Fla. Admin. Code R. 65D-30.004
(3) Provider Governance and Management.
(4) Personnel Policies. Personnel policies shall clearly address recruitment and selection of prospective employees, promotion and termination of staff, code of ethical conduct, sexual harassment, confidentiality of individual records, attendance and leave, employee grievance, non-discrimination, abuse reporting procedures, and the orientation of staff to the agency’s universal infection control procedures. The code of ethical conduct shall prohibit employees and volunteers from engaging in sexual activity with individuals receiving services for a minimum of two (2) years after the last professional contact with the individual. Providers shall also have a drug-free workplace policy for employees and prospective employees.
(a) Personnel Records. Records on all personnel shall be maintained. Each personnel record shall contain:
1. The individual’s current job description with minimum qualifications for the position and documentation that the staff meets the minimum qualifications outlined in the job description;
2. The employment application or resume;
3. The employee’s annual performance appraisal;
4. A document signed and dated by the employee indicating that the employee received new staff orientation and understand the personnel policies and the programs operating policies and procedures;
5. A verified or certified copy of degrees, licenses, or certificates of each employee;
6. Documentation of employee screening as required in paragraph (b); and
7. Documentation of required staff training.
8. Inmate Substance Abuse Programs operated by or under contract with the Department of Corrections, or the Department of Management Services, and Juvenile Justice Commitment Programs and detention facilities operated by the Department of Juvenile Justice, are exempt from the requirements of subparagraph (a)7.
(b) Background Screening Requirements.
1. Providers shall ensure compliance with background screening in accordance with Section 397.4073, F.S.
2. Providers shall ensure that peer specialists are screened in accordance with Section 397.417, F.S.
3. Individuals subject to screening in this subsection shall be re-screened within five (5) years from the date of their last screening results and every five (5) years thereafter. At the time of the initial screening, and with every re-screening, an Attestation of Good Moral Character, form CF 1649, (June 2025), which is incorporated by reference and available at HYPERLINK "http://flrules.org/Gateway/reference.asp?No=Ref-18473"http://flrules.org/Gateway/reference.asp?No=Ref-18473, shall be submitted by individuals who are subject to level 2 background screenings.
4. Inmate Substance Abuse Programs operated by or under contract with the Department of Corrections, or the Department of Management Services, and Juvenile Justice Commitment Programs and detention facilities operated by the Department of Juvenile Justice, are exempt from the requirements of subparagraph 3., unless the service provider personnel have direct contact with unmarried inmates under the age of 18 or with inmates who are intellectually disabled, pursuant to Section 397.4073(1)(e), F.S.
(6) Medical Director. Providers licensed to operate addictions receiving facilities, detoxification, intensive inpatient treatment, residential treatment, and methadone and medication-assisted treatment for opioid use disorder shall have a medical director. Providers shall designate a medical director who shall oversee all medical services. The medical director’s responsibilities shall be clearly described.
(a) The Medical Director shall have overall responsibility for the following:
1. Medical services provided by the program;
2. Oversight of the development and revision of medical policies, including:
a. The means for the detection and referral of health problems through medical surveillance and regular examination;
b. Implementation of medical orders regarding treatment of medical conditions;
c. Reporting of communicable diseases and infections in accordance with federal and state laws;
d. Procedures and ongoing training for routine medical care, specialized services, specialized medications, and medical and psychiatric emergency care;
3. Collaborative supervision with the clinical supervisor of non-medical staff in the provision of substance use disorder services; and
4. Supervision of medical staff in the performance of medical services.
| Component | Average Length of Stay (LOS) in Days | Total Service Time over LOS | Work Days | Work Days per LOS | Hours worked per LOS (Work Days x Work Days per LOS) | Calculation (Time in LOS/Total Service Time) | Total Case Load | Inpatient Detoxification | 4 days | 1.0 hour* | 8 hours | 4 days | 32 hours | 32 /1 hour | 32 individuals | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Outpatient Detoxification | 5 days | 1.2 hours* | 8 hours | 5 days | 40 hours | 40/1.2 hours | 33 individuals | |||||||||
| Residential Level I | 19 days | 1 hour** | 8 hours | 15 days | 120 hours | 120/1 hour | 120 individuals | |||||||||
| Residential Level II | 41 days | 1.75 hours** | 8 hours | 30 days | 240 hours | 240/1.75 | 137 individuals | |||||||||
| Residential Level III | 54 days | 2.25 hours** | 8 hours | 40 days | 320 hours | 320/2.25 | 142 individuals | |||||||||
| Residential Level IV | 42 days | 1.75 hours** | 8 hours | 30 days | 240 hours | 240/1.75 | 137 individuals | |||||||||
| Medication and Methadone Maintenance | 1,030 days | 3.25 hours*** | 8 hours | 709 days | 5,672 hours | 5,672/3.25 | 1,745 individuals |
*Service Times: New Patient Visit (30 minutes), Daily Follow-up (10 minutes)
**Service Times: New Patient Visit (30 minutes), Weekly Follow-up (15 minutes)
***Service Times: New Patient Visit (30 minutes), Quarterly Follow-up (15 minutes)
(d) A medical director may not serve in that capacity for more than a maximum of the indicated number of individuals for the treatment types listed below:
1. Addiction receiving facilities, inpatient detoxification, and intensive impatient providers – a cumulative total of 32 individuals at any given time.
