comar regulations for assisted living facilities in maryland
Only a portion of the content of continuing care agreements is regulated by continuing care laws. The State of Maryland pledges to provide constituents, businesses, customers, and stakeholders with friendly and courteous, timely and responsive, accurate and consistent, accessible and convenient, and truthful and transparent services. National Human Trafficking Hotline - 24/7 Confidential. General Physical Plant Requirements, Sec. hbbd``b`$XSE The Code of Maryland Regulations, often referred to as COMAR, is the official compilation of all administrative regulations issued by agencies of the state of Maryland. Regulations 10.07.02.01 Consider Alternatives - Depending on your needs, there may be alternatives to nursing home care that work better for your situation, including home aide services, medical adult day . A visit to this section offers information, and sections specific to Assisted Living in Maryland, including: Additionally, youll see, on the main page, phone and fax numbers for the Department of Health and Mental Hygiene. The code provides detailed regulations for procedural, safety and health protocols within the senior living industry. Resident-Specific Level of Care Waiver, Sec. COMAR contains 36 Titles, with each Title corresponding to a department or agency. all sections. Copyright 2023 by eLaws. Maryland Department of Health - Workgroup to Study the Establishment of an Affordable Assisted Living Enhanced Care Program. COMAR Title 26 corresponds to the Department of the Environment. 0 To Find Inspection Reports, Citations and Violations for Assisted Living Facilities Updated biweekly. The Nurse Practice Act and Annotated Code of Regulations (COMAR) for Nurses are both available on our website but can be difficult to locate and sort through; we are in the process of revising our website to make it more user-friendly. Changes in a Program that Affect the Operating License, Sec. COMARregulations are arranged in one numeric sequence by codification number throughout the entire set. All Rights Reserved. COMAR 10.24.13 1 .01 Incorporation By Reference. Typically, a nursing home resident will need more help and supervision than an assisted living resident. Resident Agreement General Requirements and Nonfinancial Content, Sec. Information reported to the hotline in the past has helped to eliminate certain fraudulent activities and protect State resources. (1) The assisted living manager of a program shall arrange for a licensed pharmacist to conduct an on-site review of physician prescriptions, physician orders, and resident records at least every 6 months for any resident receiving nine or more medications, including over the counter and PRN (as needed) medications. The Code of Maryland Regulations (COMAR) is provided online by the Division of State Documents at www.dsd.state.md.us. The MD - Code of Maryland Regulations (COMAR) (MDADMN) file contains documents from the Code of Maryland Regulations. 482 0 obj <>stream 10.07.14.10. Workgroup meetings will begin within the coming . complete regulations are online at the links provided at the end. 2 Public Health Reports - 1990 Veterinary Technician - 2002-07 Journal of the American Medical Association - 1992-03 Adams Jobs Almanac 1998 - Bob Adams Publishers 1997-07 Alternate Assisted Living Manager, Sec. 02 -Regulation COMAR, is the official compilation of all administrative regulations issued by agencies of the state of Maryland. (b) "Assisted living program" does not include: (i) A nursing home, as defined under Health-General Article, 19-301, Annotated Code of Maryland; (ii) A State facility, as defined under Health-General Article, 10-101, Annotated Code of Maryland; Alzheimer's Special Care Unit, Sec. Springs, The Most For example, COMAR 10.07.02.01 is Title 10, Subtitle 7, Chapter 2, and Regulation 1. 10.07.14.21. FOR A FREE CONSULTATION 1(410) 825-3161. . Misuse of Resident's Funds, Sec. Remote access is limited to University of Maryland staff and students. Please enable JavaScript in your browser. HUMo0W( *bEM{jlv-KUmbqHY"iEb==+XI'f?VZP Z,@C5J YNr ]. 3\3 a8S" c8KN+Le4l>*I)([oYDe. endstream endobj startxref These regulations should also be considered essential 'coursework' for anyone wishing to open an assisted living home in Maryland, as they give you a concrete idea of what is involved, and the standards to which you will be held by the State. The CCRCs, both operating and under construction, contains over 16,000 continuing care units, of which over 12,000 are independent living, over 2,000 are assisted living, and over 2,000 are nursing care. The goal of the COMAR regulations is to keep residents healthy, happy, and well cared for. 1. CODE OF MARYLAND REGULATIONS (COMAR) COMAR is the official compilation of all regulations issued by agencies of the State of Maryland. Reference is to the page number on which the regulation can be found. Assisted Living Quality Analysis SB531 . There is an e-mail