<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".16" citation="COMAR 36.07.02.16" title_num="36" subtitle_num="07" chapter_num="02" heading="Corrective Action.">
  <paragraph num="A.">
    <text>Deficiency.</text>
    <paragraph num="(1)">
      <text>Assess the seriousness of the deficiency;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Require the licensee to develop a corrective action plan;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Determine whether it is necessary during the pendency of the corrective action process to emergently suspend the license;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Evaluate and, if acceptable to the Agency, approve the corrective action plan;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Determine appropriate timelines for the completion of corrective action;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Conduct periodic monitoring of a licensee for which the Agency required a corrective action plan to assess the licensee’s progress toward remedying the deficiencies; and</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Recommend that the Commission impose a sanction under Regulation .17 of this chapter if a deficiency is not remedied through implementation of corrective action.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Deficiency Notice.</text>
    <paragraph num="(1)">
      <text>A description of the violation;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A description of the possible sanctions; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The requirement for the licensee to submit a corrective action plan to the Director within a time frame established by the Director.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Corrective Action Plan.</text>
    <paragraph num="(1)">
      <text>Within 10 days of receipt of a deficiency notice under §B of this regulation, the licensee shall submit a corrective action plan to the Director for the Director’s approval.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The Director shall review the corrective action plan and inform the licensee whether the corrective action plan is acceptable.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>If the licensee fails to submit an acceptable corrective action plan within the time described under §C(1) of this regulation, the Director may:</text>
      <paragraph num="(a)">
        <text>Provide the licensee with additional time within which to submit a revised corrective action plan; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Impose a sanction on the licensee under Regulation .17 of this chapter.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>If the Director provided a licensee notice under §B(3) of this regulation and received no timely written response, the Commission may adopt as final the Director’s decision to impose a sanction under Regulation .17 of this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Corrective Action Outcomes.</text>
    <paragraph num="(1)">
      <text>If at any time during the corrective action period the Director determines that the licensee has failed to fulfill a requirement of the corrective action plan or has made insufficient progress toward remedying a deficiency, the Director may:</text>
      <paragraph num="(a)">
        <text>For good cause, extend the time for completion of a corrective action plan; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Emergently suspend the licensee’s license.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>If at the end of the corrective action period the licensee has failed to adequately remedy a deficiency, the Director may impose a sanction under Regulation .17 of this chapter.</text>
    </paragraph>
  </paragraph>
</regulation>