Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 3
Subtitle 21 - MENTAL HYGIENE REGULATIONS
Chapter 10.21.13 - Use of Quiet Room and Use of Seclusion
Section 10.21.13.12 - Variance with Standards

Universal Citation: MD Code Reg 10.21.13.12

Current through Register Vol. 51, No. 19, September 20, 2024

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.

B. There may not be any variance with standards established in this regulation and in Regulations .03 and .04, .05B-E and G, .07A, .09, .10A, D, E(1), and F, .11, and .12 of this chapter.

C. Staff shall document, on the facility's variance report, a variance with standards permitted under this chapter.

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

(1) An extreme crisis;

(2) A deviation from the facility's procedure; or

(3) A problem in the facility's policy which is correctable by administrative action.

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.

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