button/section that you can use to submit your information to regarding State Regulations, which will provide you periodic updates pertaining to the States regulations. Apply for This Job. Assisted Living facilities have state regulations they must adhere to. Click here to go directly to Title 26 Subtitles with links to their pertinent Chapters and Regulations.. There are more than 300 Maryland Assisted Living Facilities listed by the Maryland Health Care Commission. Maryland has not updated assisted living regulations since 2008, despite the law requiring them to be updated every eight years. Approval If approved you will hear back from us within 10 - 14 business days. 10.07.14.34. The consumer pays an entrance fee that is, at a minimum, three times the average monthly fee; The provider furnishes or makes available shelter and health-related services to persons 60 years of age or older; and. Important Questions for Caregivers To Ask Medical Professionals, Assisted Living for the Blind or [Bill No.73-22] A. Below you'll find links to state regulation guides so you can explore your state's . Available online 24 hours a day, 7 days a week. Service, Department of Health and Mental Hygiene, Office of Health Care Quality, Assisted Living Facilities, News & Senior Care, An Overview of Assisted Living Regulations in Massachusetts, Albuquerque Please review the website for the Office of Health Care Quality (OHCQ) Regulations The residents pay the homeowner in exchange for a room, personal care services, and meals. The Code of Maryland Regulations, often referred to as COMAR, is the official compilation of all administrative regulations issued by agencies of the state of Maryland. %PDF-1.5 % F. The Department may require an individual who is exempt under the provisions of E of this regulation to complete a manager training course and examination if: (1) The Department finds that the assisted living manager repeatedly has violated State law or regulations on assisted living; and. policy, terms Related institutions are . JavaScript is required to use content on this page. Its helpful to read through these from time to time to get an idea of whats to come, and to be able to voice your opinion for or against the proposed regulations before they are signed and sealed.. E. The training requirements of A of this regulation do not apply to an individual who: (1) Is employed by a program and has enrolled in a Department-approved manager training course that the individual expects to complete within 6 months; (2) Is temporarily serving as an assisted living manager for less than 45 days, unless the Department has granted an extension of the 45 days, due to an assisted living manager leaving employment and before the hiring of a permanent manager; (3) Has been employed as an assisted living manager in this State for 1 year before January 1, 2006; or. Approval of Burial Arrangements for Unclaimed Deceased Residents, Sec. Read the regulations: Code of Md. Access available atall UM Libraries' locationsthrough the Database Finder (https://www.lib.umd.edu/dbfinder). The Maryland Register is an official publication of the State of Maryland that is published every two weeks. National Human Trafficking Hotline - 24/7 Confidential. Forms may be downloaded below or you can request a packet be mailed to you by calling 410-767-1100. 10.07.14.30. . These numbers are placed at the top right and left corners of the pages. 388 0 obj <> endobj For details about COMAR on-line or in print, call the Division of State Documents at 410-974-2486 or 1-800-633-9657. While the Legislature of the State of Maryland enacts statutes, it is administrative agencies which adopt, amend, and repeal regulations under the authority granted to them by statutes. 10.07.14.16. Each title number represents a State department, e.g., Title 15 is the Department of Agriculture. Unless the Legislature has created an exemption, agencies must follow the procedures in the Administrative Procedure Act when adopting, amending or repealing regulations. House Memory Care, terms and on proposed revisions to the assisted living regulations in COMAR 10.07.14. Entrance fees and monthly fees also vary widely. Chapter 10.07.14. Online version of Code of Maryland Regulations available at the Maryland Division of State Documents. These live on-line meetings are open to the public and are not being held in-person. 3. Thank you for contacting the Maryland Board of Nursing with a request for general information on assisted living and the applicable rules and regulations. 10.07.14.58. Specific sections of the regulation will be discussed at the first, second, and third meetings. The COMAR regulations are reviewed and updated frequently. The above regulations are those most relevant to consider when evaluating a residential facility. Purposes of the State Health Plan for Facilities and Services. House report on STATE, FOREIGN OPERATIONS, AND RELATED PROGRAMS APPROPRIATIONS BILL, 2023. Bathrooms for Residents, Sec. Definitions . . (Family Day Care) or COMAR 07.04.02 (Child Care Center Licensing) except for those . 