10.29.16-.20 Cremation Flashcards
1
Q
The publication, dissemination, or circulation of any oral or written matter, including labeling, which directly calls to the attention of the public the goods and services one has to offer.
A
Advertising
2
Q
An individual legally entitled to order the cremation of human remains or legally authorized to control the final disposition of human remains.
A
Authorizing Agent
3
Q
Board of Morticians and Funeral Directors
A
Board
4
Q
Includes a funeral establishment contracting with a crematory or the designated next of kin of a decedent contracting with a crematory.
A
Consumer
5
Q
All human remains recovered after completion of cremation and the use of mechanical pulverizing equipment.
A
Cremated Human Remains
6
Q
The process of reducing human remains to bone fragments through intense heat and evaporation, including any mechanical or thermal process and may include pulverization.
A
Cremation
7
Q
A readily combustible, rigid container in which human remains are sent to the crematory adn then placed in the cremation chamber for cremation.
A
Cremation Container
8
Q
The machinery within which the process of cremation of human remains begins.
A
Cremator
9
Q
A building, portion of a building, or structure that houses the necessary appliances and facilities for cremation.
A
Crematory
10
Q
Has the same meaning as “permit holder.”
A
Crematory Authority
11
Q
The disinfection and preserving of human remains by arterial or cavity injection or any other type of preservation.
A
Embalming
12
Q
Controlling or managing a crematory.
A
Engage in the Operation of a Crematory
13
Q
An area within or adjacent to the crematory establishment designed for the retention of human remains before cremation.
A
Holding Facility
14
Q
The body of a deceased person, or part of a body or limb that has been removed from a living person.
A
Human Remains
15
Q
The Office of Cemetery Oversight.
A
Office
16
Q
A license issued by the Board to allow a person to operate a business which engages in the operation of a crematory.
A
Permit
17
Q
The holder of a permit issued under Health Occupations Article, Title 7, Annotated Code of Maryland, to operate a crematory.
A
Permit Holder
18
Q
An individual, personal representative, or corporation that is the operator of a mortuary science business where the practice of mortuary science is conducted for the corporation by a licensed mortician or funeral director, a partnership, or professional association, each comprised of one or more licensed morticians or funeral directors.
A
Person
19
Q
The end result of pulverization, where the residue from the cremation process is pulverized leaving only bone fragments reduced to 5 millimeters or less.
A
Processed Human Remains
20
Q
An individual registed to operate a crematory as a sole proprietor or on behalf of a sole proprietor or permit holder.
A
Registered Crematory Operator
21
Q
A container in which cremated human remains can be placed and sealed so as to prevent leakage or the enterance of foreign materials.
A
Sealable Container
22
Q
This chapter governs the crematory permit process and fees for persons regulated under Health Occupations Article, Title 7, Annotated Code of Maryland.
A
10.29.17 Crematories- Permit, Licensing, and Fees
.01 Scope
23
Q
If the Individual:
- Holds a permit or registration under Business Regulation Article, Title 5, Annotated Code of Maryland; and
- Owns a greater interest in a crematory than a licensee or hoder of a corporation license under Health Occupations Article, Title 7, Annotated Code of Maryland;
A
10.29.17.02 Permit- Issuing Agency
A. Office of Cemetery Oversight. An Individual shall obtain a permit to engage in the operation of a crematory from the Office:
(1)
24
Q
If the person’s ownership interest is equal to the ownership interest in the crematory of a licensee or holder of a corporation license under Health Occupations Article, Title 7, Annotated Code of Maryland; or
A
10.29.17.02 Permit- Issuing Agency
A. Office of Cemetery Oversight. An Individual shall obtain a permit to engage in the operation of a crematory from the Office:
(2)
25
If the person who owns the crematory is not:
* A licensee or holder of a corporation license under Health Occupations Article, Title 5, Annotated Code of Maryland; or
* A registrant or permit holder under Business Regulation Article, Title 5, Annotated Code of Maryland.
10.29.17.02 Permit- Issuing Agency
A. Office of Cemetery Oversight. An Individual shall obtain a permit to engage in the operation of a crematory from the Office:
(3)
26
A person shall obtain a permit to engage in the operation of a crematory from the Board if the person:
1. Is a licensee or holder of a corporation license under Health Occupations Article, Title 7, Annotated Code of Maryland; and
2. Owns a greater interest in a crematory than a person who holds a permit or registration under Business Regulation Article, Title 5, Annotated Code of Maryland.
10.29.17.02 Permit- Issuing Agency
B. Board of Morticians and Funeral Directors
27
Subject to approval of the Board, a person shall receive a permit to operate a crematory in this State if the person meets the permit requirements of this chapter.
10.29.17.03 Permit- Requirements for Permit
A.