2. Outpatient detoxification – a cumulative total of 33 individuals at any given time.
3. Residential treatment (level 1) – a cumulative total of 120 individuals at any given time.
4. Residential treatment (level 2) – a cumulative total of 137 individuals at any given time.
5. Residential treatment (level 3) – a cumulative total of 142 individuals at any given time.
6. Residential treatment (level 4) – a cumulative total of 137 individuals at any given time.
7. Methadone medication-assisted treatment for opioid use disorder – a cumulative total of 1,745 individuals at any given time.
(7) Medical Services.
(b) The medical protocols shall also include:
1. The manner in which certain medical functions may be delegated to appropriate licensed practitioners in those instances where these practitioners are utilized as part of the clinical staff;
2. Issuing orders; and
3. Signing and countersigning results of physical health assessments;
4. Procedures shall be documented for the administration of medication by a qualified medical professional as authorized by their scope of practice.
(c) Supervision of self-administration of medication may be provided, including at the community housing location, under the following conditions:
1. A secure, locked storage for medications must be maintained;
2. Individuals must receive prescription medication in accordance to the prescriptions of appropriate licensed practitioners, as required by law;
3. Supervision of self-administration of medication must be provided by trained personnel in accordance with paragraph 65D-30.0046(1)(f), F.A.C. of this chapter.
4. A record of all instances of supervision of self-administration of medication shall be maintained in a medication observation record, to include the date, time, and dosage in accordance to the prescription. The personnel who witnessed the self-administration of the medication shall sign and date the medication observation record.
(8) State Approval Regarding Prescription Medication. In instances where the provider utilizes prescription medication, medications shall be purchased, handled, dispensed, administered, and stored in compliance with the State of Florida Board of Pharmacy requirements for facilities and in accordance with Chapter 465, F.S. This shall be implemented in consultation with a state-licensed consultant pharmacist and approved by the medical director. The provider shall ensure that policies implementing this subsection are reviewed and signed and dated annually by a state-licensed consultant pharmacist.
(9) Universal Infection Control. Providers licensed to operate addictions receiving facilities, detoxification, intensive inpatient treatment, residential treatment, day or night treatment with community housing, day or night treatment, intensive outpatient treatment, outpatient treatment, and medication-assisted treatment for opioid addiction shall implement an exposure control plan and universal infection control services.
(a) Plan for Exposure Control.
1. A written plan for exposure control regarding infectious diseases shall be developed and shall apply to all staff, volunteers, and individuals receiving services. The plan shall be initially approved and reviewed annually by the medical director or consulting physician. The plan shall be in compliance with Chapters 381 and 384, F.S., and in accordance with the Department of Health’s requirements as stated in Chapters 64D-2 and 64D-3, F.A.C. The plan shall be signed and dated by the medical director or consulting physician as required by this paragraph.
2. The plan shall be consistent with the protocols and facility standards published in the Federal Centers for Disease Control and Prevention Guidelines and Recommendations for Infectious Diseases.
(b) Required Services. The following Universal Infection Control Services shall be provided:
1. Risk assessment and screening individuals for both high-risk behavior and symptoms of communicable disease as well as actions to be taken on behalf of individuals identified as high-risk and individuals known to have an infectious disease;
2. HIV and TB testing and HIV pre-test and post-test counseling to high-risk individuals, provided directly or through referral to other healthcare providers which can offer the services; and
3. Reporting of communicable diseases to the Department of Health in accordance with Sections 381.0031 and 384.25, F.S.
(17) Critical Incident Reporting pursuant to Section 397.4103(2)(f), F.S.
(b) Every provider shall report the following critical incidents within 24 hours of the incident occurring.
(VII) Unknown. The manner of death was not identified or made known.