01 -Chapter- Board of Boiler Rules Heating, Ventilation, and Air Conditioning, Sec. All rights reserved. For any questions, please contact Stephanie Ford at (410) 865-1154. How To View and Get A Copy of Marylands Assisted Living Regulations. The completed manager's training course shall: (1) Consist of at least 80 hours of course work and include an examination; (2) Consist of training programs that include direct participation between faculty and participants; and. Critical Aspects To Quality of Life in Assisted Living Communities: Quality of Life is the sum total of many other aspects, including choice, independence and dignity, as presented by this excellent video by the ALFA. 1800 Washington Blvd., Baltimore, MD 21230, Electronically Accepted Permit Applications, Permit Application Database Search (SB47), Click here to go directly to Title 26 Subtitles with links to their pertinent Chapters and Regulations.. https://lib.guides.umd.edu/mdlawresources, Maryland Reports and Maryland Appellate Reports, Opinions of the Attorney General of Maryland, Priddy Library (Universities at Shady Grove), Administrative regulations of Maryland state agencies, Administrative History of the regulations, including amendments and effective dates (included at the end of each chapter of COMAR), The executive orders of the Governor that are considered generally permanent in nature (located in Title 01). hb```,\@ (@,Xfy\nmFh2 , @~ i 0N8c.>*rO2b`,4)M%|@Z R! $? Responsibility for implementation and enforcement of all provisions of the Patients Bill of Rights Regulations under COMAR 10.07.09. D. A program that fails to employ an assisted manager who meets the requirements of this regulation may be subject to: (1) Sanctions under Regulation .56 of this chapter; and. If the regulations are not currently under review, comments are held untilthe next review. 456 0 obj <> endobj All rights reserved. The Code of Maryland Regulations, often referred to as COMAR, is the official compilation of all administrative regulations issued by agencies of the state of Maryland.While the Legislature of the State of Maryland enacts statutes, it is administrative agencies which adopt, amend, and repeal regulations under the authority granted to them by statutes. Combined Glory Assisted Living Facility 13909 Skyview Drive (281) 491-0076 Care provided: Assisted Living, Respite Care A Home Away From Home 1851 S.W. Administrative History. The Code of Maryland Regulations, often referred to as COMAR, is the official compilation of all administrative regulations issued by agencies of the state of Maryland and authorized by the General Assembly. (3) Include not more than 25 hours of training through Internet courses, correspondence courses, tapes, or other training methods that do not require direct interaction between faculty and participants. The. Index- A keyword index toCOMAROnlineis available, though it only refers tobroad subjects at the end of each title. 10.07.14.08. Civil Money Penalties Hearings, Sec. 1-800-278-9122 Pricing & Availability Get Pricing Responses to this article You may be trying to access this site from a secured browser on the server. Pages are numbered at the bottom of the page consecutively throughout a title. The shelter and services are offered under a contract that lasts for a period of more than one year, usually for life. Assisted Living Managers Training Requirements, Code of Maryland Regulations (Last Updated: April 6, 2021), Chapter 10.07.14. 10.07.14.36. For additional information, please see the tabs below. For example, COMAR 10.07.02.01 is Title 10, Subtitle 7, Chapter 2, and Regulation 1. The Fire Code requires the inspection of the common areas of rental apartment units and condominiums. This report is by the Appropriations yDT^T G6+,uST@9)M[#|rSy'?o,=y}ugJ5P0 (5SNGb?:7UZ%QSt'dFhE2~|) Zv;(RTfvM?e'f"-`kwE}Y6l;G}B&3n`\)D%n'f3\?Wa~q%"@`R@ps*lv%b-.ei&znbf _h2fX~>Toyu/wscP)Y2cb/_ Sec. COMAR Title 26 corresponds to the Department of the Environment. Also, some continuing care agreements provide for a refundable entrance fee, which may require that the unit be reoccupied (and, possibly, that a new entrance fee be paid by the new occupant) before a refund is paid. The Maryland Department of Aging provides a comprehensive consumer information packet for persons interested in learning more about Continuing Care Retirement Communities. Reviewing and approving plans, policies, and procedures to ensure regulatory and accreditation compliance as well as quality controls and established and maintained. endstream endobj 461 0 obj <>stream Continuing care agreements are legally binding contracts between the provider and the resident that outline the responsibilities between the provider and the resident. 