(a) A VFCA health facility shall have policies and procedures applicable to medications and medical supplies that include, but are not limited to:

1. (1) medications and supplies shall be secured, controlled and have measures in place to establish accountability of transactions. This includes the following documentation of all VFCA health facility-supplied medication and related supply transactions:

   1. (i) physical inventories of medications and sensitive medical supplies kept on site;
   2. (ii) reconciliation of inventory discrepancies as needed;
   3. (iii) disposition of expired medications;
2. (2) compliance with article 33 of Public Health Law standards for prescribing, dispensing, administering, storing and inventorying of controlled substances;
3. (3) maintenance and implementation of guidelines for administering medications, including guidelines addressing all potential side effects and medication.