2. Adolescent Arrest. The arrest of an adolescent.
3. Adolescent Death. An individual who is less than 18 years of age whose life terminates:
a. While receiving services; or
b. When it is known that an adolescent died within 30 days of discharge from a program;
c. The final classification of an adolescent’s death is determined by the medical examiner. In the interim, the manner of death will be reported as one of the following:
(VII) Unknown. The manner of death was not identified or made known.
4. Adolescent-on-Adolescent Sexual Abuse. Any sexual behavior between adolescents less than 18 years of age which occurs without consent, without equality, or because of coercion.
5. Elopement. An unauthorized absence of any individual.
6. Employee Arrest. The arrest of an employee for a civil or criminal offense.
7. Employee Misconduct. Work-related conduct or activity of an employee that results in potential liability for the Department; death or harm to an individual receiving services; abuse, neglect or exploitation of a vulnerable adult; or which results in a violation of statute, rule, regulation, or policy. This includes falsification of records; failure to report suspected abuse, neglect, or abandonment of a child; contract mismanagement; or improper commitment or expenditure of state funds.
8. Missing Adolescent. When the whereabouts of an adolescent in the custody of the Department are unknown and attempts to locate the adolescent have been unsuccessful.
9. Security Incident – Unintentional. An unintentional action or event that results in compromised data confidentiality, a danger to the physical safety of personnel, property, or technology resources; misuse of state property or technology resources; or, denial of use of property or technology resources. This excludes instances of compromised information of individuals in treatment.
10. Sexual Abuse/Sexual Battery. Any unsolicited or non-consensual sexual activity by one individual receiving services to another individual receiving services; or, sexual activity by a service provider employee or other person to an individual receiving services, or an individual receiving services to an employee regardless of the consent of the individual receiving services. This may include sexual battery, as defined in Chapter 794, F.S.
11. Significant Injury to Individuals in Treatment. Any severe bodily trauma received by an individual in a program that requires immediate medical or surgical evaluation or treatment in a hospital emergency department to address and prevent permanent damage or loss of life.
12. Significant Injury to Staff. Any serious bodily trauma received by a staff member as result of a work-related activity that requires immediate medical or surgical evaluation or treatment in a hospital emergency department to prevent permanent damage or loss of life.
13. Suicide Attempt. A potentially lethal act which reflects an attempt by an individual to cause his or her own death as determined by a licensed mental health professional or other licensed healthcare professional.
14. Other. Any major event not previously identified as a reportable critical incident but has, or is likely to have, a significant impact on individuals receiving services, on the Department, such as:
a. Human acts that jeopardize the health, safety, or welfare of individuals receiving services, such as kidnapping, riot, or hostage situation;
b. Bomb or biological/chemical threat of harm to personnel or property involving an explosive device or biological/chemical agent received in person, by telephone, in writing, via mail, electronically, or otherwise;
c. Theft, vandalism, damage, fire, sabotage, or destruction of state or private property of significant value or importance;
d. Death of an employee or visitor while on the grounds of the facility;
e. Significant injury of a visitor while on the grounds of the facility that requires immediate medical or surgical evaluation or treatment in a hospital emergency department to prevent permanent damage or loss of life; or
f. Events regarding individuals receiving services or providers that have led to or may lead to media reports.
1. Adult Death. An individual 18 years old or older whose life terminates:
a. While receiving services; or
b. When it is known that an adult died within thirty (30) days of discharge from a program.
c. The final classification of an adult’s death is determined by the medical examiner. In the interim, the manner of death shall be reported as one of the following:
(19) Certified Recovery Residence Referrals. Providers shall comply with the statutory requirements established in Sections 397.4104 and 397.4873, F.S., regarding referrals to and admissions from certified recovery residences.
(20) Telehealth Services.
(22) Overdose Prevention.
(a) All licensed providers of clinical treatment services must develop overdose prevention plans. All staff must have a working knowledge of the overdose prevention plan. Overdose prevention plans shall include:
1. Education about the risks of overdose, including having a lower tolerance for opioids if the individual is participating in an abstinence-based treatment program or is being discharged from a medication-assisted treatment program.
2. Information about Naloxone, a medication that reverses opioid overdose, including how to use Naloxone and where and how to access it.
(23) Mobile Methadone Medication-Assisted Treatment Units.
Rulemaking Authority 397.321(5), 397.4014, 397.410(1) FS. Law Implemented 397.321, 397.4014, 397.4073, 397.4075, 397.410, 397.4103, 397.4104, 397.411 FS. History–New 5-25-00, Amended 4-3-03, 12-12-05, 8-29-19, 5-10-23, 10-16-25.