28
Submit an application on a form provided by the Board;
10.29.17.03 Permit- Requirements for Permit
B. A person shall:
(1)
29
Pay the nonrefundable application fee and any other applicable fees set forth in Regulation .09 of this chapter;
10.29.17.03 Permit- Requirements for Permit
B. A person shall:
(2)
30
Be of good moral character, if the applicant is an individual;
10.29.17.03 Permit- Requirements for Permit
B. A person shall:
(3)
31
Designate a registered crematory operator who shall be responsible for the day-to-day operation of the business provided that the registered crematory operator may not be degisnated as the responsible party for more than a total of two crematories;
10.29.17.03 Permit- Requirements for Permit
B. A person shall:
(4)
32
Provide a certificate of status, issued by the Maryland Department of Assessments and Taxation, if the applicant is a business entity:
* Indicating that the entity is in good standing, or its equivalent as determined by the Board; and
* Dated not earlier than 30 days before the application; and
* Comply with all applicable federal, State, and local laws.
10.29.17.03 Permit- Requirements for Permit
B. A person shall:
(5)
33
An operating crematory shall apply to the Board for a permit within 90 days from the effective date of this regulation or be subject to Board action.
10.29.17.03 Permit- Requirements for Permit
C.
34
Before applying to the Board for a permit, any crematory not in operation before the effective date of this chapter shall have in its employ an individual who holds a certification from:
1. The Cremation Association of North America (CANA)
2. The International Cemetery, Cremation and Funeral Association (ICCFA); or
3. Another equivalent body recognized jointly by the Board and the Office.
10.29.17.03 Permit- Requirements for Permit
D.
35
An individual may be registered by the Board as a registered crematory operator if the individual meets the requirements of this regulation.
10.29.17.04 Requirements for Registration or a Registered Crematory Operator.
A.
36
1. Submit an application on a form provided by the Board;
2. Pay the nonrefundable fee and any other applicable fees set forth in Regulation .09 of this chapter;
3. Be of good moral character;
4. Be 18 years old or older;
5. Achieve certification as a crematory operator by the Cremation Association of North America (CANA), International Cemetery, Cremation and Funeral Association (ICCFA), or other equivalent recognized jointly by the Board and the Office;
6. Successfully complete the operator training course of the manufacturer of the cremator located in the crematory with which the applicant is affiliated; and
7. Provide evidence to the Board of the individual's ability to read and write.
10.29.17.04 Requirements for Registration or a Registered Crematory Operator.
B. An individual Shall:
37
The permit holder or registered crematory operator shall notify the Board of any change in the information provided if the applicant either before or after the issuance of a permit or registration within a reasonable period of time but not to exceed 7 days from the date of the change.
10.29.17.05 Change of Information
38
Before the expiration date of the permit or registration, a permit holder or registered crematory operator shall complete and return the renewal form, pay the nonrefundable renewal fee, and submit any required documentation.
10.29.17.06 Renewals
A.
39
A person who has a permit or registration as a permit holder or registered crematory operator may renew the permit or registration every 2 years, beginning on a date specified by the Board, in the following manner:
1. Complete the renewal application form;
2. Pay the nonrefundable renewal fee set forth in Regulation .09 of this chapter;
3. Meet the permit and registration requirements of this chapter and Health Occupations Article, Title 7, Annotated Code of Maryland; and
4. Submit the required documentation.
10.29.17.06 Renewals
B.
40
After the expiration date, if an application for renewal of a permit or registration has not been made or if the individual has been identified by the Office of the Comptroller or the Department of Labor, Licensing, and Regulation as deliquent in the payment of taxes or unemployment insurance contributions, pursuant to tax compliance regulations of COMAR 10.31.02 or, pursuant to Family Law Article 10-119.3, Annotated Code of Maryland, has outstanding child support obligations, the individual may not engage in the operation of a crematory business or act as a registered crematory operator.
10.29.17.06 Renewals
C.
41
An individual who engages in the operation of a crematory business or acts as a registered crematory operator without renewing the required permit or registration is subject to disciplinary action by the Board.
10.29.17.06 Renewals
D.
42
if a permit holder or registered crematory operator applies for renewal past the expiration date of the permit or registration, the individual shall pay the renewal fee plus the late renewal fee set forth in Regulation .08 of this chapter.
10.29.17.06 Renewals
E.
43
* A. Completing a permit application form;
* B. Paying the permit fee and the late renewal fee set forth in Regulation .09 of this chapter;
* C. Meeting the permit requirements under this chapter;
* D. Submitting the documentation required by this chapter;
* E. Providing a full written explanation to the Board detailing the reasons why the permit was allowed to expire and why a permit is now sought; and
* F. Submitting to the Board an affidavit stating that the person did not engage in the operation of a crematory in this State while the permit was lapsed.
