1. A. Excluding the prohibition described in §B of this regulation, staff may not vary from the standards identified in this chapter unless the variation is for an extreme crisis.

2. B. There may not be any variance with standards established in:

   1. (1) This regulation;
   2. (2) Regulation .03 of this chapter;
   3. (3) Regulation .04 of this chapter;
   4. (4) Regulation .05B—E, G, and I of this chapter;
   5. (5) Regulation .07A of this chapter;
   6. (6) Regulation .09 of this chapter;
   7. (7) Regulation .10A, D, E(1), and F of this chapter; and
   8. (8) Regulation .11 of this chapter.
3. C. Staff shall document, on the facility's variance report, a variance with standards permitted under this chapter.

4. D. The CEO shall rule on and document each variance permitted in §A of this regulation to determine whether the variance was:

   1. (1) An extreme crisis;
   2. (2) A deviation from the facility's procedure; or
   3. (3) A problem in the facility's policy which is correctable by administrative action.
5. E. The CEO shall assure that the facility's quality assurance process incorporates a monthly review of any variance permitted in §A of this regulation.

Authority: Health-General Article, §§10-101(g) and 10-701, Annotated Code of Maryland

Effective date: October 25, 1993 (20:21 Md. R. 1654)

Regulation .01 amended effective November 24, 2025 (52:23 Md. R. 1139)

Regulation .02B amended effective November 24, 2025 (52:23 Md. R. 1139)

Regulation .03 amended effective November 24, 2025 (52:23 Md. R. 1139)

Regulation .04 amended effective November 24, 2025 (52:23 Md. R. 1139)

Regulation .05C amended effective November 24, 2025 (52:23 Md. R. 1139)

Regulation .05I adopted effective November 24, 2025 (52:23 Md. R. 1139)

Regulation .06C amended effective November 24, 2025 (52:23 Md. R. 1139)

Regulation .07 amended effective November 24, 2025 (52:23 Md. R. 1139)

Regulation .08D amended effective November 24, 2025 (52:23 Md. R. 1139)

Regulation .01D, F amended effective November 24, 2025 (52:23 Md. R. 1139)

Regulation .12B amended effective November 24, 2025 (52:23 Md. R. 1139)