Part 11. CRISIS TRIAGE CENTERS, version 8 (§ 8.321.11.1 to 8.321.11.85)

A. Licensee must submit a renewal application, electronically, if available, or on forms authorized by the licensing authority, along with the required license fee at least 30 days prior to expiration of the current license. The applicant shall certify that the CTC complies with …

The CTC's official license must be posted in a conspicuous place on the licensed premises in an area visible to the public.

A license granted under these regulations is not transferable to any other owner, whether an individual or legal entity, or to another location. The authority shall not guarantee or be liable for or responsible for guaranteeing the transfer of the license to any other owner or ot…

When a change of ownership occurs, an initial license application must be submitted by the new owner per the requirements in this section. The new owner must demonstrate compliance with these regulations the instant it takes responsibility of the CTC. The licensing authority may,…

An existing license shall automatically expire at midnight on the day indicated on the license, unless it is renewed sooner, or it has been suspended or revoked. A. If a CTC discontinues operation, is sold, leased or otherwise changes any ownership interest or changes location, t…

A. Suspension of license without prior hearing: If immediate action is required to protect human health and safety, the licensing authority may act in accordance with Section 24-15 NMSA 1978, as amended, and suspend a license pending a hearing, provided such hearing is held withi…

Hearing procedures for an administrative appeal of an adverse action taken by the authority against a CTC's license will be held in accordance with applicable rules relating to adjudicatory hearings, including but not limited to, Section 8.370.2 NMAC. A copy of the above regulati…

A. Application for licensure, whether initial or renewal, shall constitute permission for unrestricted entry into and survey of a CTC by authorized licensing authority representatives at times of operation during the pendency of the license application, and if licensed, during th…

These regulations apply to public, profit and not for profit crisis triage centers providing the services specified in these regulations. Any crisis triage center providing services specified in these regulations must be licensed under these regulations.

All CTC's licensed under these regulations must comply with all incident intake, processing, training and reporting requirements under these regulations, as well as with all other applicable statutes and regulations. All facilities shall report to the licensing authority any seri…

All CTC's licensed under these regulations must have a formally constituted governing body or operate under the governing body of the legal entity, which has ultimate authority over the CTC. A. The governing body shall: (1) establish and adopt bylaws that govern its operation; (2…

The CTC shall establish written policies and procedures that are reviewed annually and approved by the governing body, which govern the CTC's operation. The administrator shall ensure that these policies and procedures are adopted, administered and enforced to provide quality ser…

Each CTC shall establish and maintain quality improvement systems including policies and procedures for quality assurance and quality improvement and have a quality committee. A. The CTC shall establish a quality committee comprised at a minimum of the administrator, clinical dir…

A. The CTC shall develop policies and procedures addressing risk assessment and mitigation including, but not limited to: assessments, crisis intervention plans, treatment, approaches to supporting, engaging, and problem solving, staffing, levels of observation and documentation.…

A. The CTC shall develop admission and discharge criteria related to stabilization of behavioral health crises including out-patient and short-term residential stabilization. B. The CTC shall post operating and admission hours in a location visible from the exterior of the facili…

A licensed mental health professional must assess each individual with the assessment focusing on the stabilization needs of the client. It must be done in a timely manner congruent with the urgency of the presenting crisis, and consistent with the policies and procedures. The as…

A. All licensed facilities shall understand, protect and respect the rights of all residents. Prior to admission to a CTC, a client, parent, shall be given the applicable written description of the adult's or youth's legal rights, translated into client's preferred language, if n…

The client clinical records maintained by a crisis triage center in a paper-based or electronic system shall document the degree and intensity of the treatment provided to clients who are furnished services by the CTC. A client's clinical record shall contain at a minimum: A. the…

A. Minimum staffing requirements:(1) The CTC shall have an on-site administrator, which can be the same person as the clinical director. (2) The CTC shall have a full time clinical director appropriately licensed to provide clinical oversight. (3) The CTC shall have an RN present…

The regulations set forth herein are promulgated pursuant to the general authority granted under Subsection E of Section 9-8-6, NMSA 1978; and the authority granted under Subsection D of Section 24-1-2, Subsection I of Section 24-1-3 and Section 24-1-5 NMSA 1978. Section 9-8-1 et…

A. Administrator: (1) Must be at least 21 years of age. (2) The administrator shall possess experience in acute mental health and hold at least a bachelor's degree in the human services field or be a registered nurse with experience or training in acute mental health treatment. B…

A. The CTC shall have policies and procedures for managing personnel information and records. B. Staff scheduling records shall be maintained for at least three years. C. Employee records shall be kept at the CTC and include:(1) employment application; (2) training records; (3) l…

A. Training for each new employee and volunteer who provides direct care shall include a minimum of 16 hours of training and be completed prior to providing unsupervised care to clients. B. At least 12 hours of on-going training shall be provided to staff that provides direct car…

