Section 10030 - Protocol for Proposed Programs(a) The program sponsor shall submit or cause to be submitted on its behalf to the Department an Initial Application Coversheet form DHCS 5014 (04/16) and written protocol, which shall serve as an application for licensure by the Department. The protocol shall include the following information and designated forms: (2) A description of the geographical surrounding areas to be served by the program, as required by the Facility and Geographical Area form DHCS 5025 (04/16).(3) Population and area to be served, as required by the Facility and Geographical Area form DHCS 5025 (04/16).(4) The estimated number of persons in the described area having an addiction to opioids and an explanation of the basis of such estimate, as required by the Facility and Geographical Area form DHCS 5025 (04/16).(5) The estimated number of persons in the described area having an addiction to opioids who are presently in a narcotic treatment program and other treatment programs, as required by the Facility and Geographical Area form DHCS 5025 (04/16).(6) The number of patients in regular treatment, projected rate of intake, and factors controlling projected intake, as required by the Facility and Geographical Area form DHCS 5025 (04/16).(10) County Alcohol and Drug Program Administrator's certification, as required by the County Certification form DHCS 5027 (04/16), herein incorporated by reference.(11) Letters of community support.(12) Patient identification system (physical or electronic).(13) Control and security of patient identification system.(14) System to prevent patient's multiple program registration.(15) Organizational responsibility, as required by the Organizational Responsibility form DHCS 5031 (04/16), herein incorporated by reference.(17) First-year budget, listing available, pending, or projected funds. Copies of letters verifying funding shall also be submitted with the protocol. Subsequent years' budgets may be submitted as amendments to the original, approved protocol.(18) Schedule of patient fees.(19) Duties and responsibilities of each staff member and the relationship between the staffing pattern and the treatment goals.(20) Each staff member's resume and Staff Information form DHCS 5026 (04/16).(21) Duties and responsibilities of the medical director.(22) Plan for delegation of the medical director's duties, if appropriate.(23) Training and experience of counselors.(25) Procedures and criteria for patient selection.(26) Program rules and instructions.(27) Facility description, as required by the Facility and Geographical Area form DHCS 5025 (04/16).(28) Initial, medically determined dosage levels.(29) Decreasing, medically determined dosage levels for patients in detoxification treatment and stable, medically determined dosage levels for patients in maintenance treatment.(30) Operational procedures.(31) Procedures, which provide for cooperation with local jails for either detoxification or maintenance treatment while in custody, in the event of patient hospitalization or incarceration.(32) The written policies and procedures to be followed in the event of an emergency or disaster.(33) Testing or analysis procedures for illicit drug use which utilize random selection or unannounced collection.(34) Procedures for scheduled termination, voluntary termination, and involuntary termination for cause, including reasons for termination for cause.(36) Copies of all forms developed and to be used by the proposed program.(37) Facility address and dimensions, as required by the Facility and Geographical Area form DHCS 5025 (04/16).(38) Amount of space devoted to narcotic treatment, including waiting, counseling, dispensing, and storage areas, as required by the Facility and Geographical Area form DHCS 5025 (04/16).(39) Days and hours of medication program dispensing, as required by the Facility and Geographical Area form DHCS 5025 (04/16).(40) Days and hours for other narcotic treatment program services, as required by the Facility and Geographical Area form DHCS 5025 (04/16).(41) Type of services provided and the hours of use, if the facility is also used for purposes other than a narcotic treatment program, as required by the Facility and Geographical Area form DHCS 5025 (04/16).(42) Diagram of the facility housing the narcotic treatment program and an accompanying narrative that describes patient flow, as required by the Facility and Geographical Area form DHCS 5025 (04/16). The diagram and narrative shall specify:(C) Medication administration area.(D) Patient body specimen collection locations for testing or analysis of samples for illicit drug use.(F) Parking or transportation access.(G) The relation of the narcotic treatment program to the total facility.(43) Guarantor Agreement, as required by the Guarantor Agreement form DHCS 5020 (04/16), herein incorporated by reference.(b) A protocol shall be current, detailed, specific, and complete to permit evaluation by the Department and to provide a basis for compliance inspections or surveys.Cal. Code Regs. Tit. 9, § 10030
1. Change without regulatory effect renumbering and amending former section 10042 to 10030 filed 6-3-91 pursuant to section 100, title 1, California Code of Regulations (Register 91, No. 34).
