitoring and Evaluation of Programs.">
  <paragraph num="A.">
    <text>Monitoring Activities.</text>
    <paragraph num="(1)">
      <text>For monitoring purposes, the licensing agency may require the licensee to make its records, personnel, residents, and facilities available on an announced or unannounced basis:</text>
      <paragraph num="(a)">
        <text>At any time, if the agency's visit concerns a matter regarding the health, safety, or proper care of the program's residents; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>At a reasonable time during the program's business hours, if the visit concerns other matters.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Monitoring activities may include:</text>
      <paragraph num="(a)">
        <text>Reviews of financial, personnel, and child records;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Interviews with staff individuals;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Interviews with children in care;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Site inspections of the physical plant;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>On-site observations of the agency's program operations; and</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Any other information gathering pertinent to State law or this chapter.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>The licensing agency shall monitor each program to evaluate its facilities, policies, and operations:</text>
      <paragraph num="(a)">
        <text>Before the issuance or renewal of a license;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>At the time of the mid-license period report; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Before the suspension or revocation of a license.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Response to Complaints.</text>
    <paragraph num="(1)">
      <text>The licensing agency shall initiate a response to complaints from any source about the licensee within 24 hours.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>In responding to a complaint, the licensing agency may require the licensee to:</text>
      <paragraph num="(a)">
        <text>Make the program available for agency inspection as provided in §A of this regulation;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Provide a written response to the complaint from the licensee; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Complete any additional appropriate procedure deemed necessary by the agency to ensure the safety and welfare of the program's residents.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Mid-License Period Evaluation. The licensing agency shall complete a mid-license period evaluation of each program as follows:</text>
    <paragraph num="(1)">
      <text>The licensing agency shall send notification to the licensee 60 days before the end of the first year of the license period that:</text>
      <paragraph num="(a)">
        <text>The program shall submit to the licensing agency a mid-license period report on or before the anniversary of the license issuance date;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The mid-license period report shall include:</text>
        <paragraph num="(i)">
          <text>A list of governing board members and officers;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>The program's audit or audit review for the current year;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>An operations budget for the current year; and</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>The licensee's current quality assurance plan; and</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The licensing agency shall conduct a mid-license period review, including:</text>
      <paragraph num="(a)">
        <text>Review of board minutes, personnel records, and children's records; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>On-site inspection of the program.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Child Safety Concerns. If, at any time during the course of monitoring a program, the licensing agency's monitor has reason to believe that a child residing in a program has been subject to abuse or neglect, the monitor shall report that concern in accordance with Family Law Article, §§5-704 and 5-705, Annotated Code of Maryland.</text>
  </paragraph>
</regulation>