DHS 75.59(20)(e) (e) Security. Adequate security shall be provided inside and outside the facility for the safety of the patients and to prevent loitering and illegal activities.

DHS 75.59(20)(f) (f) Restrooms. Separate toilet facilities shall be provided for patient and staff use.

DHS 75.59(20)(g) (g) Accessibility. The facility and areas within the facility shall be accessible to persons with physical disabilities.

DHS 75.59(20)(h) (h) Physical environment. The physical environment within the facility shall be conducive to promoting improved functioning and a drug-free lifestyle.

DHS 75.59(20)(i) (i) Facility regulations. Meet all local, state, and federal requirements.

DHS 75.59(20)(j) (j) Annual inspection. Post an annual inspection report from appropriate officials.

DHS 75.59(20)(k) (k) First aid kit. The facility shall maintain stocked first aid kits for emergency use including naloxone.

DHS 75.59(20)(L) (L) Disaster plan. Have a disaster plan and facility evacuation plan that is updated annually and posted in an area accessible to staff and patients.

DHS 75.59(20)(m) (m) Accreditation body. The facility shall meet physical facility standards established by the services accreditation body.

DHS 75.59(21) (21) Diversion control.

DHS 75.59(21)(a) (a) Staff member responsibility. Each staff member of the OTP is responsible for being alert to potential diversion of medication by patients and staff.

DHS 75.59(21)(b) (b) Minimize diversion. Service staff shall take all of the following measures to minimize diversion:

DHS 75.59(21)(b)1. 1. Require that doses of Methadone shall be dispensed only in liquid form. Other FDA approved medications are allowable in their FDA-approved formats as determined by the medical staff.

DHS 75.59(21)(b)2. 2. Require that each take-home bottle or other form of medication packaging used for medication-assisted treatment dispensed have a label that contains the following information:

DHS 75.59(21)(b)2.a. a. The OTPs name, address and telephone number.

DHS 75.59(21)(b)2.b. b. The name of the patient.

DHS 75.59(21)(b)2.c. c. The name of service physician prescribing the medication.

DHS 75.59(21)(b)2.d. d. The name of the medication.

DHS 75.59(21)(b)2.e. e. The dosing instructions and schedule.

DHS 75.59(21)(b)2.f. f. The date that the take-home dose was prepared.

DHS 75.59(21)(b)2.g. g. A warning that reads “Caution: Federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed.”

DHS 75.59(21)(b)2.h. h. Any other requirements pursuant to rules adopted by the department.

DHS 75.59(21)(b)3. 3. Require a patient to return all empty take-home bottles on the patient’s next day of service attendance following take-home dosing. Clinical staff shall examine the bottles to ensure that the bottles are received from the appropriate patient and in an intact state.

DHS 75.59(21)(b)4. 4. The service may discontinue take-home medications for patients who fail to return empty take-home bottles in the prescribed manner. If upon review of take home medication it is determined that medication is missing and cannot reasonably be accounted for the service shall discontinue take home medication.

DHS 75.59(21)(c) (c) Counselor responsibility. If a service receives reliable information that a patient is diverting medication, the patient’s primary counselor shall immediately discuss the problem with the patient.

DHS 75.59(21)(d) (d) Revocation of take homes. Based on information provided by the patient or continuing reports of diversion, a service may revoke take-home privileges of the patient.

DHS 75.59(21)(e) (e) State revocation of take-homes. The SOTA may, based on reports of diversion, revoke take-home privileges, exceptions or exemptions granted to or by the service for all patients. If a service agency disagrees with the SOTA’s decision, it may provide additional relevant information to the SOTA, request that SOTA review the revocation decision, or file a request for review and reconsideration of the revocation decision with the Department’s Division of Care and Treatment Services.

DHS 75.59(21)(f) (f) State revocation of a services ability to grant take-homes. The SOTA may revoke the authority of an OTP to grant take-home privileges when the service cannot demonstrate that all requirements have been met in granting take-home privileges to patients. If a service agency disagrees with the SOTA’s decision, it may provide additional relevant information to the SOTA, request that SOTA review the revocation decision, or file a request for review and reconsideration of the revocation decision with the Department’s Division of Care and Treatment Services.

DHS 75.59(21)(g) (g) Loitering. An OTP shall have a written policy to discourage the congregation of patients at a location inside or outside the service facility for non-programmatic reasons, and shall post that policy in the facility.