10.29.17.07 Lapsed Permit
A person who has been issued a permit and who has allowed the permit to lapse for at least 6 months may apply for a permit by doing the following:
44
1. Crematory permit- $350
2. Registered crematory operator- $300
3. Crematory permit renewal- $300; and
4. Late fee- $200
10.29.17.08 Fees
The following fees are established by the Board:
A. Initial permit or registration and renewal fees:
45
1. Replacement of permit or registration - $50
2. Returned check fee- $50
3. Duplicate permit or registration- $50
4. Business name change- $50
5. Personal name change- $50
6. Business address change- $50; and
7. Annual pre-need sales trust report- $25
10.29.17.08 Fees
The following fees are established by the Board:
B. Miscellaneous fees:
46
A permit and registration, as well as any other permit or license required by local, State, or federal agencies shall be conspiciously displayed in a public area on the crematory premises.
10.29.17.09 Display of Permit.
47
This chapter governs crematory inspections, standards, the complaint process, investigations, grounds for discipline, and penalties.
10.29.18 Crematories- Inspections, Complaints, Investigations, Grounds for Discipline, and Penalties
.01 Scope
48
A crematory shall be available for inspection by a representative of the Board at any time during operating hours.
10.29.18.02 Inspection by the Board.
A.
49
A crematory shall be inspected:
1. On at least a biennial basis;
2. In furtherance of an investigation; or
3. Upon the sale or change of ownership of the crematory
10.29.18.02 Inspection by the Board.
B.
50
The permit holder of any person responsible for day-to-day operation of the cremation machinery shall be available to accompany the inspector during the inspection and sign the initial inspection report. A copy of the inspection report shall be provided to the permit holder or registered crematory operator responsible for the day-to-day operation of the crematory.
10.29.18.02 Inspection by the Board.
C.
51
The premises shall be completely cleaned after each cremation;
10.29.18.02 Inspection by the Board.
D. A crematory shall maintain the following minimum standards:
(1)
52
Except by express written consent of the authorizing agent, there may not be more than one human body cremated simultaneously in a single cremator;
10.29.18.02 Inspection by the Board.
D. A crematory shall maintain the following minimum standards:
(2)
53
A cremator shall be completely cleaned after each cremation;
10.29.18.02 Inspection by the Board.
D. A crematory shall maintain the following minimum standards:
(3)
54
There may not be co-mingling of human remains and pet remains in refrigeration units or cremation machinery;
10.29.18.02 Inspection by the Board.
D. A crematory shall maintain the following minimum standards:
(4)
55
Separate cremators shall be dedicated for the cremation of human remains adn the cremation of pets;
10.29.18.02 Inspection by the Board.
D. A crematory shall maintain the following minimum standards:
(5)
56
There may not be:
* Co-mingling of cremated human remains with other human or pet cremated human remains;
* Scooping of cremated human remains from a bucket containing co-mingled cremated human remains; or
* Any form of misrepresentation in the return of cremated human remains;
10.29.18.02 Inspection by the Board.
D. A crematory shall maintain the following minimum standards:
(6)
57
Excluding a deceased person with a known communicable infection, human remains shall be promptly identified before cremation by verifying that the documentation accompanying the human remains is consistent with a visual observation of the human remains;
10.29.18.02 Inspection by the Board.
D. A crematory shall maintain the following minimum standards:
(7)
58
Burial transit permit shall be an original document pertaining to the deceased;
10.29.18.02 Inspection by the Board.
D. A crematory shall maintain the following minimum standards:
(8)
59
Each crematory shall have:
* A sink with hot and cold water within the room housing the cremator; and
* The equipment necessary to thoroughly clean the floor within the room housing the cremator with water and an appropriate sanitizing agent;
10.29.18.02 Inspection by the Board.
D. A crematory shall maintain the following minimum standards:
(9)
60
The name of the deceased shall be visible on the outside of the cremation container;
10.29.18.02 Inspection by the Board.
D. A crematory shall maintain the following minimum standards:
(10)
61
Crematories shall:
* Use only mechanical pulverizing equipment meeting industry standards that has been totally brushed as clean as possible between each use; and
* Pulverize the cremated human remains with a mortar and pestle if the cremated human remains are not sufficient in amount for pulverizing in mechanical equipment;
10.29.18.02 Inspection by the Board.
D. A crematory shall maintain the following minimum standards:
(12)
62
Separate pulverizing drums shall be dedicated for cremated human remains and cremated pet remains;
10.29.18.02 Inspection by the Board.
D. A crematory shall maintain the following minimum standards:
(13)
63
Cremated human remains may not be held pending payment of any fees;
10.29.18.02 Inspection by the Board.
D. A crematory shall maintain the following minimum standards:
(14)
64
Within 6 months of the effective date of these regulations, cremators without safety devices that prevent the automatic door from dropping prematurely shall be retrofitted with such safety devices;
10.29.18.02 Inspection by the Board.
D. A crematory shall maintain the following minimum standards:
(15)
65
Portable fans may not be used in the area of the cremator and pulverizer;
10.29.18.02 Inspection by the Board.
D. A crematory shall maintain the following minimum standards:
(16)
66
There shall be a minimum of 6 inches between cremator smoke stack and the roof of the crematory;
