Maryland Administrative Code

.12 Laboratory and Radiologic Services. A. The administrator shall develop and implement policies and procedures for obtaining routine and emergency laboratory and radiological services to meet the needs of the patient. Policies and procedures shall include: (1) Turn-around time;…

.13 Medical Records. A. The facility shall maintain a complete, comprehensive, and accurate medical record for a patient. B. A patient's medical record shall include at least the following: (1) Patient identifier; (2) Significant medical history and results of a physical examinat…

.14 Patients’ Rights and Responsibilities The administrator shall ensure that the facility develops and implements written policies and procedures concerning patients’ rights and responsibilities, including but not limited to: A. The opportunity to participate in planning their m…

.15 Physical Environment. A. The administrator shall ensure that the facility has a safe, functional, and sanitary environment for the provision of surgical services. B. A procedure room shall be designed and equipped to ensure that surgical abortion procedures conducted can be p…

.16 Quality Assurance Program. A. The administrator shall ensure that the facility develops and maintains a quality assurance program which includes: (1) Monitoring and evaluation of the quality of patient care; and (2) Identification, evaluation, and resolution of care problems.…

.17 Emergency Suspension. A. The Secretary may immediately suspend a license on a finding that the public health, safety, or welfare requires emergency action. B. The Department shall deliver a written notice to the licensee: (1) Informing the licensee of the emergency suspension…

.18 Revocation of License. A. The Secretary, for cause shown, shall notify the licensee of the Secretary's decision to revoke the facility's license. The revocation shall be stayed if a hearing is requested. B. The Secretary may revoke a license if the licensee: (1) Has been conv…

.19 Penalties. A. Administrative Penalty. The Secretary may impose an administrative penalty of up to $1,000 for a violation of any provision of this chapter. B. When considering whether to impose an administrative penalty and the amount of the penalty, the Secretary shall consid…

.20 Hearings. A. A request for a hearing shall be filed with the Office of Administrative Hearings, with a copy to the Office of Health Care Quality of the Department, not later than 30 days after receipt of notice of the Secretary's action. The request shall include a copy of th…

.01 Scope. These regulations outline the requirements for the collection of evidence in cases of alleged rape, sexual offense, and child sexual abuse and for reimbursement to hospitals, laboratories, and physicians for the physical examination of, the collection of evidence from,…

.02 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Child” means any individual younger than 18 years old. (2) “Department” means the Maryland Department of Health. (3) “Emergency hospital treatment” means the provision of …

.03 Alleged Rape or Sexual Offense Victim Care. A. The victim shall be considered an emergency patient with special needs. The victim shall be taken immediately to a quiet private area where tests and examinations will be performed on the victim. The following measures are indica…

.04 Alleged Child Sexual Abuse Victim Care. A. The professional involved in the care of the victim of alleged child sexual abuse shall make every effort to minimize additional physical or emotional trauma to the child. B. The following protocol is recommended for the initial asse…

.05 Reimbursements. A. Restrictions. A provider: (1) May not charge the victim or the victim's family of an alleged rape, sexual offense, or child sexual abuse for a physical examination or an initial assessment for the purpose of establishing and gathering information and eviden…

.01 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) Cosmetic Surgical Facility. (a) “Cosmetic surgical facility” means an office or a facility in which a cosmetic surgical procedure is performed. (b) “Cosmetic surgical facil…

.02 License Required. A. A person may not establish or operate a cosmetic surgical facility without obtaining a license from the Secretary. B. License Period and Fee. (1) A license is valid for 3 years from the date of issuance, unless suspended or revoked by the Secretary. (2) T…

.03 Licensing Procedures. A. A person desiring to operate a facility shall: (1) Be in compliance with all applicable federal, State, and local laws and regulations and be accredited as a cosmetic surgical facility by: (a) The American Association for Accreditation of Ambulatory S…

.04 Service Standards. A. The licensee is responsible for compliance with all laws and regulations applicable to the operation of a cosmetic surgical facility including a physician’s compliance with Health Occupations Article, §14-404(a)(41), Annotated Code of Maryland. B. Accred…

.05 Investigation by the Secretary. A. The Secretary may investigate complaints concerning the conformance of a cosmetic surgical facility to the requirements of this chapter and for compliance with the standards for the operation of a cosmetic surgical center issued by its accre…

.06 Medical Records. A. The facility shall maintain a complete, comprehensive, and accurate medical record for a patient. B. A patient's medical record shall include at least the following: (1) Patient identifier; (2) Significant medical history and results of a physical examinat…

.07 Patients’ Rights. A. The administrator shall ensure that the facility develops and implements written policies and procedures concerning patients' rights and responsibilities. B. The facility shall make the policies and procedures available to patients, guardians, and other h…

.08 Physical Environment. A. The facility shall meet all federal, State, and local laws, ordinances, and regulations for construction. B. The facility shall meet all safety requirements of the National Fire Protection Association, NFPA 101 “Life Safety Code”, which is incorporate…

.09 Emergency Suspension. A. The Secretary may immediately suspend a license on a finding that the public health, safety, or welfare requires emergency action. B. The Department shall deliver a written notice to the licensee: (1) Informing the licensee of the emergency suspension…

