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<subtitle num="18" heading="State Operated Residential Facilities" title_num="16" title_heading="Department of Juvenile Services">
  <chapter num="01" heading="Child Advocacy Grievance Procedure">
    <regulation prefix="Regulation" num=".01" 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>“Child advocate” means an individual who works on behalf of children under Department of Juvenile Services' jurisdiction to see that their needs are met and their rights upheld through the operations of the agency.</text>
        </paragraph>
        <paragraph num="(2)">
          <text>“Grievance” means a complaint due to a circumstance or action considered to be unjust.</text>
        </paragraph>
        <paragraph num="(3)">
          <text>“Secretary” means the Secretary of Juvenile Services or the Secretary's designee.</text>
        </paragraph>
        <paragraph num="(4)">
          <text>“Superintendent” means the chief administrative officer of an institution or a youth center.</text>
        </paragraph>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".02" heading="Role of Facility Staff.">
      <paragraph num="A.">
        <text>Every employee at the facility shall have the responsibility to assist any child who expresses a desire to initiate a grievance.</text>
      </paragraph>
      <paragraph num="B.">
        <text>An employee may not retaliate against children who have filed a grievance.</text>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".03" heading="Role of the Child Advoctate.">
      <paragraph num="A.">
        <text>The child advocate shall assist any child who expresses a desire to initiate a grievance.</text>
      </paragraph>
      <paragraph num="B.">
        <text>Once a child advocate has been contacted concerning a grievance, the child advocate shall assist the child until the problem has been resolved, even if the child has been transferred or released.</text>
      </paragraph>
      <paragraph num="C.">
        <text>The Secretary shall appoint a substitute child advocate when the grievance is filed against the child advocate.</text>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".04" heading="Grievance Procedures.">
      <paragraph num="A.">
        <text>Initiation of Grievance.</text>
        <paragraph num="(1)">
          <text>A child may initiate a grievance by contacting the child advocate, or requesting that a staff member contact the child advocate.</text>
        </paragraph>
        <paragraph num="(2)">
          <text>The child shall initiate the grievance procedure within 5 working days of the action or incident, unless the child can satisfactorily demonstrate to the child advocate that a time extension is necessary.</text>
        </paragraph>
      </paragraph>
      <paragraph num="B.">
        <text>Response to Grievance.</text>
        <paragraph num="(1)">
          <text>Meet with the Child. The child advocate shall respond to the grievance by meeting with the child as soon as possible to obtain the facts and attempt a prompt solution.</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Grievance Against the Superintendent. If the child's grievance is against the superintendent, the Secretary, after having been notified by the child advocate, shall contact the parties involved in the grievance as soon as possible and attempt to resolve the grievance.</text>
        </paragraph>
        <paragraph num="(3)">
          <text>Investigate and Mediate. Except as noted in §B(2) of this regulation, the child advocate shall contact all parties involved in the grievance as soon as possible and attempt to resolve the grievance.</text>
        </paragraph>
        <paragraph num="(4)">
          <text>Confer with All Parties.</text>
          <paragraph num="(a)">
            <text>If the grievance is not resolved, the Secretary or superintendent shall confer with all parties involved.</text>
          </paragraph>
          <paragraph num="(b)">
            <text>After hearing all parties, the Secretary or superintendent shall give a written decision.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(5)">
          <text>Appeal to the Secretary.</text>
          <paragraph num="(a)">
            <text>If the child is not satisfied with the decision of the superintendent, an appeal may be filed with the child advocate.</text>
          </paragraph>
          <paragraph num="(b)">
            <text>After receiving an appeal from the child, the child advocate shall submit the case, in writing, to the Secretary.</text>
          </paragraph>
          <paragraph num="(c)">
            <text>The appeal shall consist of a review of all documents submitted. The Secretary may request additional information from anyone involved in the grievance.</text>
