1. A. If the Secretary determines that an agency has violated this chapter, the Secretary, in addition to the sanctions set forth in Regulations .21—.27 of this chapter may:

   1. (1) Restrict the number of clients the agency may serve;
   2. (2) Limit the types of clients an agency may serve;
   3. (3) Require the licensee, and any of its staff, to receive remedial instruction in a specific area;
   4. (4) Require the agency to use the services of a management firm that is approved by the Department;
   5. (5) Mandate staffing patterns that specify the number of personnel or personnel qualifications, or both;
   6. (6) Direct the licensee to correct the violations in a specific manner or within a specified timeframe;
   7. (7) Notify, or require the agency to notify, the client, the client representative, or the family of any client who is affected by the noncompliance;
   8. (8) Increase the frequency of monitoring visits during a specified period of time; or
   9. (9) Establish certain conditions for continued operation, including time limits for continued operation and for compliance.
2. B. If the Secretary determines that the licensee has violated a condition or requirement of an imposed sanction, the Secretary may suspend or revoke the license.
3. C. A licensee aggrieved by the imposition of a sanction under §A(1) or (2) or B of this regulation may appeal the Secretary’s action by filing a request for a hearing in accordance with Regulation .28 of this chapter.

Authority: Health-General Article, Title 19, Subtitle 4A, Annotated Code of Maryland

Effective date: January 17, 1994 (21:1 Md. R. 33)

Regulation .01B amended effective June 2, 1997 (24:11 Md. R. 793)

Regulation .02 amended effective June 2, 1997 (24:11 Md. R. 793)

Regulation .03C repealed effective June 2, 1997 (24:11 Md. R. 793)

Regulation .05-1 adopted effective June 2, 1997 (24:11 Md. R. 793)

Regulations .01—.08 repealed and new Regulations .01—.28 adopted effective May 1, 2012 (38:21 Md. R. 1277)

Regulation .04A amended effective December 21, 2015 (42:25 Md. R. 1543); March 28, 2016 (43:6 Md. R. 406)

Regulation .04A, I amended effective August 19, 2013 (40:16 Md. R. 1343); January 6, 2014 (40:26 Md. R. 2162); March 13, 2017 (44:5 Md. R. 292)

Regulation .04H amended effective January 6, 2014 (40:26 Md. R. 2162)

Regulation .04H, I amended effective July 4, 2016 (43:13 Md. R. 712)

Regulation .12E amended as an emergency provision effective June 1, 2012 (39:13 Md. R. 784); amended permanently effective September 3, 2012 (39:17 Md. R. 1148)