10.29.18.02 Inspection by the Board.
D. A crematory shall maintain the following minimum standards:
(17)
67
Before pulverizing, the mechanical pulverizer shall be clamped;
10.29.18.02 Inspection by the Board.
D. A crematory shall maintain the following minimum standards:
(18)
68
A cremator shall have visible on its front a warning sign stating, "No leaning past the door of the cremator.";
10.29.18.02 Inspection by the Board.
D. A crematory shall maintain the following minimum standards:
(19)
69
The permit holder or registered crematory operator shall be present at the crematory during regular business hours; and
10.29.18.02 Inspection by the Board.
D. A crematory shall maintain the following minimum standards:
(20)
70
All Individuals who operate the cremator in a crematory shall be certified by the Cremation Association of North America (CANA), International Cemetery, Cremation and Funeral Association (ICCFA), or other equivalent certification recognized jointly by the Board and the Office. Individuals receiving training toward certification to operate a cremator shall be allowed to work under the supervision of a registered crematory operator who has the required certification for a period not to exceed 6 months.
10.29.18.02 Inspection by the Board.
D. A crematory shall maintain the following minimum standards:
(21)
71
1. Cremation authorization form;
2. Burial transit permit;
3. Delegation of authority form;
4. Receipt for human remains;
5. Record of cremation;
6. Certificate of cremation; and
7. Return of cremated human remains certificate.
10.29.18.02 Inspection by the Board.
E. The following completed forms from previous cremations shall be available at all times for inspection and copying and are subject to be pulled at random by the inspector:
72
Inspection results shall be written on forms approved by the Board.
10.29.18.02 Inspection by the Board.
F.
73
The Board representative performing the inspection shall, on completion of the inspection:
1. Appraise the permit holder of the findings of the inspection; and
2. Provide the permit holder or representative of the permit holder with a copy of the inspection report.
10.29.18.02 Inspection by the Board.
G.
74
The permit holder or representative of the permit holder shall sign and verify receipt of the inspection report.
10.29.18.02 Inspection by the Board.
H.
75
At the time of the Board inspection, the permit holder shall provide written documentation to the Board's inspector that:
1. The cremator has been inspected in accordance with manufacturer specifications;
2. In accordance with manufacturing specifications, it is not time for a manufacturer's inspection; or
3. The permit holder has requested that the manufacturer conduct an inspection of the cremator.
10.29.18.02 Inspection by the Board.
I.
76
The Board shall review the inspection report and make a determination as to whether a decifiency exists.
10.29.18.03 Crematory Inpection Report, Deficiencies, and Penalties
A.
77
The Board shall notify the permit holder of the results of the inspection by providing a copy of the inspection report to the permit holder.
10.29.18.03 Crematory Inpection Report, Deficiencies, and Penalties
B.
78
If a permit holder passes an inspection, the permit holder shall, prominently and in public view, display on the premises a statement issued by the Board that the crematory has successfully passed an inspection.
10.29.18.03 Crematory Inpection Report, Deficiencies, and Penalties
C.
79
If the Board finds a deficiency, the Board shall:
1. Within 7 days, notify the permit holder of the deficiency or failure to pass the inspection; and
2. Provide a copy of the inspection report to the permit holder within 30 days.
10.29.18.03 Crematory Inpection Report, Deficiencies, and Penalties
D.
80
1. Except as proivided in this section, a permit holder shall correct a deficiency within 30 days after receipt of notification or sooner as determined by the Board.
10.29.18.03 Crematory Inpection Report, Deficiencies, and Penalties
E. Correction of a deficiency:
(1)
81
The Board may require immediate correction of a deficiency if the Board considers the correction necessary in the interest of public health.
10.29.18.03 Crematory Inpection Report, Deficiencies, and Penalties
E. Correction of a deficiency:
(2)
82
The permit holder may request an extension of time for correction of a deficiency.
10.29.18.03 Crematory Inpection Report, Deficiencies, and Penalties
E. Correction of a deficiency:
(3)
83
The Board may approve an extension of time for correction of a deficiency.
10.29.18.03 Crematory Inpection Report, Deficiencies, and Penalties
E. Correction of a deficiency:
(4)
84
Upon completion of correction of all deficiencies, the permit holder shall notify the Board.
10.29.18.03 Crematory Inpection Report, Deficiencies, and Penalties
E. Correction of a deficiency:
(5)
85
Upon notification by the permit holder, a representative of the Board shall re-inspect the crematory.
10.29.18.03 Crematory Inpection Report, Deficiencies, and Penalties
E. Correction of a deficiency:
(6)
86
The Board shall notify the permit holder in writing of the results of the re-inspection by providing a copy of a new inspection report to the permit holder.
10.29.18.03 Crematory Inpection Report, Deficiencies, and Penalties
E. Correction of a deficiency:
(7)
87
If re-inspection reveals additional deficiencies not cited in the first report, the permit holder shall correct those deficiencies in the time period specified by the Board unless an extension of time is requested by the permit holder and approved by the Board.
