(1) The Department may take action against the certification of a certified medication aide, or refuse to issue or renew a certification, based on one or more of the following grounds:

1. (a) Failure to meet certification requirements.
2. (b) The certified medication aide fails to comply with any provision of this regulation or 105 CMR 700.000: Implementation of M.G.L. c. 94C.
3. (c) The certified medication aide fails to comply with any rule, advisory ruling, or policy adopted by the Department with regard to medication administration or certified medication aides.
4. (d) The certified medication aide fails to maintain a current CNA certification.
5. (e) The certified medication aide engages in conduct outside the approved scope of practice for their certification.
6. (f) The certified medication aide engages in conduct that violates recognized standards of practice.
7. (g) The certified medication aide continues to practice after the expiration, revocation, suspension, surrender, or retirement of their certification or after they have entered into a consent agreement in which they agree to refrain from performing activities requiring certification.
8. (h) The certified medication aide knowingly permits, aids, or abets an unlicensed or uncertified person to perform activities that require a license or certification.
9. (i) The certified medication aide fraudulently procures a certification or renewal of a certification authorized by this regulation.

10. (j) In connection with any examination related to certification under this regulation, the certified medication aide:

    1. 1. impersonates or acts as proxy for another individual;
    2. 2. discloses the contents of any examination;
    3. 3. compromises the integrity of any such examination;
    4. 4. cheats, or assists another person to cheat, on any such examination.
11. (k) The certified medication aide knowingly provides false information to the Department, either directly or through another person acting on their behalf.
12. (l) The certified medication aide fails to comply with an order of the Department, including but not limited to an order of the Commissioner of the Department pursuant to a Declaration of Emergency Detrimental to Public Health made in accordance with M.G.L. c. 17, § 2A or pursuant to such other authority as may be vested in the Commissioner.
13. (m) The certified medication aide fails to comply with the terms of any consent agreement entered into with the Department.
14. (n) The certified medication aide fails, without cause, to appear before the Department when so requested as part of the Department's review of a matter concerning the certified medication aide, including but not limited to an investigation, complaint or application.
15. (o) The certified medication aide fails, without cause, to provide a written response to a Department investigation or complaint or to provide documents or other evidence in the certified medication aide's possession or control that may be relevant to the matter.
16. (p) Another government licensing or authorizing agency, within or outside the Commonwealth, imposes discipline against any certificate, registration, license, or authorization held by the certified medication aide for reasons substantially similar to any of the bases for discipline stated in 105 CMR 775.006.
17. (q) The certified medication aide falsifies, alters, or willfully makes incorrect entries or fails to make essential entries in patient records.
18. (r) The certified medication aide has been convicted of a crime.
19. (s) The certified medication aide practices or presents to work in a long-term care facility while their ability to practice is impaired by alcohol, drugs, physical disability, or mental instability, or by any combination of the foregoing.
20. (t) The certified medication aide engages in behavior that is likely to have an adverse effect upon the health, safety, or welfare of the public.
21. (u) The certified medication aide engages in conduct that undermines public confidence in the integrity of the profession.