A. If the Secretary determines that an assisted living program has violated this chapter, the Secretary, in addition to the sanctions set forth in this chapter may:
(1) Restrict the number of residents the assisted living program may admit in accordance with Health-General Article, §19-328, Annotated Code of Maryland;
(2) Require the assisted living program to reduce the number of residents in care;
(3) Restrict the levels of care for which the assisted living program may provide services;
(4) Require the licensee, and any of its staff, to receive remedial instruction in a specific area;
(5) Require the assisted living program to use the services of a management firm approved by the Department;
(6) Mandate staffing patterns which specify number of personnel, personnel qualifications, or both;
(7) Require the establishment of an escrow account in accordance with Health-General Article, §19-362, Annotated Code of Maryland;
(8) Direct the licensee to correct the violations in a specific manner or within a specified time frame, or both;
(9) Notify, or require the assisted living program to notify, the representative or family of any resident who is affected by the noncompliance;
(10) Increase the frequency of monitoring visits during a specified period of time; or
(11) Enter into an agreement with the licensee establishing certain conditions for continued operation, including time limits for compliance.
B. If the Secretary determines that the licensee has violated a condition or requirement of an imposed sanction, the Secretary may suspend or revoke the license.
(1) A licensee aggrieved by the imposition of a sanction under §A(1), (2), or (3) or B of this regulation may appeal the Secretary's action by filing a request for a hearing in accordance with Regulation .64 of this chapter.
(2) A licensee aggrieved by the imposition of a sanction under §A(7) of this regulation may appeal the Secretary's action in accordance with Health-General Article, §§19-364 and 19-367, Annotated Code of Maryland.
(3) This section does not, however, create an appeal for a decision made under Regulation .22I of this chapter.