          </paragraph>
          <paragraph num="(d)">
            <text>The Secretary shall file a written decision on the appeal which shall be final and binding on all parties to the grievance.</text>
          </paragraph>
        </paragraph>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".05" heading="Regulation Limitations.">
      <text>The grievance procedures may not:</text>
      <paragraph num="A.">
        <text>Offer an administrative hearing;</text>
      </paragraph>
      <paragraph num="B.">
        <text>Be governed by the contested case provisions of State Government Article, Annotated Code of Maryland; and</text>
      </paragraph>
      <paragraph num="C.">
        <text>Include decisions made through the Department of Juvenile Services Disciplinary Appeals Process.</text>
      </paragraph>
    </regulation>
    <annotations>
      <annotation type="Authority">Article 83C, §2-118, Annotated Code of Maryland</annotation>
      <annotation type="History" subtype="Administrative History">Effective date: November 4, 1985 (12:22 Md. R. 2105)</annotation>
      <annotation type="History" subtype="Administrative History">Chapter recodified from COMAR 10.25.07 to COMAR 14.22.07</annotation>
      <annotation type="History" subtype="Administrative History">Regulations .01—.10 repealed and new Regulations .01—.05 adopted effective January 23, 1989 (16:1 Md. R. 71)</annotation>
      <annotation type="History" subtype="Administrative History">Chapter recodified from COMAR 14.22.07 to COMAR 16.05.01</annotation>
      <annotation type="History" subtype="Administrative History">Chapter recodified from COMAR 16.05.01 to COMAR 16.18.01 effective June 18, 2007 (34:12 Md. R. 1067)</annotation>
    </annotations>
  </chapter>
  <chapter num="02" heading="Limits on Use of Restraints and Seclusion; Prohibition of Abuse">
    <regulation prefix="Regulation" num=".01" 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>Abuse.</text>
          <paragraph num="(a)">
            <text>“Abuse” means:</text>
            <paragraph num="(i)">
              <text>The physical injury of a youth by any employee under circumstances that indicate the youth's health or welfare is significantly harmed or at risk of being significantly harmed; or</text>
            </paragraph>
            <paragraph num="(ii)">
              <text>Sexual abuse of a youth, whether or not physical injuries are sustained.</text>
            </paragraph>
          </paragraph>
          <paragraph num="(b)">
            <text>“Abuse” does not include providing a youth with nonmedical religious remedial care and treatment recognized by State law.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(2)">
          <text>“Department” means the Department of Juvenile Services.</text>
        </paragraph>
        <paragraph num="(3)">
          <text>“Duty officer” means the individual designated by the superintendent to make decisions during the superintendent's absence or when the superintendent is unavailable.</text>
        </paragraph>
        <paragraph num="(4)">
          <text>“Employee” means any Department employee or any volunteer providing direct or indirect services to a youth in a facility.</text>
        </paragraph>
        <paragraph num="(5)">
          <text>“Facility” means a residential program operated and managed by the Department.</text>
        </paragraph>
        <paragraph num="(6)">
          <text>“Locked door seclusion” means the placement of a youth in a locked individual room, separate from the youth's room, where a youth is kept for a period of time.</text>
        </paragraph>
        <paragraph num="(7)">
          <text>“Restraint” means a mechanical device or a chemical agent which, when used, limits movement of a youth's body or temporarily disables the youth.</text>
        </paragraph>
        <paragraph num="(8)">
          <text>“Sexual abuse” means any act that involves sexual molestation or exploitation of a youth by an employee and includes incest, rape, or a sexual offense in any degree, sodomy, and unnatural or perverted sexual practices.</text>
        </paragraph>
        <paragraph num="(9)">
          <text>“Superintendent” means the individual who manages a facility.</text>
        </paragraph>
        <paragraph num="(10)">
          <text>“Youth” means any individual under care in a facility.</text>
        </paragraph>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".02" heading="Prohibition of Abuse.">
      <text>Acts of abuse at a facility are prohibited.</text>
    </regulation>
    <regulation prefix="Regulation" num=".03" heading="Use of Locked Door Seclusion.">
      <paragraph num="A.">
        <text>A facility employee may not place a youth in locked door seclusion as punishment.</text>
