1. A. General Facility Requirements. All classroom, laboratory, and clinical facilities used by a training program:

   1. (1) Shall be approved by the Board;
   2. (2) Shall be approved or accredited by the appropriate agency;
   3. (3) May not be on conditional or provisional approval status; and
   4. (4) May not meet any of the factors set forth in 42 CFR §483.151(b)(2)—(3).

2. B. Classroom and Laboratory Facilities. Classroom and laboratory facilities shall include:

   1. (1) Adequate space for privacy of faculty-student conferences; and
   2. (2) Space for equipment and instructional materials.

3. C. Resources.

   1. (1) All instructional learning resources and materials shall:

      1. (a) Be accessible and relevant to the role of the CNA;
      2. (b) Have a publication date not older than 5 years from the current year; and
      3. (c) Be written at an 8th grade level.

   2. (2) Laboratory Equipment.

      1. (a) Laboratory equipment, at a minimum, shall include materials to support the following classroom activities:

         1. (i) Infection control;
         2. (ii) Basic nursing skills;
         3. (iii) Personal care skills; and
         4. (iv) Basic restorative services;
      2. (b) The Board shall maintain on its website a list of the specific equipment required for laboratory facilities.

4. D. Clinical Facilities.

   1. (1) Clinical facilities shall:

      1. (a) Have a sufficient number and variety of clients to provide training experiences for all students to achieve the stated objectives;
      2. (b) Have a sufficient number of registered nurses and other nursing personnel to ensure safe and continuous care of clients; and
      3. (c) Conform with accepted standards of nursing care and practice.
   2. (2) There shall be a minimum of 1 course instructor for each 8 students in the clinical area.

   3. (3) Written Agreements.

      1. (a) Except for facility-based programs, a training program shall have a written agreement with a clinical facility for student training experiences.

      2. (b) The written agreement developed in accordance with §D(3)(a) of this regulation shall:

         1. (i) Be developed jointly with the clinical facility and the training program;
         2. (ii) Be reviewed periodically by the clinical facility and the training program;
         3. (iii) Include a provision for adequate notice of termination;
         4. (iv) Specify the responsibility of the training program to the clinical facility and the responsibility of the clinical facility to the training program; and
         5. (v) Identify the functions and responsibilities of the parties involved.

Authority: Health Occupations Article, §§8-205, 8-6A-05(a)(6), and 8-6A-14, Annotated Code of Maryland;
Chs. 818 and 819, Acts of 2024; Ch. 416, Acts of 2025

Effective date: April 30, 2001 (28:8 Md. R. 761)

Regulation .02B amended effective July 2, 2018 (45:13 Md. R. 667)

Regulation .05A amended effective July 2, 2018 (45:13 Md. R. 667)

Regulation .07B amended effective November 7, 2005 (32:22 Md. R. 1756)

Chapter revised as an emergency provision effective April 3, 2026 (53:9 Md. R. 411); amended permanently effective June 8, 2026 (53:11 Md. R. 484)