2. Amendment of section and NOTE filed 3-15-96 as an emergency; operative 3-15-96 (Register 96, No. 11). A Certificate of Compliance must be transmitted to OAL by 7-13-96 or emergency language will be repealed by operation of law on the following day.
3. Amendment of section and NOTE refiled 7-8-96 as an emergency; operative 7-12-96 (Register 96, No. 28). A Certificate of Compliance must be transmitted to OAL by 11-12-96 or emergency language will be repealed by operation of law on the following day.
4. Amendment of section and NOTE refiled 10-23-96 as an emergency; operative 10-29-96 (Register 96, No. 43). A Certificate of Compliance must be transmitted to OAL by 2-26-97 or emergency language will be repealed by operation of law on the following day.
5. Amendment of section and NOTE refiled 2-11-97 as an emergency; operative 2-24-97 (Register 97, No. 7). A Certificate of Compliance must be transmitted to OAL by 6-24-97 or emergency language will be repealed by operation of law on the following day.
6. Certificate of Compliance as to 2-11-97 order transmitted to OAL 3-4-97; disapproved by OAL and order of repeal as to 2-11-97 order filed 4-15-97 (Register 97, No. 16).
7. Amendment of section and NOTE filed 4-15-97 as an emergency; operative 4-15-97 (Register 97, No. 16). A Certificate of Compliance must be transmitted to OAL by 8-13-97 or emergency language will be repealed by operation of law on the following day.
8. Certificate of Compliance as to 4-15-97 order, including amendment of subsections (a)(29) and (a)(42)(D), transmitted to OAL 6-2-97 and filed 6-13-97 (Register 97, No. 24).
9. Change without regulatory effect amending NOTE filed 4-19-2006 pursuant to section 100, title 1, California Code of Regulations (Register 2006, No. 16).
10. Amendment of section and NOTE filed 5-7-2020; operative 7-1-2020 (Register 2020, No. 19). Note: Authority cited: Sections 11750, 11755, 11835 and 11839.3, Health and Safety Code. Reference: Sections 11839.3, 11839.19, 11839.20 and 11839.22, Health and Safety Code.
1. Change without regulatory effect renumbering and amending former section 10042 to 10030 filed 6-3-91 pursuant to section 100, title 1, California Code of Regulations (Register 91, No. 34).
2. Amendment of section and Note filed 3-15-96 as an emergency; operative 3-15-96 (Register 96, No. 11). A Certificate of Compliance must be transmitted to OAL by 7-13-96 or emergency language will be repealed by operation of law on the following day.
3. Amendment of section and Note refiled 7-8-96 as an emergency; operative 7-12-96 (Register 96, No. 28). A Certificate of Compliance must be transmitted to OAL by 11-12-96 or emergency language will be repealed by operation of law on the following day.
4. Amendment of sectionand Note refiled 10-23-96 as an emergency; operative 10-29-96 (Register 96, No. 43). A Certificate of Compliance must be transmitted to OAL by 2-26-97 or emergency language will be repealed by operation of law on the following day.
5. Amendment of section and Note refiled 2-11-97 as an emergency; operative 2-24-97 (Register 97, No. 7). A Certificate of Compliance must be transmitted to OAL by 6-24-97 or emergency language will be repealed by operation of law on the following day.
6. Certificate of Compliance as to 2-11-97 order transmitted to OAL 3-4-97; disapproved by OAL and order of repeal as to 2-11-97 order filed 4-15-97 (Register 97, No. 16).
7. Amendment of section and Note filed 4-15-97 as an emergency; operative 4-15-97 (Register 97, No. 16). A Certificate of Compliance must be transmitted to OAL by 8-13-97 or emergency language will be repealed by operation of law on the following day.
8. Certificate of Compliance as to 4-15-97 order, including amendment of subsections (a)(29) and (a)(42)(D), transmitted to OAL 6-2-97 and filed 6-13-97 (Register 97, No. 24).
9. Change without regulatory effect amendingNote filed 4-19-2006 pursuant to section 100, title 1, California Code of Regulations (Register 2006, No. 16).
10. Amendment of section and Note filed 5-7-2020; operative 7/1/2020 (Register 2020, No. 19).