      </paragraph>
      <paragraph num="B.">
        <text>A facility employee may place a youth in locked door seclusion only:</text>
        <paragraph num="(1)">
          <text>When it is clearly necessary to protect the youth or other individuals or to prevent escape; and</text>
        </paragraph>
        <paragraph num="(2)">
          <text>After less restrictive methods have been tried or cannot reasonably be tried.</text>
        </paragraph>
      </paragraph>
      <paragraph num="C.">
        <text>Time Limitations.</text>
        <paragraph num="(1)">
          <text>A youth may not remain in locked door seclusion more than 24 hours without the review and approval of the superintendent or the duty officer, who shall provide a written explanation for the decision. If one of these administrators was involved in the incident, the other one makes the determination.</text>
        </paragraph>
        <paragraph num="(2)">
          <text>After the decision has been made to keep a youth in locked door seclusion for more than 24 hours, the youth shall be seen by the superintendent or the duty officer at least once during each 12-hour period.</text>
        </paragraph>
        <paragraph num="(3)">
          <text>The maximum stay in seclusion as a result of a single incident may not exceed 72 hours, unless a declared written emergency is issued by the superintendent.</text>
        </paragraph>
      </paragraph>
      <paragraph num="D.">
        <text>Release. A youth shall be released from locked door seclusion when the youth no longer fits the criteria for placement in locked door seclusion.</text>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".04" heading="Use of Restraints.">
      <paragraph num="A.">
        <text>A facility employee may not apply any restraint to a youth as punishment.</text>
      </paragraph>
      <paragraph num="B.">
        <text>A facility employee may apply restraints to a youth only for:</text>
        <paragraph num="(1)">
          <text>The protection of the youth or other individuals;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Secure transportation; or</text>
        </paragraph>
        <paragraph num="(3)">
          <text>The prevention of escape.</text>
        </paragraph>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".05" heading="Facility Policy.">
      <paragraph num="A.">
        <text>Use by an employee of locked door seclusion or restraint is governed by the policy applicable to the facility.</text>
      </paragraph>
      <paragraph num="B.">
        <text>A facility's policy shall address a youth's right to:</text>
        <paragraph num="(1)">
          <text>A hearing before an impartial hearing officer;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Advance written notice of the:</text>
          <paragraph num="(a)">
            <text>Date, time, and location of the hearing, and</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Availability and name of a child advocate;</text>
          </paragraph>
        </paragraph>
        <paragraph num="(3)">
          <text>Be heard and present witnesses;</text>
        </paragraph>
        <paragraph num="(4)">
          <text>Confront adverse witnesses;</text>
        </paragraph>
        <paragraph num="(5)">
          <text>Appeal the decision; and</text>
        </paragraph>
        <paragraph num="(6)">
          <text>Expungement of the records from the youth's file if the youth prevails at the hearing.</text>
        </paragraph>
      </paragraph>
      <paragraph num="C.">
        <text>A facility's policy, based upon the facility's physical structure and personnel, shall describe:</text>
        <paragraph num="(1)">
          <text>The permissible locations for locked door seclusion;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>The supervision that shall be provided when locked door seclusion or restraints are used;</text>
        </paragraph>
        <paragraph num="(3)">
          <text>The services or treatment considered appropriate as a result of a youth's conduct; and</text>
        </paragraph>
        <paragraph num="(4)">
          <text>A process for releasing a youth from locked door seclusion or restraints.</text>
        </paragraph>
      </paragraph>
    </regulation>
    <annotations>
      <annotation type="Authority">Human Services Article, §§9-226—9-229, Annotated Code of Maryland</annotation>
      <annotation type="History" subtype="Administrative History">Effective date: June 22, 1992 (19:12 Md. R. 1136)</annotation>
      <annotation type="History" subtype="Administrative History">Chapter recodified from COMAR 16.05.02 to COMAR 16.18.02 effective June 18, 2007 (34:12 Md. R. 1067)</annotation>
    </annotations>
  </chapter>
</subtitle>