2022 University Libraries, University of Maryland. The Maryland General Assemblys Office of Legislative Audits operates a toll-free fraud hotline to receive allegations of fraud and/or abuse of State government resources. opening and owning your own assisted living home, Creating Professional Videos For Your There is a risk that these units may not be reoccupied (or a new entrance fee may not be paid) in a timely manner. This title goes to the Department of Health and Mental Hygiene, Office of Health Care Quality, This site offers a great deal of information to providers and consumers. . Your gateway to health and human services! To be licensed as a Residential Assisted Living facility (RAL) in the State of Maryland, you must follow the Code of Maryland Regulations (COMAR) http://www.dsd.state.md.us/COMAR/searchall.aspx. Employment Type Full-Time. Resident's Room and Furnishings, Sec. These regulations should also be considered essential coursework for anyone wishing to open an assisted living home in Maryland, as they give you a concrete idea of what is involved, and the standards to which you will be held by the State. Maryland State agency regulations are compiled in the Code of Maryland Regulations (COMAR). 10.07.14.9999. Title 03 - Subtitle 01 - Office of the Comptroller. Every proposal describes how and when to submit comments. Investigation by Department, Sec. Key Takeaways. Providers of Continuing Care in Maryland must complete the CCRC Development Process as specified in Human Services Article, Sections 10-401 through 10-499 of the Annotated Code of Maryland. The short title of each regulation is given. Assisted living facilities must adhere to certain standards and state regulations. and conditions, privacy As the Director of Regulatory Compliance, Wanda assists Sharps' customers in evaluating current federal and state-specific medical and pharmaceutical waste regulations, implementing compliant regulated medical and pharmaceutical waste management programs and processes, and developing training programs for both internal and external customers. Maryland Manual Online State Department of Education, 200 West Baltimore Street, Baltimore, MD 21201-2595, 410-767-0100 Ko#8'R?:MXkUxuq]BZP*3k0ZkvT}z)@N w\EQY's>5hPih?b?r:T"jg u:"RXS|13;xsNUv5ymeNE?_B\Jz0X]Q;Xt7! Incorporation by Reference, Sec. Code of Maryland Regulations (COMAR) is the official compilation of all regulations issued by agencies of the State of Maryland. 10.07.14.41. Data collection for the 2022-2023 flu season is open for all long- term care facilities. Example: The elements in aCOMARregulation numberCOMAR 09.12.01.02 are: TX, Salt Lake Uniform Disclosure Statement, Sec. Regulations governing the Maryland State Department of Education (MSDE) fall under Title 13A. Other Staff Qualifications, Sec. ). Resident's Representative, Sec. As of January 1, 2023, there are 38 operating or approved continuing care retirement communities, known as CCRCs, in Maryland. hb```|eaX(0 r``AxG6qj c`uH 1/HQqQel%&%zNs`wm4+W#Y)9F&k^ 0 ( At the beginning of each title there is a Table of Contents which lists each subtitle, chapter, and regulation by codification number. An on-farm composting facility is permitted by right as an accessory agricultural use in the R.C.2, R.C.3, R.C.4, R.C.6, R.C.7, And R.C.8 zones subject to compliance with 9-1725 of the environmental article of the Annotated Code of Maryland and the applicable regulations set forth in COMAR 26.04.11. Laws Affecting Assisted Living Facilities; COMAR Code of Maryland Regulations: Regulations Affecting Nursing Homes: Click here to view the regulations in Section 10.07.02-Comprehensive Care Facilities and Extended Care Facilities ; Click here to view the regulations in Section 10.07.09-Resident's Bill of Rights Facility, How Types of Inspections Existing Buildings New Construction and Renovation Family Home Day Care License Day Care Center License Group Homes and Assisted Living Facilities The Code of Maryland Regulations, often referred to as COMAR, is the official compilation of all administrative regulations issued by agencies of the state of Maryland. 10.07.14.11. Please turn on JavaScript and try again. NM, Tucson, 10.07.14.15. To view the regulations, please visit COMAR Online. 2020 and 2021 Assisted Living State Regulatory Review Maryland Agency Department of Health, Office of Health Care Quality . The fourth meeting will include comments. The Code of Maryland Regulations (COMAR) are maintained by the Division of State Documents (DSD) under the Office of the Secretary of State and can be accessed through the DSD Web site. Four public meetings will be held to provide the opportunity for stakeholders to propose changes to the regulation. The Code of Maryland Regulations as Applied to Residential Assisted Living Facilities, Holiday Visits: Be Aware of the Signs an Aging Parents Needs Have Changed, What Is Transfer Trauma And How To Avoid It, ComForCare Platform Could Grow to 20 Different Franchise Brands. Please enable scripts and reload this page. 240-777-3986 > Helpful Domiciliary Care (Assisted Living) Resources There is also a direct