1. A. This regulation applies to applicants who have not practiced as an assisted living manager in a licensed assisted living program in the State prior to July 1, 2026.

2. B. Except as otherwise provided by law, to qualify for an initial license to practice assisted living management in the State, an applicant shall:

   1. (1) Be at least 21 years old;
   2. (2) Be of good moral character;

   3. (3) Provide satisfactory evidence to the Board that the applicant:

      1. (a) Has obtained a high school diploma, a high school equivalency diploma, or other appropriate education as specified under COMAR 10.07.14.15; or

      2. (b) For level 3 licensed programs, set forth under COMAR 10.07.14.05, has completed at least one of the following:

         1. (i) A 4-year, college-level degree;
         2. (ii) Two years of experience in a healthcare related field and 1 year of experience as an assisted living program manager or alternate assisted living manager; or
         3. (iii) Two years of experience in a healthcare related field and successful completion of an 80-hour assisted living manager training course approved by the Department;
      3. (c) Completed an 80-hour assisted living manager training course and passed the course examination as required under Health–General Article, §19–1807(a), Annotated Code of Maryland, and Health Occupations Article, §9-3A-02(a)(5)(i), Annotated Code of Maryland;

   4. (4) Submit the following to the Board:

      1. (a) The completed Board online application;
      2. (b) The application fee as set forth in COMAR 10.33.05.02D; and
      3. (c) A passport type and size photograph of self, which shall have been taken within 3 months prior to the date of application;

   5. (5) Meet, and attest on the application to meeting, the following requirements:

      1. (a) Submitted to a State and national criminal history records check in accordance with Health Occupations Article, §9-302.1, Annotated Code of Maryland; and

      2. (b) Is certified in:

         1. (i) Basic first aid taught by a first aid instructor certified by a national organization, except licensed practical nurses and registered nurses licensed in this State who are not required to attest to being certified in basic first aid; and
         2. (ii) Basic cardiopulmonary resuscitation (CPR), including a hands-on component, taught by a CPR instructor certified by a nationally recognized organization; and

      3. (c) Completed training in:

         1. (i) Fire and life safety;
         2. (ii) Infection control, including standard precautions;
         3. (iii) Emergency disaster plans; and
         4. (iv) Basic food safety.
3. C. The Board’s receipt of the State and national criminal history records check from the Central Repository, as provided in Health Occupations Article, §9-302.1(c), Annotated Code of Maryland, satisfies Health Occupations Article, §9-3A-03(3), Annotated Code of Maryland.
4. D. The Board may require official transcripts of the educational requirements set forth in §B(3) of this regulation.

5. E. Exemptions for the 80-Hour Training Course. Except as otherwise provided by law, an applicant is exempt from the 80-hour training course, pursuant to Health–General Article, §19–1807(d)(1), Annotated Code of Maryland, if the applicant meets, and attests to meeting, at least one of the following:

   1. (1) Is employed by an assisted living program and has enrolled in the 80-hour training course and expects to complete the course within 6 months; or
   2. (2) Is licensed as a nursing home administrator in the State.

6. F. If an individual is licensed through the exemption in §E(1) of this regulation, the licensee shall:

   1. (1) Complete the 80-hour course, which includes passing the course examination, within 6 months of enrollment in the course, in accordance with COMAR 10.07.14.16E(1); and
   2. (2) Submit to the Board satisfactory evidence that the licensee has completed the course, within 15 days from the date the licensee was notified of their successful completion of the course.

Authority: Health-General Article, §19-1809; Health Occupations Article, §§9-205, 9-3A-01—9-3A-18, and 9-401—9-501; Annotated Code of Maryland

Effective date: January 19, 2026 (53:1 Md. R 22)