(d) Medication and Treatment. shall have the ability to: (i) Provide or ensure assistance with taking medication; or (ii) Administer necessary medication and treatment, including monitoring the effects of the medication and treatment. (e) Behavioral Condition. Staff shall have the ability to monitor and provide or ensure intervention to manage frequent behaviors which are likely to disrupt or harm the resident or others. (f) Psychological or Psychiatric Condition. Staff shall have the ability to monitor and manage frequent psychological or psychiatric episodes that may require limited skilled interpretation, or prompt intervention or support. (g) Social and Recreational Interests. Staff shall have the ability to provide or ensure ongoing assistance in accessing social and recreational services. (4) Level 3: High Level of Care. (a) An assisted living program that accepts a resident who requires a high of care shall have staff with the abilities to provide the services listed in §G(4)(b)—(g) of this regulation, and the program shall provide those services. (b) Health and Wellness. Staff shall have the ability to: (i) Recognize and accurately describe and define a resident's health condition and identify likely causes and risks associated with the residents' condition; and (ii) Provide or ensure ongoing access to and coordination of comprehensive health services and interventions including nursing overview. (c) Functional Condition. Staff shall have the ability to provide or ensure comprehensive support as frequently as needed to compensate for any number of activities of daily living deficits.
(8) Have current certification, including documented expiration dates, if involved in direct resident care, in: (a) Basic first aid by a first aid instructor certified by a national organization; and (b) Basic cardiopulmonary resuscitation (CPR), including a hands-on component, by a CPR instructor certified by a national organization; (9) Hold appropriate licensure or certification as required by law; and (10) Have additional Alzheimer’s/dementia training initially and annually, beyond the requirements of this regulation, as specified in Regulation .27 of this chapter, for all who work in Alzheimer’s/dementia special care units, including the designated unit manager. E. A staff member who completes an approved 80-hour manager training course shall be exempt from the required annual trainings set forth in §D(7) of this regulation for a period of 4 years. F. Proof of training shall include: (1) Date of class; (2) Course content; (3) Documentation of successful completion of the training content; (4) Signatures of the trainer and attendees; and (5) Qualifications and contact information for the trainer. G. Training may be provided through various means including: (1) Classroom instruction; (2) In-service training; (3) Internet courses; (4) Correspondence courses; (5) Pre Recorded training; or
(3) The [assisted living program] licensee may not restrict residents from any area constituting multipurpose space unless a comparable multipurpose space is available for resident use. B. Living Room. (1) The [assisted living program] licensee make at least one living room available for resident use. (2) The [assisted living program] licensee shall ensure that the living rooms are: (a)—(c) (text unchanged) C. (text unchanged) D. Public Toilets. (1) (text unchanged) (2) The public toilet is not calculated in the ratio required by [Regulation .50A] .45A of this chapter. E. (text unchanged) F. Kitchen. (1) [An assisted living program] A program shall have a kitchen that has adequate: (a)—(h) (text unchanged) (2) [An assisted living] A program with a licensed capacity of 17 or more beds shall comply with the food service facility regulations in COMAR 10.15.03. (3) [An assisted living] A program with fewer than 17 residents is not required to comply with COMAR 10.15.03 unless required to comply by its local jurisdiction or the Department determines and directs that a program shall comply with particular provisions of COMAR 10.15.03 in order to minimize health risks to its residents. (4) (text unchanged)
(a)—(e) (text unchanged) (f) rooms, as determined by [the Department] OHCQ. 10.07.14.53 [.53] .48 Radiators. A. (text unchanged) B. The [assisted living] program shall ensure that the radiator shielding device: (1)—(4) (text unchanged) 10.07.14.54 [.54] .49 Laundry. A. [An assisted living program] A licensee shall furnish laundry service, either on-site or off-site. B. [An assisted living program] A licensee shall ensure that the laundry is: (1)—(3) (text unchanged) C. Unless otherwise agreed by the [program] licensee and the resident, dry cleaning services are not considered part of required laundry services in this chapter. 10.07.14.55 [.55] .50 Telephones. A. [An assisted living] A program with a licensed capacity of one to eight beds shall provide: (1)—(2) (text unchanged) B. [An assisted living] A program with a licensed capacity of nine to 16 beds shall provide at least one common-use telephone. If there are nine or more residents that do not have private telephones in their own rooms, the assisted living program shall provide a second common-use telephone. C. [An assisted living] A program with a licensed capacity of 17 or more beds provide:
F. A person aggrieved by the action of the Secretary under this regulation may appeal the Secretary's action by filing a request for a hearing consistent with Regulation [.64] .59 of this chapter. G. Show Cause Hearing. (1) In addition to the right to request a hearing consistent with Regulation [.64] .59 of this chapter, a person aggrieved by the action of the Secretary under this regulation shall be provided with the opportunity for a hearing to show cause why the Department should lift the summary suspension. (2)—(5) (text unchanged) (6) After the show cause hearing, if the Secretary or the Secretary's designee decides to continue the summary suspension, the person aggrieved by the decision may request an evidentiary hearing before the Office of Administrative Hearings within 30 days after the decision of the Secretary or Secretary’s designee is issue, consistent with Regulation [.64] .59 of this chapter. H. Hearing. (1) The Office of Administrative Hearings shall conduct a hearing as provided in Regulation [.64] .59 of this chapter and issue a proposed decision within the time frames set forth in COMAR 28.02.01. (2)—(4) A(text unchanged) 10.07.14.63 [.63] .58 (text unchanged) 10.07.14.64 [.64] .59 (text unchanged)