email address for the Health Policy Analyst for Regulatory Affairs, and a physical address that you can send questions, concerns or comments to. The Office of Health and Mental Hygiene has a section dedicated to the States Assisted Living Regulations, and it includes two important sub-sections: Under the Adopted Regulations section, there is another sub-section specific to Assisted Living Programs, which then provides numerous additional pages, by topic or area, for adopted regulations including: The section for Assisted Living Programs looks like this: Any assisted living facility or residential care home in Maryland should be able to provide residents and family members a copy of state regulations should they be requested. For example, facilities must be licensed by the local health department or social services. Being in Compliance with OHCQ and COMAR regulations. Copyright Maryland.gov. Pre-register for the meetings atAL Registration Form, OHCQ appreciates the input of all stakeholders that has resulted in thedraft of the proposed regulationsthat will serve as the starting point of these discussions. However, COM AR in print form will continue to be the only official legally enforceable version of the Code. The following regulations apply to all assisted living and memory care communities and are the key points to look for when evaluating facilities: Maryland COMAR rules apply to all RAL communities, from those that are large and have 200 residents to communities that are small and have only 3 residents. Volumes within COMAR are arranged by a title number marked on each volume. We welcome input from all stakeholderson the regulations. Facility Owner/Manager Level of Care Capacity +Arcadia of Crofton II ShannonSeigler [III] (16) 1260 Defense Highway 410-643-4344 . OHCQ strongly encourages stakeholders to engage with each other for further discussion about these regulations. Minimum Experience Experienced. Department Psychiatric Rehabilitation. The Montgomery County Department of Health and Human Services, through Licensure and Regulatory Services, licenses and inspects, under both County and State regulations, facilities such as assisted living facilities; group homes; food service facilities (including restaurants, grocery stores, bars, mobile food trucks, and bed and breakfasts); National Human Trafficking Hotline - 24/7 Confidential. %U8x1=3*"3CtsY6LE$r @e2qK&?Wd.Q_,L(nR+;4wG1]< (1) Each county board shall develop and implement an automated external defibrillator program that meets the requirements of 13-517 of this article for each high school in the county. PA, Colorado Remote access is limited to University of Maryland staff and students. The Office of Health Care Quality is seeking informal public comments as it continues to revise the assisted living regulations in COMAR 10.07.14. In addition to the requirements in Regulation .15 of this chapter, by January 1, 2006, an assisted living manager of a program that is licensed for five beds or more shall complete a manager training course that is approved by the Department. 2006, an assisted living manager of a program that is licensed for five beds or . living, in a way that promotes optimum dignity and independence for the individuals. COMAR is organized by title, subtitle, chapte, r, and regulation. . City, Pittsburgh, There is financial risk involved in choosing a CCRC, as large sums of money are paid in advance for future services. ^Nvz, 1X yQr8s'~SUFo#lD4pTP"Ij%2,pmpUKC~tS)AsKZfW`7/SWg/RdoZl8TPn/Tp.V\vb30'T_C'W'CLa?K(^-fOr{`E`SL= e^6.l>lutDCDOo,ci=b2`J^gmEcKE%_3itznd4{cz)[}x7f+^;BF 1tbKc^^Z| z=E=Z1C'g1yXb9F^7 !o,z`IzN7W(o]#E]b9`!TE3_-bH{;# 7 Resident Agreement Financial Content, Sec. Ask at the Maryland Room Desk to locate Incorporated Documents. Patients living in nursing homes and assisted living facilities are increasingly using For example, COMAR 10.07.02.01 is Title 10, Subtitle 7, Chapter 2, and Regulation 1. Please enable scripts and reload this page. Copyright Maryland.gov. Amount of Civil Money Penalties, Sec. Assisted Living Programs. Maryland State agency regulations are compiled in the Code of Maryland Regulations (COMAR). Additional published information includes comparison to Federal Standards, and economic impacts on agencies, industries, and small businesses. The Maryland Register is COMAR's temporary supplement, printing all changes to regulations as soon as they occur. Monitoring and Regulatory Agencies a. The Homeless Education Liaison's duties are those mandated by Title VII, Subtitle B of the McKinney-Vento Homeless Assistance Act as amended by the No Child Left Behind Act of 2001 (Public Law 107-10), Education for Homeless Children and Youth, Title X, Part C, Subtitle B as implemented in Maryland under COMAR 13A.05.09.03.A(5) ("McKinney-Vento"). Assisted Living Manager Certification - COMAR Regulations - HIPPA Compliance Certification - Languages Urdu Full professional proficiency Hindi Full professional proficiency Punjabi Full. (2) A civil money penalty not to exceed $10,000. PDF applications should be mailed to Licensure & Regulatory Services office (2425 Reedie Drive, 9th floor, Wheaton, MD 20902) or faxed to 240-777-3088. Each state has different regulations overseeing assisted living. A. Copyright Maryland.gov. A. Many of these are cataloged in the Library catalog. They provide a clear picture of the type of care, official safety measures in place, and establish clear guidelines for consistency and professionalism. Education - English Learners and Dual Language Immersion Programs - Funding and Establishment (Multilingualism Is an Asset Act) Sponsor. 