.10 Revocation of License. A. The Secretary, for good cause shown, shall notify the licensee of the Secretary's decision to revoke the facility's license. The revocation shall be stayed if a hearing is requested. B. The Secretary may revoke a license if the licensee: (1) Has been…

.11 Penalties. A. Administrative Penalty. The Secretary may impose an administrative penalty of up to $1,000 for a violation of any provision of this chapter. B. When considering whether to impose an administrative penalty and the amount of the penalty, the Secretary shall consid…

.12 Hearings. A. A request for a hearing shall be filed with the Office of Administrative Hearings, with a copy to the Office of Health Care Quality of the Department, not later than 30 days after receipt of notice of the Secretary's action. The request shall include a copy of th…

.01 Scope. A. This chapter applies to day care centers for the elderly and adults with a medical disability as defined in Health-General Article, Title 14, Subtitles 2 and 3, Annotated Code of Maryland. B. This chapter does not: (1) Affect a relative, domestic partner, neighbor, …

.02 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Activities of daily living” means normal daily activities, including: (a) Eating or being fed; (b) Grooming, bathing, and oral hygiene; (c) Mobility, transfer, ambulation,…

.03 License Required. A. A person may not establish, operate, or continue the operation of a center without first obtaining a license from the Secretary. B. Separate License Required. Separate licenses are required for centers that are maintained on separate premises, even though…

.04 Licensing Procedure. A. Letter of Interest. (1) A person desiring to obtain initial licensure for an adult day care center shall submit a letter of interest to the Office of Health Care Quality that contains the following: (a) Policies and procedures that address medical reco…

.05 Changes in a Program that Affect the Operating License. A. Increase in Capacity or Name Change. (1) During the license period, a licensee may not increase capacity, change its name, or change the name under which the program is doing business without the Department's approval…

.06 Waiver of Provisions. A. The Secretary may waive any provision of this chapter if a center: (1) Experiences practical difficulties or unnecessary hardship in complying with the provisions of this chapter: and (2) Can demonstrate that granting a waiver will not adversely affec…

.07 Inspection by the Department. A. Center Open for Inspection. (1) A licensed center and any premises proposed to be operated as a center shall be open at all reasonable times to announced or unannounced inspections by the Department and by any agency designated by the Departme…

.08 Compliance Monitoring. A. The Department shall monitor or inspect a center at least once every 2 years to ensure compliance with the requirements of this chapter. B. The Department may conduct unannounced or announced licensure or complaint investigation visits as frequently …

.09 Administration. A. Governing Body. The governing body shall establish and maintain sound operating procedures, including: (1) Maintenance of an identifiable administrative unit, headed by a director who is responsible for the overall conduct of all center activities; (2) Adop…

.10 Days and Hours of Operation. A. The center shall be open to participants for at least 6 hours per day 5 days a week, exclusive of holidays and other planned closings. B. The center's hours of operation shall be posted in a prominent place accessible to and easily seen by part…

.11 Preadmission Assessment. A. Before admission, the center shall obtain a written assessment from the prospective participant's health care provider, who shall certify that the information provided reflects the individual's health status within 45 days of the individual's admis…

.12 Admission Criteria. A. The center shall develop written criteria for admission. These criteria shall be specific so that the center does not accept individuals whose needs cannot be met by the center. B. Admission Criteria. The admission criteria shall include at least the fo…

.13 Participant Rights. A. The adult day care center shall provide care for participants in a manner and in an environment that maintains or enhances each participant’s dignity and respect. B. The center shall inform the participant, in a language that the participant understands…

.14 Staff. A. Staffing Pattern. (1) Staffing Ratio. (a) The staff to participant ratio at each center shall be a minimum of one staff to seven participants (1:7) for a period of 2 years after the final adoption of COMAR 10.12.04.14A(1)(a). (b) Two years after the final adoption o…

.15 Program Components — Required Services. A. Health Services. (1) Nursing Services. The center shall provide nursing services under the direction of a registered nurse. The licensee shall fully disclose the services that will be provided outside the adult medical day care cente…

.16 Program Components. A. Special Services. (1) The center shall provide or make arrangements for the services listed in §A(2)—(8) of this regulation when the center admits participants that require these services. (2) Diet Modifications. The center shall provide special diets a…

.17 Medication Services and Policies. A. Written policies for the center shall specify that the RN, LPN, or CMT is authorized to procure, receive, control, and manage the administration of medications at the center. B. Medications. (1) Medicine or drugs shall be restricted to tho…

.18 Orders. A. Orders concerning medication, treatment, and diet shall be in effect for the specified number of days indicated by the health care provider. If not specified, the period may not exceed 6 months. B. Verbal Orders. (1) A licensed nurse shall take verbal medication or…

.19 First-Aid and Cardiopulmonary Resuscitation. A. At least one staff member who is trained in first aid and in cardiopulmonary resuscitation (CPR) shall be on-site at the center when participants are in attendance, during outings, medical appointments or during transportation o…

.20 Nutrition. A. The center shall ensure that each participant who is present for 4 or more hours is provided with a meal that meets 1/3 of the recommended dietary allowance of the Food and Nutrition Board of the National Research Council. B. The center shall provide snacks cons…

.21 Comprehensive Assessments. A. The participant shall receive a comprehensive assessment (ADCAPS) that is designed to evaluate the participant's strengths and needs. A registered nurse shall complete the initial assessment within 30 days of a participant's admission and every 1…