10.29.18.03 Crematory Inpection Report, Deficiencies, and Penalties
E. Correction of a deficiency:
(8)
88
Penalties. In the event that a permit holder fails to allow an inspection of the crematory or fails to comply with a notice to correct deficiencies or violations within the time specified, the Board shall:
1. Deem the failure to be a threat to the public health, safety, or welfare and requiring emergency action;
2. Summarily suspend the crematory permit as provided under State Government Article, 10-226(c)(2), Annotated code of Maryland
3. Provide notice of the Board's action to the permit holder; and
4. Provide the permit holder an opportunity to be heard.
10.29.18.03 Crematory Inpection Report, Deficiencies, and Penalties
F.
89
If the permit holder was issued a permit by the Board, a complaint shall be:
1. Filed in compliance wtih the provisions of COMAR 10.29.11.03; and
2. Processed in accordance with the provisions of COMAR 10.29.11.04
10.29.18.04 Complaints
A.
90
The Board may initiate a complaint or investigation on its own.
10.29.18.04 Complaints
B.
91
The Board and the Office of Cemetery Oversight may share investigative information and conduct joint investigations.
10.29.18.05 Investigations
92
Prusuant to the provisions of Health Occupations Article 7-316 and 7-319, Annotated Code of Maryland, the Board may:
1. Deny a crematory permit or crematory operator registration to an applicant;
2. Reprimand any permit holder or registered crematory operator; or
3. Suspend or revoke a crematory permit or crematory operator registration.
10.29.18.06 Grounds for Discipline, Hearing, and Penalties.
A.
93
Pursuant to the provisions of Heath Occupations Article 7-317, Annotated Code of Maryland, if the Board, after bringing an action, finds that there are grounds for probation, suspension, or revocation, the Board may impose a penalty not exceeding $5,000.
10.29.18.06 Grounds for Discipline, Hearing, and Penalties.
B.
94
This chapter governs the procedures to be followed in performing a cremation in this state.
10.29.19 Crematories- Cremation Procedure
.01 Scope
95
1. Verify that the information on the wrist tag is consistent with the:
* Documentation accompanying the deceased; and
* Visual observation of the remains themselves;
10.29.19.02 Removal, Identification, and Transportation of Human Remains
A. Upon receipt of human remains, a permit holder in the presence of the authorizing agent or representative of the funeral establishment engaging crematory services shall:
(1)
96
Use a metal detector want to inspect for the presence of any batter operated, implant devices including pacemakers, defibrillators, or pain relief devices.
10.29.19.02 Removal, Identification, and Transportation of Human Remains
A. Upon receipt of human remains, a permit holder in the presence of the authorizing agent or representative of the funeral establishment engaging crematory services shall:
(2)
97
Refuse to accept human remains for cremation if an inspection of the human remains indicates the presence of any battery operated, implanted device;
10.29.19.02 Removal, Identification, and Transportation of Human Remains
A. Upon receipt of human remains, a permit holder in the presence of the authorizing agent or representative of the funeral establishment engaging crematory services shall:
(3)
98
Remove and properly dispose of any hazardous object or any other materials that the individual authorized under this subtitle deems should be removed from the human remains or cremation container in order to prevent harm to the public health or damage to the cremator;
10.29.19.02 Removal, Identification, and Transportation of Human Remains
A. Upon receipt of human remains, a permit holder in the presence of the authorizing agent or representative of the funeral establishment engaging crematory services shall:
(4)
99
Remove any jewery on the human remains or in the cremation container;
10.29.19.02 Removal, Identification, and Transportation of Human Remains
A. Upon receipt of human remains, a permit holder in the presence of the authorizing agent or representative of the funeral establishment engaging crematory services shall:
(5)
100
Return any removed jewelry to the authorizing agent or representative of the funeral establishment engaging crematory services; and
10.29.19.02 Removal, Identification, and Transportation of Human Remains
A. Upon receipt of human remains, a permit holder in the presence of the authorizing agent or representative of the funeral establishment engaging crematory services shall:
(6)
101
Obtain a signed, itemized receipt from the authorizing agent or representative of the funeral establishment engaging crematory services for the removed jewelry and retain the receipt as a permanent record.
10.29.19.02 Removal, Identification, and Transportation of Human Remains
A. Upon receipt of human remains, a permit holder in the presence of the authorizing agent or representative of the funeral establishment engaging crematory services shall:
(7)
102
Foreign objects removed from the human remains:
1. Shall be treated as medical waste and disposed of accordingly; and
2. May not be donated until a sterilization process through a third party recognized by the Board to dispose properly of medical waste has been performed.
10.29.19.02 Removal, Identification, and Transportation of Human Remains
B.