10.07.14.59. You may be trying to access this site from a secured browser on the server. endstream endobj startxref Facility have to be inspected at least biannually to maintain their license. Comments related to OHCQ regulations are accepted at any time. Bill/Chapter (Cross/Chapter) SB0884 ( HB1231 ) Title. These regulations are contained in the Maryland Code of Regulations (COMAR 10.07.14). Proposed actions are available for 30 days following their publication in the Maryland Register and emergency actions are available for 180 days following their effective date or until replaced by a proposed action, whichever is sooner. Each regulation is assigned a unique fo ur-part codification numbe r. COMAR Codification System Assisted Living Manager, Sec. Assisted Living at lou's house http://www.dsd.state.md.us/COMAR/searchall.aspx. C. An assisted living manager employed in a program that is licensed for five or more beds shall complete 20 hours of Department-approved continuing education every 2 years. Maryland OneStop OneStop is the central hub for Maryland State licenses, forms, certificates, permits, applications, and registrations. The following regulations apply to all assisted living and memory care communities and are the key points to look for when evaluating facilities: Licensure requirements and procedures. Enter your zip for local care options or call. A guide to basic Maryland legal resources available online and in McKeldin and Hornbake Libraries. The COMAR regulations are reviewed and updated frequently. You may be trying to access this site from a secured browser on the server. I have notices several common mistakes providers get cited for during inspections. The Maryland General Assemblys Office of Legislative Audits operates a toll-free fraud hotline to receive allegations of fraud and/or abuse of State government resources. These links will open each page in a new window. 10.07.14.49. Shall oversee the Department's Controlled Dangerous Substance medications. 10.07.14.50. Y&30 0 These numbers are expanded when greater detail is required. Preadmission Requirements, Sec. provides the official online access to COMAR.The Office of Health Care Quality does not sell copies of COMAR regulations. 10.07.14.19. %%EOF The purpose of the review is to determine whether the regulations are necessary for the public interest, continue to be supported by statutory authority and judicial opinion, or are appropriate for amendment or repeal.Each newly proposed regulation is published in the Maryland Register. 2. Depending on the provider, these fees may or may not cover a wide range of services. As of January 1, 2023, there are 38 operating or approved contin uing care retirement communities , known as CCRCs, in Maryland. (4) Is licensed as a nursing home administrator in this State. All rights reserved. It looks like your browser does not have JavaScript enabled. An assisted living provider may limit Medicaid participation to designated units only if approved by the Maryland Department of Aging and the facility resident agreement contains the following provision: The facility's participation in the Maryland Medical Assistance Program is limited to one or more designated units and, in order to access Deaf and hard of hearing use Relay, 2023 Maryland State Department of Education, Maryland State Department of Education Directory. JavaScript is required to use content on this page. The Maryland Register is an official publication of the State of Maryland, The Register serves as the temporary supplement to the Code of Maryland Regulations (COMAR). JavaScript is required to use content on this page. First, its important to know who the agency responsible for overseeing and regulating assisted living in Maryland is. 10.07.14.33. 10.07.14.38. 10.07.14.25. Unless the Legislature has created an exemption, agencies must follow the procedures in the Administrative Procedure Act when adopting, amending or repealing regulations. licensure. endstream endobj 389 0 obj <>/Metadata 23 0 R/OCProperties<>/OCGs[405 0 R]>>/Pages 385 0 R/StructTreeRoot 41 0 R/Type/Catalog/ViewerPreferences 404 0 R>> endobj 390 0 obj <>/MediaBox[0 0 612 792]/Parent 386 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Rotate 0/StructParents 529/Tabs/S/Type/Page>> endobj 391 0 obj <>stream
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