A. The CTC shall have policies and procedures regarding authorized entry to or exit from the CTC including the residential component. B. Control of potentially injurious items shall be clearly defined in policy to include: (1) prohibition of flammables, toxins, ropes, wire clothe…

The CTC shall provide planned and nutritionally balanced meals to its residential clients and any client treated at the CTC for eight hours or longer from the basic food groups in accordance with the "recommended daily dietary allowance" of the American dietetic association, the …

A. Pharmacological services shall be provided only on order by a prescribing professional and in accordance with the terms and conditions of such professional's license. These services may be administered or monitored, if self administered, by nursing staff. B. The CTC shall esta…

A. Laboratory work and other diagnostic procedures deemed necessary shall be performed as ordered by the physician. B. The CTC shall comply with clinical laboratory improvement amendments of 1988 (CLIA) requirements. C. All lab test results performed either at the CTC or by contr…

A. The CTC shall develop and implement policies and procedures for infection control and prevention. Policies shall include: educational course requirements; decontamination; disinfection and storage of sterile supplies; cleaning; and laundry requirements, and address the followi…

A. If a CTC is conducting research activities, the CTC must have written policies and procedures for conducting research, documentation that the study has received institutional review board (IRB) approval, and a consent form for each client involved in the research in the client…

A. The CTC shall have policies and procedures to stabilize and transfer clients in need of a higher level of care. B. The CTC shall:(1) discuss recommendations for transfer with the client or client's legal guardian or agent and upon transfer, notify the client's legal guardian o…

Permanent.

The CTC shall post hours of operation and admissions on signage exterior to the building.

A. When construction of new buildings, additions, or alterations to existing buildings are contemplated, plans and specifications covering all portions of the work must be submitted to the licensing authority for plan review and approval prior to beginning actual construction. Wh…

A. Public services shall include: (1) conveniently accessible wheelchair storage; (2) an ADA compliant reception and information counter or desk; (3) waiting areas; (4) conveniently accessible public toilets; and (5) drinking fountain (s) or water dispensers easily accessible to …

A. An easily accessible hard-wired telephone for summoning help, in case of emergency, must be available in the CTC. B. A list of emergency numbers including, but not limited to, fire department, police department, ambulance services, local hospital, poison control center, and th…

Sufficient space for off-street parking for staff, clients and visitors shall be provided. A designated parking space(s) for one emergency, and one police vehicle shall be provided. Parking should be compliant with local zoning requirements and the 2009 New Mexico commercial buil…

Facilities must maintain the building(s) in good repair at all times. Such maintenance shall include, but is not limited to, the following: A. all electrical, mechanical, water supply, heating, fire protection, and sewage disposal systems must be maintained in a safe and function…

A. The CTC must be kept free from offensive odors and accumulations of dirt, rubbish, dust, and safety hazards. B. Treatment rooms, waiting areas and other areas of daily usage must be cleaned as needed to maintain a clean and safe environment for the clients. C. Floors and walls…

A. Each CTC shall have at least one custodial closet which must be locked and restricted from client access. B. Each custodial closet shall contain:(1) a service sink; and (2) storage for housekeeping supplies and equipment. C. Each custodial closet must be mechanically vented to…

A. Hazardous areas include the following:(1) fuel fired equipment rooms; (2) bulk laundries or laundry rooms with more than 100 sq. ft.; (3) storage rooms with more than 50 sq. ft. but less than 100 sq. ft. not storing combustibles; (4) storage rooms with more than 100 sq. ft. st…

A. Floor and wall areas penetrated by pipes, ducts, and conduits shall be tightly sealed to minimize entry of rodents and insects. Joints of structural elements shall be similarly sealed. B. Threshold and expansion joint covers shall be flush with the floor surface to facilitate …

July 1, 2024, unless a later date is cited at the end of a section.

A. Each floor of a CTC shall have exits as required by the New Mexico commercial building code and applicable version of the National fire protection association 11. B. Each exit must be marked by illuminated exit signs having letters at least six inches high whose principle stro…

A. Minimum corridor width shall be five feet except work corridors less than six feet in length may be four feet in width. B. For facilities contained within existing commercial or residential buildings, less stringent corridor widths may be allowed if not in conflict with buildi…

A. Each client care area in the residential unit shall have a staff station located to provide visual or virtual monitoring of all resident room corridors and access to secured access to outdoor area, equipped with access to residential clients' records, a desk or work counter, a…

A. The CTC shall provide a secure environment for client safety. A secured environment is a CTC and grounds that have secured or monitored exits. A secured environment for facilities that offer residential services may include but is not limited to: double alarm systems; gates co…

A. general purpose assessment rooms shall meet the following requirements: B. minimum floor area of 80 square feet, excluding vestibules, toilets, and closets; C. room arrangement shall permit at least two feet - eight inch clearance around furniture items used for exam or assess…