103
Materials identifying the human remains that are placed in the custody of a permit holder shall contain the following information about the decedent:
1. Name
2. Date of birth
3. Date of death
4. Name of funeral establishment or authorizing agent;
5. Gender; and
6. Name and relationship of authorizing agent to deceased.
10.29.19.02 Removal, Identification, and Transportation of Human Remains
C.
104
A permit holder may not accept for cremation unidentified human remains.
10.29.19.02 Removal, Identification, and Transportation of Human Remains
D.
105
* A. Shall be readily combustible, rigid container suitable for cremation;
* B. Shall provide a completely enclosed covering for the human remains;
* C. Shall be resistant to leakage or spillage;
* D. Shall be of sufficient strength and rigidity for ease of handling;
* E. Shall provide protection to the health and safety of crematory establishment personnel and the public;
* F. Shall comply with all local, state, and federal governmental emmissions regulations;
* G. May not be composed of metal or polyethylene material; and
* H. If it appears to be heavily coated with varnish, lacquer, or any other highly combustible substance, shall be:
1. Placed in a cold cremator; or
2. Coated completely with water before being placed in the cremator.
10.29.19.03 Cremation Containers
A cremation container:
106
* A. Comply with applicable public health laws;
* B. Preserve the dignity of human remains;
* C. Recognize the integrity, health, and safety of crematory established personnel; and
* D. Be secure from access by unauthorized persons.
10.29.19.04 Holding Facilities
A holding facility shall:
107
Human remains that have been designated for cremation shall be cremated within 48 hours after receipt.
10.29.19.05 Holding Remains
A.
108
A permit holder may not hold human remains for cremation unless the human remains are contained within an individual, rigid, stackable, closed cremation container.
10.29.19.05 Holding Remains
B.
109
A permit holder may not accept a cremation container from which there is any evidence of leakage of the body fluids from the human remains therein.
10.29.19.05 Holding Remains
C.
110
Whenever human remains are unable to be cremated within 48 hours of taking custody thereof, the permit holder shall maintain the human remains in a refrigerated holding facility, either on or off site, at 40 degrees F or less, unless the remains have been embalmed.
10.29.19.05 Holding Remains
D.
111
Immediately before being placed within the cremation chamber, the individual authorized under this subtitle shall:
1. Verify the identification of the human remains; and
2. Place in the cremator the circular hard metal identification tag of the human remains being cremated where it shall remain in place until the cremation process is complete.
10.29.19.06 Identification Immediately Before Cremation; Simultaneous Cremation of Multiple Human Remains
A.
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The permit holder's designee may not leave the immediate area of the cremator during the cremation process.
10.29.19.06 Identification Immediately Before Cremation; Simultaneous Cremation of Multiple Human Remains
B.
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1. The permit holder shall maintain the written authorizations required by Regulation .08 of this chapter as required pursuant to Health-General Article 4-304, Annotated Code of Maryland, and COMAR 10.01.16.04B.
2. The records are subject to inspection and copying by the Board.
10.29.19.06 Identification Immediately Before Cremation; Simultaneous Cremation of Multiple Human Remains
C. Records.
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1. The body has been identified as required under Health Occupations Article 7-411, Annotated Code of Maryland:
2. The permit holder crematory has recieved:
* A cremation authorization on a form approved by the Board and signed by an authorizing agent;
* If applicable, a written delegation or facismile; and
* Any other documentation required by federal, State, or local law; and
3. The permit holder has documented that at least 12 hours have elasped from the time of death of the individual whose remains are to be cremated.
10.29.19.07 Cremation Authorization
A. Except as otherwise provided in COMAR 10.29.18.02, a permit holder may not cremate human remains until:
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Be provided by the permit holder to the authorizing agent;
10.29.19.07 Cremation Authorization
B. The Cremation Authorization form shall:
(1)
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Contain the following information:
* The identity of the human remains;
* Date of death;
* The name and address of the authorizing agent and the relationship between the authorizing agent and the deceased;
* Authorization for the permit holder to cremate the human remains;
* Authorization to verify that the following have been removed before cremation:
* An implanted pacemaker or defibrillator; and
* Any other materials that should be removed to prevent harm to the public health or damage to equipment;
* A representation by the authorizing agent that radiologic implant tratment has not occurred within 5 days before cremation;
* A representation that the authorizing agent is aware of no objection to the human remains being cremated by any person who has a right to control the disposition of the human remains;
* The name and address of the person authorized to claim the cremated remains from the permit holder or to accept the cremated remains via the current mailing standard approved by the US postal service; and
* The name and address of the crematory to which the authorizing agent has given permission; and
10.29.19.07 Cremation Authorization
B. The Cremation Authorization form shall:
(2)
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Be signed by the authorizing agent.
10.29.19.07 Cremation Authorization
B. The Cremation Authorization form shall:
(3)
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If an authorizing agent is not readily available to execute the cremation authorization form, the authorizing agent may transit the document in writing with a notary sealed electronically:
1. In writing; or
2. If located outside the area, by transmitting to the permit holder:
1. A signed statement electronically or by facismile that contains the name, address, and relationship of the sender to the decedent and the name and address of the individual to whom authority is delegated; and
2. Once the authorizing agent is located in the area, a notarized document through U.S. postal service attesting to the delegation of authority.
