<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".09" citation="COMAR 32.03.04.09" title_num="32" subtitle_num="03" chapter_num="04" heading="Staffing.">
  <paragraph num="A.">
    <text>A provider shall have a staff-to-participant ratio which is adequate to provide the services required in Regulation .14 of this chapter.</text>
  </paragraph>
  <paragraph num="B.">
    <text>The provider shall provide or assure that its staff participates in training, as necessary, to ensure that each participant obtains quality congregate housing services consistent with the participant's needs.</text>
  </paragraph>
  <paragraph num="C.">
    <text>If a provider provides services to individuals with Alzheimer's disease or related disorders:</text>
    <paragraph num="(1)">
      <text>The provider shall provide annual education to staff on the care of individuals with dementia; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Employees shall complete an in-service training on dementia that addresses the physical, intellectual, and behavioral manifestations of dementia and techniques to assist and manage dementia participants before the later of:</text>
      <paragraph num="(a)">
        <text>180 days from the beginning of staff member's employment; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>December 31, 2005.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Employees of a provider whose jobs require them to enter a participant's apartment or have physical contact with a participant:</text>
    <paragraph num="(1)">
      <text>Shall be 18 years old or older;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Shall be of good moral character;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Shall be literate if job responsibilities require reading or writing;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Shall be able to communicate effectively with the participant;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Shall have sufficient skills, education, training, and experience to perform the required services;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Shall have sufficient physical, emotional, and mental capacity to perform the duties required;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Shall fully cooperate with a provider's efforts to comply with Health-General Article, Title 19, Subtitle 19, Annotated Code of Maryland (Adult Dependent Care Programs — Criminal History Records Checks and Background Checks);</text>
    </paragraph>
    <paragraph num="(8)">
      <text>May not have been convicted of, received a probation before judgment for, or entered a plea of nolo contendere to a felony or any crime involving moral turpitude or theft, or have any other criminal history that indicates behavior which is potentially harmful to participants;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>May not be cited on the Maryland Geriatric Nursing Assistant Registry under COMAR 10.07.02.42 with a determination of:</text>
      <paragraph num="(a)">
        <text>Abuse;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Misappropriation of resident property; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Neglect; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(10)">
      <text>May not have violated any State or local law regulating residential care facilities that resulted in revocation or nonrenewal of a license or certificate.</text>
    </paragraph>
  </paragraph>
</regulation>