10.29.19.07 Cremation Authorization
C.
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Upon receipt of the written delegation document or a copy transmitted electronically of by facismile, the permit hoder shall allow the named individual to serve as authorizing agent. The documents shall be signed by the authorizing agent in the presence of a notary.
10.29.19.07 Cremation Authorization
D.
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A person signing a cremation authorization form is deem to warrant the truthfulness of any facts set forth in the cremation authorization form, including the identity of the deceased and whose remains are sought to be cremated and the authority of that person to order such a cremation.
10.29.19.07 Cremation Authorization
E.
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A permit holder shall notify and obtain written consent of the authorizing agent before the cremation of human remains at a location other than the location named on the cremation authorization form.
10.29.19.07 Cremation Authorization
F.
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A permit holder shall maintain a copy of every cremation authorization form required under this regulation as permanent records.
10.29.19.07 Cremation Authorization
G.
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Cremation authorization records are subject to inspection and copying by the Board.
10.29.19.07 Cremation Authorization
H.
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1. Name of the individual from whom the human remains were received and the name of the individual's employer, if any;
2. Name and address of the crematory authority;
3. Name of the deceased;
4. Date of death of deceased; and
5. Verification of authorized burial transit permit.
10.29.19.08 Record of Receipt of Remains
A. A permit holder shall provide to an individual who delivers human remains for cremation a receipt signed by both the permit holder authority and the individual who delivered the human remains, that includes the:
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1. Name of the decedent;
2. Date of birth of the decedent;
3. Gender of the decedent;
4. Date of death;
5. Name and address of the authorizing agent;
6. Date, time, and location of cremationl and
7. Name of the individual who performed the cremation.
10.29.19.08 Record of Receipt of Remains
B. The permit holder shall maintain a record of each cremation, which shall include the:
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1. Name of the decedent;
2. Name of the authorizing agent;
3. Name and address of the person who recieved the cremated human remains from the crematory authority; and
4. If ascertainable:
1. The location, including the name of the cemetery and plot location if the remains are interred; and
2. The manner and date of the disposition of the cremated human remains.
10.29.19.08 Record of Receipt of Remains
C. The permit holder shall provide a certificate of disposition of cremated human remains to the authorizing agent or funeral establishment that arranged for the cremation that includes the:
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The permit holder shall maintain a copy of every record and receipt required by this chapter as permanent records.
10.29.19.08 Record of Receipt of Remains
D.
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All records and receipts required by this chapter are subject to inspection and copying by the Board.
10.29.19.08 Record of Receipt of Remains
E.
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Except as otherwise provided in B of this regulation, a permit holder may not:
1. Require that human remains be placed in a casket before cremation or that human remains be cremated in a casket;
2. Refuse to accept human remains for cremation because the remains are not in a casket; or
3. Refuse to accept human remains for cremation because the remains are in a suitable, combustible wooden casket, but may require the authorizing agent or funeral establishment engaging the services of the crematory authority to remove the metal mattress holder in the casket.
10.29.19.09 Use of a Casket; Embalming.
A.
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Human remains delivered to a crematory establishment may not be removed from the cremation container.
10.29.19.09 Use of a Casket; Embalming.
B.
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The cremation container shall be cremated with the human remains unless the authorizing agent for the deceased requests a more natural environment for the deceased. A permit holder is not required to accept this manner of disposition.
10.29.19.09 Use of a Casket; Embalming.
C.
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A permit holder may not require that human remains be subjected to embalming before cremation.
10.29.19.09 Use of a Casket; Embalming.
D.
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1. All of the recoverable residue of the cremation process shall be:
1. Removed from the cremator;
2. Except for medical devices remaining after cremation, processed; and
3. Plaed in a container; and
2. The identification disc required by Health Occupations Article 7-411, Annotated Code of Maryland, shall be:
1. Removed from the cremator; and
2. Placed in the container with the cremated human remains.
10.29.19.10 Disposition of Cremated Human Remains
A. On Completion of the cremation, insofar as is possible:
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Medical devices which remain after the completion of the cremation process shall be treated as medical waste and disposed of accordingly.
10.29.19.10 Disposition of Cremated Human Remains
B.
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After pulverization, all of the processed human remains, together with the identification disc, shall be placed in a sealable container.
10.29.19.10 Disposition of Cremated Human Remains
C.
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If the cremation container opening is not of adequate dimensions to accomodate a disc, it shall be affixed to the container and a record of the cremation number shall be placed in the container.
10.29.19.10 Disposition of Cremated Human Remains
D.
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If all the processed human remains and the identification disc will not fit within the dimensions of a sealable container, the remainder of the remains shall be returned to the authorizing agent, or the agent's representative, in a separate, sealable container. Container seems shall be taped.
10.29.19.10 Disposition of Cremated Human Remains
E.
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If the processed human remains and identification disc do not adequately fill the container's interior dimensions, the extra space may be filled with packing material that will not become intermingled with the remains and then securely closed.
10.29.19.10 Disposition of Cremated Human Remains
F.
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If a sealable container is to be shipped, it shall:
1. Be placed within a separate sturdy box with all box seams securely taped closed; and
2. Have the name of the deceased person whose processed remains are contained therein clearly identified on the outside of the container.
10.29.19.10 Disposition of Cremated Human Remains
G.
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If processed human remains have been in the possession of a permit holder, as originally authorized by the authorizing agent without instructions for disposition for a period of 10 days or more from the date of cremation, the permit holder may send the cremated remains, using the current mailing standard approved by the US postal service, return receipt requested, to the authorizing agent.
10.29.19.10 Disposition of Cremated Human Remains
H.
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* A. Safety placement tool measuring a minimum of 49 inches in length;
* B. Wire brushes for cleaning cremators;
* C. Brush with fine bristles for cleaning pulverizers;
* D. Mortar and pestle;
* E. Funnel
* F. High temperature protective gloves and heat resistant leather gloves;
* G. Hand magnet and metal detector wand to detect and remove metal from cremated human remains;
* H. Tweezers to remove nonmetal objects from cremated human remains; and
* I. Dust masks.
10.29.19.11 Tools
A crematory shall maintain at its own expense the following tool inventory:
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1. Submit to the Board the number of persons not affiliated with the operations of the crematory who can safely be within the same room and within 10 feet of the cremator door; and
2. Verify to the Board that the permit holder has submitted the information required in A(1) of this regulation to their liability insurance carrier.
10.29.19.12 Visitors
A. The permit holder or designated crematory operator shall:
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Crematories that begin operation after July 1, 2014, shall construct a viewing room in the area of the cremator if the crematory intends to have more than two visitors present in the area of the cremator during the cremation.
10.29.19.10 Disposition of Cremated Human Remains
B.
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This chapter governs any persons who holds a permit to:
* A. Engage in the operation of a crematory;
* B. act as a designated crematory operator; or
* C. Act as a registered crematory operator.
10.29.20 Crematories- Code of Ethics
.01 Scope
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Act in a manner that respects and protects the dignity of a decedent and the decedent's family;
10.29.20.02 General Professional Practices
A. A permit holder or registered crematory operator shall:
(1)
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Conduct business in a reasonable, usual, and customary manner advoiding unfair trade practices;
10.29.20.02 General Professional Practices
A. A permit holder or registered crematory operator shall:
(2)
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Comply with the State public health laws as set forth in Health-General Article 4-215 and 5-501, Annotated Code of Maryland;
10.29.20.02 General Professional Practices
A. A permit holder or registered crematory operator shall:
(3)
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Comply with the Maryland Morticians and Funeral Directors Act, Health Occupations Article, Title 7, Annotated Code of Maryland;
10.29.20.02 General Professional Practices
A. A permit holder or registered crematory operator shall:
(4)
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Implement and follow through on all arrangements agreed on between consumer and the crematory;
10.29.20.02 General Professional Practices
A. A permit holder or registered crematory operator shall:
(5)
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Provide appropriate services for and respect the rights of individuals without regard to age, race, creed, national origin, gender, disability, marital status, political belief, religious affiliation, social or economic status, or social preferences;
10.29.20.02 General Professional Practices
A. A permit holder or registered crematory operator shall:
(6)
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Comply with all local, State, and federal laws regarding the final disposition of human remains;
10.29.20.02 General Professional Practices
A. A permit holder or registered crematory operator shall:
(7)
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Be sensitive and responsive to the bereavement needs of a decedent's family; and
10.29.20.02 General Professional Practices
A. A permit holder or registered crematory operator shall:
(8)
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Provide a genera price list in effect at the time in accordance with the Federal Trade Commission's funeral rule, 16 CFR part 453.
10.29.20.02 General Professional Practices
A. A permit holder or registered crematory operator shall:
(9)
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1. That are misrepresentations of facts;
2. That are likely to mislead or decieve because, in context, the statement makes only a partial disclosure of relevant facts;
3. Relating to fees without reasonable disclosure of all relevant variables so that the statement would not be misunderstood or be deceptive to a consumer; or
4. Containing representations or implications that in reasonable probability can be expected to cause an ordinarily prudent individual to misunderstand or be deceived.
10.29.20.02 General Professional Practices
B. In advertising, a licensee may not include statements:
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1. Use, or participate in the use of, any form of communication to consumers containing a false, fraudulent, misleading, deceptive, or unfair statement or claim; or
2. Operate a crematory or perform a cremation while under the influence of alcohol, an illegal drug, or a controlled dangerous substance, without the prescription of a physician.
10.29.20.02 General Professional Practices
C. A permit holder or crematory operator may not:
